Appendix A2 Family Medicaid Financial Limits 2017

Georgia State Seal

Georgia Division of Family and Children Services
Medicaid Policy Manual

Policy Title:

Family Medicaid Financial Limits (effective 04/01/2017)

Effective Date:

04/01/2017

Chapter:

Appendix A2

Policy Number:

Appendix A2

Previous Policy Number(s):

Updated or Reviewed in MT:

MT-51

2017 Income Limits

Plus 5%

1388
1868
2350
2830
3310
3792
4272
4753
5233
5714
6195
6675
7154
7633
8112
8591
9070
9549

Plus 5%

2112
2843
3575
4306
5037
5769
6500
7232
7963
8694
9427
10158
10886
11614
12342
13070
13798
14526
Percentage of the Federal Poverty Level (FPL)

Family Size

Parent/ Caretaker with Children

Plus 5%

361
525
637
756
872
964
1058
1143
1224
1320
1419
1486
1553
1620
1687
1754
1821
1888
247%

PeachCare for Kids®

220% PGW

Plus 5%

2533
3411
4490
5149
6044
6923
7800
8679
9556
10433
11312
12189
13063
13937
14811
15685
16650
17433
Newborn

205%

Plus 5%

2262
3046
3830
4613
5397
6181
6964
7749
8532
9315
10100
10883
11663
12452
13223
14003
14783
15563
Child 0-1 TMA

200% WHM P4HB

Plus 5%

2061
2775
3490
4203
4917
5632
6345
7060
7774
8487
9202
9916
10627
11338
12049
12760
13471
14182
149%

Child 1-5

133%

Plus 5%

1549
2085
2622
3158
3694
4231
4767
5304
5840
6376
6913
7449
7983
8517
9051
9585
10119
10653
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:
2483
3343
4204
5064
5924
6785
7645
8506
9366
10226
11087
11947
12804
13661
14518
15375
16232
17089

$857
2211
2978
3744
4510
5277
6043
6809
7576
8342
9108
9875
10641
11404
12176
12930
13693
14456
15219

$763
2061
2775
3489
4203
4917
5631
6345
7059
7773
8487
9202
9916
10627
11338
12049
12760
13471
14182

$711
2010
2707
3404
4100
4797
5494
6190
6887
7584
8280
8977
9674
10368
11062
11756
12450
13144
13838

$694
1498
2017
2536
3055
3574
4093
4612
5131
5650
6169
6688
7207
7724
8241
8758
9275
9792
10309

$517
1337
1800
2264
2727
3190
3654
4117
4580
5043
5507
5970
6433
6895
7357
7819
8281
8743
9205

$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.

2017 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