Appendix A2 Family Medicaid Financial Limits 2014 | Medicaid

Georgia Division of Family and Children Services
Medicaid Policy Manual

Policy Title:

Family Medicaid Financial Limits 2014 (effective 04/01/2014)

Effective Date:

04/01/2014

Chapter:

Appendix A2

Policy Number:

Appendix A2

Previous Policy Number(s):

Updated or Reviewed in MT:

MT-48

2014 Income Limits

Percentage of the Federal Poverty Level (FPL)
Family Size	Parent / Caretaker with Children	Plus 5%	247% PCK	Plus 5%	220% PGW Newborn	Plus 5%	205% Child 0-1 TMA	Plus 5%	200% WHM P4HB	Plus 5%	149% Child 1-5	Plus 5%	133% Child 6-19	Plus 5%	FAMILY MEDICAID MNIL
1	$310	358	2404	2453	2141	2190	1995	2044	1946	1995	1450	1499	1295	1344	208
2	457
3	551
4	653
5	752
6	826
7	903
8	970
9	1034
10	1113
11	1194
12	1244
13
14
15
16
17
18
For each additional member, add:			$838		$746		$695		$678		$506		$451		(+) PER ADDITIONAL BG MEMBER 50

A Budget Group of One does not exist for Parent/Caretaker with Child(ren) Medicaid or Pregnant Woman Medicaid.

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

FM-MN Allowable Mileage Reimbursement: 56 Cents Per Mile