Appendix A2 Family Medicaid Financial Limits 2022 | Medicaid

Georgia Division of Family and Children Services
Medicaid Policy Manual

Policy Title:

Family Medicaid Financial Limits 2022 (effective 03/01/2022)

Effective Date:

03/01/2022

Chapter:

Appendix A2

Policy Number:

Appendix A2

Previous Policy Number(s):

Updated or Reviewed in MT:

MT-65

2022 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	367	2798	2855	2322	2379	2390	2447	1688	1745	1507	1564
2	457	534	3769	3846	3128	3205	3220	3297	2274	2351	2030	2107
3	551	647	4741	4837	3935	4031	4050	4146	2860	2956	2553	2649
4	653	769	5712	5828	4741	4857	4880	4996	3446	3562	3076	3192
5	752	888	6684	6820	5547	5683	5710	5846	4032	4168	3599	3735
6	826	981	7655	7810	6354	6509	6540	6695	4618	4773	4122	4277
7	903	1078	8627	8802	7160	7335	7370	7545	5204	5379	4646	4821
8	970	1165	9599	9794	7966	8161	8200	8395	5790	5985	5169	5364
9	1034	1248	10570	10784	8773	8987	9030	9244	6376	6590	5692	5906
10	1113	1347	11542	11776	9579	9813	9859	10093	6963	7197	6215	6449
11	1194	1448	12513	12767	10385	10639	10689	10943	7549	7803	6738	6992
12	1244	1517	13485	13758	11192	11465	11519	11792	8135	8408	7261	7534
For each additional member, add:	$150		$972		$807		$830		$587		$524

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	2492	2549	2265	208
2	3357	3434	3052	317
3	4223	4319	3839	375
4	5088	5204	4625	442
5	5953	6089	5412	508
6	6819	6974	6199	550
7	7684	7859	6985	600
8	8549	8744	7772	633
9	9415	9629	8559	667
10	10280	10514	9345	708
11	11145	11399	10132	758
12	12011	12284	10919	808
For each additional member, add:	$866		$787	(+) 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

58.5 CENTS PER MILE EFFECTIVE 01/01/2022-06/30/2022
62.5 CENTS PER MILE EFFECTIVE 07/01/2022-PRESENT