Appendix A2 Family Medicaid Financial Limits 2016 | Medicaid

Georgia Division of Family and Children Services
Medicaid Policy Manual

Policy Title:

Family Medicaid Financial Limits 2016 (effective 04/01/2016)

Effective Date:

04/01/2016

Chapter:

Appendix A2

Policy Number:

Appendix A2

Previous Policy Number(s):

Updated or Reviewed in MT:

MT-50

2016 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%
1	310	360	2446	2496	2178	2228	2030	2080	1980	2030
2	457	524	3298	3365	2937	3004	2737	2804	2670	2737
3	551	635	4150	4234	3696	3780	3444	3528	3360	3444
4	653	755	5002	5104	4455	4557	4152	4254	4050	4152
5	752	871	5854	5973	5214	5333	4859	4978	4740	4859
6	826	962	6707	6843	5973	6109	5566	5702	5430	5566
7	903	1057	7561	7715	6734	6888	6276	6430	6122	6276
8	970	1141	8418	8589	7498	7669	6987	7158	6816	6987
9	1034	1222	9275	9463	8262	8450	7698	7886	7510	7698
10	1113	1319	10130	10336	9023	9229	8408	8614	8202	8408
11	1194	1417	10987	11210	9786	10009	9119	9342	8896	9119
12	1244	1484	11844	12084	10550	10790	9830	10070	9590	9830
13	1294	1552	12702	12960	11314	11572	10542	10800	10284	10542
14	1344	1619	13560	13836	12074	12353	11254	11529	10978	11253
15	1394	1686	14418	14712	12842	13134	11966	12258	11672	11964
16	1444	1754	15276	15588	13606	13916	12678	12988	12366	12676
17	1494	1821	16134	16464	14370	14697	13390	13717	13060	13390
18	1544	1888	16992	17340	15134	15478	14102	14446	13754	14098
For each additional member, add:			$858		$764		$712		$694

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

Percentage of the Federal Poverty Level (FPL)
Family Size	149% Child 1-5	Plus 5%	133% Child 6-19	Plus 5%	Family Medicaid MNIL
1	1476	1526	1317	1367	208
2	1990	2057	1776	1843	317
3	2504	2588	2235	2319	375
4	3018	3120	2694	2796	442
5	3532	3651	3153	3272	508
6	4046	4182	3611	3747	550
7	4561	4715	4072	4226	600
8	5078	5249	4533	4704	633
9	5595	5783	4995	5183	667
10	6111	6317	5455	5661	708
11	6628	6851	5916	6139	758
12	7145	7385	6378	6618	808
13	7663	7921	6840	7098	858
14	8181	8456	7302	7577	908
15	8699	8991	7764	8056	958
16	9217	9527	8226	8536	1008
17	9735	10062	8688	9015	1058
18	10253	10597	9150	9494	1108
For each additional member, add:	$518		$462		(+) 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: 54 Cents Per Mile