Department of Human Services: Chapter8 - Exhibit VI-5
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Department of Human Services

 
 
 

IMA POLICY MANUAL
PART VI: FINANCIAL ELIGIBILITY REQUIREMENTS
 
Exhibit VI-5 FS Income Standards
 

Household
Size  

 

Maximum Gross Monthly Income Eligibility Standard for Expanded Categorically Eligible Households (effective October 1, 2011)

200% FPL

Maximum Gross

Monthly Income Eligibility

 Standard (effective October 1, 2011)

130% FPL

 

Maximum Net Monthly Income

 Eligibility Standard (effective October 1, 2011)

100% FPL

 Maximum Allotment

 (effective April 1, 2009)

1

$1,816

$1,180

 $908

$200

2

$2,452

$1,594

 $1,226  

$367

3

$3,090

$2,008

 $1,545  

$526

4

$3,726

$2,422

$1,863 

$668

5

$4,362

$2,836

$2,181 

$793

6

$5,000

$3,249

$2,500 

$952

7

$5,636

$3,663

$2,818 

$1,052

8

$6,272

$4,077

$3,136 

$1,202

Each Additional Member

 

+$638

 

 +$414

+$319

+$150