Appendix A2 Family Medicaid Financial Limits 2016

Georgia State Seal

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

Plus 5%

1367
1843
2319
2796
3272
3747
4226
4704
5183
5661
6139
6618
7098
7577
8056
8536
9015
9494

Plus 5%

2080
2804
3528
4254
4978
5702
6430
7158
7886
8614
9342
10070
10800
11529
12258
12988
13717
14446
Percentage of the Federal Poverty Level (FPL)

Family Size

Parent/ Caretaker with Children

Plus 5%

360
524
635
755
871
962
1057
1141
1222
1319
1417
1484
1552
1619
1686
1754
1821
1888
247%

PeachCare for Kids®

220% PGW

Plus 5%

2496
3365
4234
5104
5973
6843
7715
8589
9463
10336
11210
12084
12960
13836
14712
15588
16464
17340
Newborn

205%

Plus 5%

2228
3004
3780
4557
5333
6109
6888
7669
8450
9229
10009
10790
11572
12353
13134
13916
14697
15478
Child 0-1 TMA

200% WHM P4HB

Plus 5%

2030
2737
3444
4152
4859
5566
6276
6987
7698
8408
9119
9830
10542
11253
11964
12676
13390
14098
149%

Child 1-5

133%

Plus 5%

1526
2057
2588
3120
3651
4182
4715
5249
5783
6317
6851
7385
7921
8456
8991
9527
10062
10597
Child 6-19

FAMILY MEDICAID MNIL
1 $310
2 457
3 551
4 653
5 752
6 826
7 903
8 970
9 1034
10 1113
11 1194
12 1244
13 1294
14 1344
15 1394
16 1444
17 1494
18 1544
For each additional member, add:
2446
3298
4150
5002
5854
6707
7561
8418
9275
10130
10987
11844
12702
13560
14418
15276
16134
16992

$858
2178
2937
3696
4455
5214
5973
6734
7498
8262
9023
9786
10550
11314
12074
12842
13606
14370
15134

$764
2030
2737
3444
4152
4859
5566
6276
6987
7698
8408
9119
9830
10542
11254
11966
12678
13390
14102

$712
1980
2670
3360
4050
4740
5430
6122
6816
7510
8202
8896
9590
10284
10978
11672
12366
13060
13754

$694
1476
1990
2504
3018
3532
4046
4561
5078
5595
6111
6628
7145
7663
8181
8699
9217
9735
10253

$518
1317
1776
2235
2694
3153
3611
4072
4533
4995
5455
5916
6378
6840
7302
7764
8226
8688
9150

$462
208
317
375
442
508
550
600
633
667
708
758
808
858
908
958
1008
1058
1108
(+) PER ADDITIONAL BG MEMBER 50

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

2016 Resource Limits

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