Appendix A2 Family Medicaid Financial Limits 2011

Georgia State Seal

Georgia Division of Family and Children Services
Medicaid Policy Manual

Policy Title:

Family Medicaid Financial Limits 2011 (effective 02/01/2011)

Effective Date:

02/01/2011

Chapter:

Appendix A2

Policy Number:

Appendix A2

Previous Policy Number(s):

Updated or Reviewed in MT:

MT-42

2011 Income Limits

LIM LIM PCK RSM PgW, NB, WHM, P4HB, PE 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

2134

1815

1679

1207

908

208

2

659

356

2881

2452

2268

1631

1226

317

3

784

424

3628

3089

2857

2054

1545

375

4

925

500

4378

3725

3446

2478

1863

442

5

1060

573

5125

4362

4035

2901

2181

508

6

1149

621

5873

4999

4624

3324

2500

550

7

1243

672

6622

5635

5213

3748

2818

600

8

1319

713

7370

6272

5802

4171

3136

633

9

1389

751

8120

6910

6393

4596

3455

667

10

1487

804

8870

7548

6984

5021

3774

708

11

1591

860

9620

8186

7575

5446

4093

758

12

1635

884

10370

8824

8166

5871

4412

808

(+) PER ADDITIONAL BG MEMBER

44

24

750

638

591

425

319

50

2011 Resource Limits

LIM RESOURCE LIMIT

$1000

FM-MN ALLOWABLE MILEAGE REIMBURSEMENT

51 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