Appendix A2 Family Medicaid Financial Limits 2019 | Medicaid

Georgia Division of Family and Children Services
Medicaid Policy Manual

Policy Title:

Family Medicaid Financial Limits 2019

Effective Date:

03/01/2019

Chapter:

Appendix A2

Policy Number:

Appendix A2

Previous Policy Number(s):

Updated or Reviewed in MT:

MT-55

2019 Income Limits

Percentage of the Federal Poverty Level (FPL)
Family Size	Parent / Caretaker with Children	Plus 5%	247% PCK	Plus 5%	205% Child 0-1 TMA	Plus 5%	211% P4HB	Plus 5%	149% Child 1-5	Plus 5%	133% Child 6-19	Plus 5%
1	$310	363	2571	2624	2134	2187	2197	2250	1551	1604	1385	1438
2	457	528	3481	3552	2889	2960	2974	3045	2100	2171	1875	1946
3	551	640	4391	4480	3644	3733	3751	3840	2649	2738	2365	2454
4	653	761	5301	5409	4399	4507	4528	4636	3198	3306	2854	2962
5	752	878	6210	6336	5155	5281	5305	5431	3747	3873	3344	3470
6	826	971	7120	7265	5910	6055	6083	6228	4295	4440	3834	3979
7	903	1066	8030	8193	6665	6828	6860	7023	4844	5007	4324	4487
8	970	1151	8940	9121	7420	7601	7637	7818	5393	5574	4814	4995
9	1034	1234	9850	10050	8175	8375	8414	8614	5942	6142	5304	5504
10	1113	1331	10759	10977	8930	9148	9191	9409	6491	6709	5794	6012
11	1194	1431	11669	11906	9685	9922	9968	10205	7039	7276	6284	6521
12	1244	1499	12579	12834	10440	10695	10746	11001	7588	7843	6774	7029
For each additional member, add:			$910		$755		$778		$549		$490

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) (continued)
Family Size	220% PGW Newborn	Plus 5%	200% WHM	FAMILY MEDICAID MNIL
1	2290	2343	2082	208
2	3101	3172	2819	317
3	3911	4000	3555	375
4	4721	4829	4292	442
5	5532	5658	5029	508
6	6342	6487	5765	550
7	7152	7315	6502	600
8	7963	8144	7239	633
9	8773	8973	7975	667
10	9583	9801	8712	708
11	10394	10631	9449	758
12	11204	11459	10185	808
For each additional member, add:	$811		$737	(+) 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: 58 Cents Per Mile