Appendix A2 Family Medicaid Financial Limits 2012 | Medicaid

Georgia Division of Family and Children Services
Medicaid Policy Manual

Policy Title:

Family Medicaid Financial Limits 2012 (effective 02/01/2012)

Effective Date:

02/01/2012

Chapter:

Appendix A2

Policy Number:

Appendix A2

Previous Policy Number(s):

Updated or Reviewed in MT:

MT-44

2012 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	2188	1862	1723	1239	931	208
2	659	356	2964	2522	2333	1678	1261	317
3	784	424	3739	3182	2944	2117	1591	375
4	925	500	4515	3842	3554	2555	1921	442
5	1060	573	5290	4502	4165	2994	2251	508
6	1149	621	6066	5162	4775	3433	2581	550
7	1243	672	6841	5822	5386	3872	2911	600
8	1319	713	7617	6482	5996	4311	3241	633
9	1389	751	8392	7142	6606	4750	3571	667
10	1487	804	9168	7802	7216	5189	3901	708
11	1591	860	9944	8462	7826	5628	4231	758
12	1635	884	10720	9122	8436	6067	4561	808
(+) PER ADDITIONAL BG MEMBER	44	24	776	660	610	439	330	50

LIM RESOURCE LIMIT	$1000
FM-MN ALLOWABLE MILEAGE REIMBURSEMENT	51 CENTS PER MILE

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