Appendix A2 Family Medicaid Financial Limits 2017 | Medicaid

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

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	361	2483	2533	2211	2262	2061	2112	2010	2061
2	457	525	3343	3411	2978	3046	2775	2843	2707	2775
3	551	637	4204	4490	3744	3830	3489	3575	3404	3490
4	653	756	5064	5149	4510	4613	4203	4306	4100	4203
5	752	872	5924	6044	5277	5397	4917	5037	4797	4917
6	826	964	6785	6923	6043	6181	5631	5769	5494	5632
7	903	1058	7645	7800	6809	6964	6345	6500	6190	6345
8	970	1143	8506	8679	7576	7749	7059	7232	6887	7060
9	1034	1224	9366	9556	8342	8532	7773	7963	7584	7774
10	1113	1320	10226	10433	9108	9315	8487	8694	8280	8487
11	1194	1419	11087	11312	9875	10100	9202	9427	8977	9202
12	1244	1486	11947	12189	10641	10883	9916	10158	9674	9916
13	1294	1553	12804	13063	11404	11663	10627	10886	10368	10627
14	1344	1620	13661	13937	12176	12452	11338	11614	11062	11338
15	1394	1687	14518	14811	12930	13223	12049	12342	11756	12049
16	1444	1754	15375	15685	13693	14003	12760	13070	12450	12760
17	1494	1821	16232	16650	14456	14783	13471	13798	13144	13471
18	1544	1888	17089	17433	15219	15563	14182	14526	13838	14182
For each additional member, add:			857		$763		$711		$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	1498	1549	1337	1388	208
2	2017	2085	1800	1868	317
3	2536	2622	2264	2350	375
4	3055	3158	2727	2830	442
5	3574	3694	3190	3310	508
6	4093	4231	3654	3792	550
7	4612	4767	4117	4272	600
8	5131	5304	4580	4753	633
9	5650	5840	5043	5233	667
10	6169	6376	5507	5714	708
11	6688	6913	5970	6195	758
12	7207	7449	6433	6675	808
13	7724	7983	6895	7154	858
14	8241	8517	7357	7633	908
15	8758	9051	7819	8112	958
16	9275	9585	8281	8591	1008
17	9792	10119	8743	9070	1058
18	10309	10653	9205	9549	1108
For each additional member, add:	$517		$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