Appendix A2 Family Medicaid Financial Limits 2009

Georgia State Seal

Georgia Division of Family and Children Services
Medicaid Policy Manual

Policy Title:

Family Medicaid Financial Limits 2009 (effective 02/01/2009)

Effective Date:

02/01/2009

Chapter:

Appendix A2

Policy Number:

Appendix A2

Previous Policy Number(s):

Updated or Reviewed in MT:

MT-34

2009 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

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

2121

1805

1670

1201

903

208

2

659

356

2854

2429

2247

1615

1215

317

3

784

424

3586

3052

2823

2030

1526

375

4

925

500

4319

3675

3400

2444

1838

442

5

1060

573

5051

4299

3976

2859

2150

508

6

1149

621

5783

4922

4553

3273

2461

550

7

1243

672

6516

5545

5130

3688

2773

600

8

1319

713

7248

6169

5706

4102

3085

633

9

1389

751

7982

6793

6284

4517

3397

667

10

1487

804

8716

7417

6862

4932

3709

708

11

1591

860

9450

8041

7440

5347

4021

758

12

1635

884

10184

8665

8018

5762

4333

808

(+) PER ADDITIONAL BG MEMBER

44

24

734

624

578

415

312

50

2009 RESOURCE LIMITS

LIM RESOURCE LIMIT

$1000

FM-MN ALLOWABLE MILEAGE REIMBURSEMENT

55 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