Appendix A2 Family Medicaid Financial Limits 2008

2008 Income Limits

LIM LIM PCK RSM PgW, NB RSM CHILD 0-1, TMA, WIC RSM CHILD 1-5 RSM CHILD 6-19 FM-MNIL

BUDGET GROUP (BG) SIZE

GROSS INCOME CEILING (GIC)

STANDARD OF NEED (SON)

235% FEDERAL POVERTY LEVEL (FPL)

200% FEDERAL POVERTY LEVEL (FPL)

185% FEDERAL POVERTY LEVEL (FPL)

133% FEDERAL POVERTY LEVEL (FPL)

100% FEDERAL POVERTY LEVEL (FPL)

FAMILY MEDICAID MNIL

1

$435

235

2038

1734

1604

1153

867

208

2

659

356

2743

2334

2159

1552

1167

317

3

784

424

3448

2934

2714

1951

1467

375

4

925

500

4153

3534

3269

2350

1767

442

5

1060

573

4858

4134

3824

2749

2067

508

6

1149

621

5563

4734

4379

3148

2367

550

7

1243

672

6268

5334

4934

3547

2667

600

8

1319

713

6973

5934

5489

3946

2967

633

9

1389

751

7678

6534

6044

4345

3267

667

10

1487

804

8383

7134

6599

4744

3567

708

11

1591

860

9088

7734

7154

5143

3867

758

12

1635

884

9793

8334

7709

5542

4167

808

(+) PER ADDITIONAL BG MEMBER

44

24

705

600

555

399

300

50

2008 RESOURCE LIMITS

LIM RESOURCE LIMIT

$1000

FM-MN ALLOWABLE MILEAGE REIMBURSEMENT

50.5 CENTS PER MILE

FAMILY MEDICAID MEDICALLY NEEDY (FM-MN) RESOURCE LIMIT

NUMBER OF INDIVIDUALS IN FM-MN BG

1

2

3

4

5

6

7

8

9

10

11

12

$2000

4000

4100

4200

4300

4400

4500

4600

4700

4800

4900

5000