|
Household |
Gross Monthly Income |
Gross Monthly Income |
Maximum |
|
1 |
1404 |
1107 |
162 |
|
2 |
1883 |
1484 |
298 |
|
3 |
2361 |
1861 |
426 |
|
4 |
2840 |
2238 |
542 |
|
5 |
3318 |
2615 |
643 |
|
6 |
3797 |
2992 |
772 |
|
7 |
4275 |
3369 |
853 |
|
8 |
4758 |
3746 |
975 |
|
For each additional member add: |
479 |
377 |
122 |
|
Household Size |
Gross Income |
Maximum Cash
|
|
1 |
608 |
274 |
|
2 |
843 |
380 |
|
3 |
1050 |
474 |
|
4 |
1230 |
555 |
|
5 |
1400 |
632 |
|
6 |
1542 |
696 |
|
7 |
1615 |
728 |
|
8 |
1690 |
763 |
|
Household
|
Gross
Income |
Maximum Cash
| |
|
1 |
608 |
261 | |
|
2 |
843 |
362 | |
|
Household Size |
Gross Monthly
|
|
2 |
$2007.00 |
|
3 |
$2479.00 |
|
4 |
$2951.00 |
|
5 |
$3423.00 |
|
6 |
$3895.00 |
|
7 |
$3984.00 |
|
8 |
$4072.00 |
|
9 |
$4161.00 |
|
10 |
$4249.00 |
Household
|
GrossIncome
|
Income Limit for:
Medically Needy
|
Income Limit for:
Newborn Plus
|
Income Limitfor:
PreNatal (PN)Newborn (NB)Baby Your Baby133% of Poverty |
Income Limit for:
Transitional
|
Income Limit for:
Childrens Health
|
Income Limit for:
Childrens Health
|
| 1 | 623 | 382 | 867 | 1153 | 1604 | 1300 | 1734 |
| 2 | 866 | 468 | 1167 | 1552 | 2159 | 1750 | 2334 |
| 3 | 1079 | 583 | 1467 | 1951 | 2714 | 2200 | 2934 |
| 4 | 1262 | 682 | 1767 | 2350 | 3269 | 2650 | 3534 |
| 5 | 1437 | 777 | 2067 | 2749 | 3824 | 3100 | 4134 |
| 6 | 1584 | 857 | 2367 | 3148 | 4379 | 3550 | 4734 |
| 7 | 1658 | 897 | 2667 | 3547 | 4934 | 4000 | 5334 |
| 8 | 1735 | 938 | 2967 | 3946 | 5489 | 4450 | 5934 |
| 9 | 1817 | 982 | 3267 | 4345 | 6044 | 4900 | 6534 |
| 10 | 1893 | 1023 | 3567 | 4744 | 6599 | 5350 | 7134 |
Household |
Income Limit
|
Income Limit
|
Income Limit
|
Income Limit
|
Income Limit
|
Income Limit
|
Income Limit
|
|
1 |
382 |
867 |
1277 |
2167 |
867 |
1040 |
1170 |
|
2 |
468 |
1167 |
1750 |
2917 |
1167 |
1400 |
1575 |
| 3 | 583 | 1467 | 2200 | 3667 | |||
| 4 | 682 | 1767 | 2650 | 4417 | |||
| 5 | 777 | 2067 | 3100 | 5167 | |||
| 6 | 857 | 2367 | 3550 | 5917 | |||
| 7 | 897 | 2667 | 4000 | 6667 | |||
| 8 | 938 | 2967 | 4450 | 7417 | |||
| 9 | 982 | 6237 | 4900 | 8167 | |||
| 10 | 1023 | 3567 | 5350 | 8917 |