Appendix A2 Family Medicaid Financial Limits 2013

Georgia State Seal

Georgia Division of Family and Children Services
Medicaid Policy Manual

Policy Title:

Family Medicaid Financial Limits 2013 (effective 02/01/2013)

Effective Date:

02/01/2013

Chapter:

Appendix A2

Policy Number:

Appendix A2

Previous Policy Number(s):

Updated or Reviewed in MT:

MT-46

2013 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

2252

1916

1773

1275

958

208

2

659

356

3039

2586

2393

1720

1293

317

3

784

424

3826

3256

3012

2166

1628

375

4

925

500

4614

3926

3632

2611

1963

442

5

1060

573

5401

4596

4252

3057

2298

508

6

1149

621

6188

5266

4872

3502

2633

550

7

1243

672

6975

5936

5491

3948

2968

600

8

1319

713

7763

6606

6111

4393

3303

633

9

1389

751

8550

7276

6731

4838

3638

667

10

1487

804

9337

7946

7351

5283

3973

708

11

1591

860

10124

8616

7971

5728

4308

758

12

1635

884

10911

9286

8591

6173

4643

808

(+) PER ADDITIONAL BG MEMBER

44

24

787

670

620

445

335

50

2013 Resource Limits

LIM RESOURCE LIMIT

$1000

FM-MN ALLOWABLE MILEAGE REIMBURSEMENT

56.5 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