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Income Charts

SNAP

Table Effective: October 1, 2017

 

HH
Size

Maximum gross Monthly Income Elderly/Disabled 165% of Poverty

(Used only to determine household composition – See Section 230-1 and 254)

Gross Monthly Income Limits

130% of Poverty

Net Monthly Income Limit

100% of Poverty

Maximum Monthly Allotment

1

1659

1307

1005

192

2

2223

1760

1354

352

3

2808

2213

1702

504

4

3383

2665

2050

640

5

3958

3118

2399

760

6

4532

3571

2747

913

7

5107

4024

3095

1009

8

5682

4477

3444

1153

9

6257

4930

3793

1297

10

6832

5383

4142

1441

11

7407

5836

4491

1585

12

7982

6289

4840

1729

13

8557

6742

5189

1873

14

9132

7195

5538

2017

15

9707

7648

5887

2161

16

10282

8101

6236

2305

17

10857

8554

6585

2449

18

11432

9007

6934

2593

19

12007

9460

7283

2737

20

12582

9913

7632

2881

For each additional member add:

 

575

453

349

144

 

Family Employment Program/Refugee Cash Assistance

Effective: May 1, 2012

Household Size

Gross Test
(Test 1)
185% of Adjusted SNB
 

Net Test
(Test 2)
SNB

Max. Assistance
(Test 3)
FEP/FEP-TP
87.5% of SNB

Max. Assistance
(Test 3)
WTE/GA
87.3% of SNB

1

608

329

288

287

2

843

456

399

398

3

1050

568

498

 

4

1230

665

583

 

5

1400

757

663

 

6

1542

834

731

 

7

1615

873

765

 

8

1690

914

801

 

9

1770

957

839

 

10

1844

997

874

 

11

1920

1038

910

 

12

1996

1079

946

 

13

2072

1120

982

 

14

2147

1161

1018

 

15

2225

1203

1055

 

16

2301

1244

1090

 

 General Assistance

Effective May 1, 2012

Household
Size

Gross
Income 

Maximum Cash
Assistance Amount

 

1

608

287

 

2

843

398

 

 Child Care

Effective: October 1, 2017

Household
Size

 Monthly
Income at
application

Monthly Income
while receiving
Child Care Assistance*

2

2310

2888

3

2854

3567

4

3398

4247

5

3941

4926

6

4485

5606

7

4587

5733

8

4689

5861

9

4791

5988

10

4892

6116

*Once you are approved for Child Care, the income limit increases. 

 

Lifeline - Utah Telephone Assistance Program (UTAP)

Effective: January 1, 2016

Household
Size

Gross
Income 

1

1336.50

2

1802.25

3

2268.00

4

2733.75

Add $468 for each additional person

 

Medicaid Help for Families and Children

TABLE VII - Income Limits for Medical Assistance & Medicare Cost-Sharing Programs

Effective Date: March 1, 2018

HH Size

Parent or Caretaker Relative

PREGNANT WOMAN

CHILD 0-5

CHILD 6-18

Medically Needy Family- related

REFUGEE

BMS Level

PCR - 12 Month TRANSITIONAL

CHIP

PLAN B

 

CHIP

PLAN C

UPP

PCN

95% FPL

 Aged & Disabled

 

MEDICARE COST-SHARING

 

Poverty and Med Needy ABD

Medicaid Work Incentive

250% FPL

QMB

SLMB

120% FPL

QI-1

55% FPL

139% FPL

133% FPL

185% FPL

150% FPL

200% FPL

100% FPL

100% FPL

135% FPL

1

557

1407

1346

382

1872

1518

2024

962

1012

2530

1012

1214

1366

2

755

1907

1825

468

2538

2058

2744

1304

1372

3430

1372

1646

1852

3

953

2408

2304

583

3204

2598

3464

1646

1732

4330

Targeted Adult Medicaid

0% FPL

4

1151

2908

2782

682

3870

3138

4184

1988

2092

5230

 

5

1349

3408

3261

777

4536

3678

4904

2330

2452

6130

PMV (Presumed Maximum Value):

Single: $270

Couple: $395

NH Personal Needs Allowance: $45

Medicare Part B: $109/$134 per month

1619B Income Limit: $2872/mo.

 

6

1547

3909

3740

857

5202

4218

5624

2672

2812

7030

7

1745

4409

4219

897

5868

4758

6344

3014

3172

7930

8

1943

4910

4698

938

6534

5298

7064

3356

3532

8830

9

2141

5410

5176

982

7200

5838

7784

3698

3892

9730

10

2339

5910

5655

1023

7866

6378

8504

4040

4252

10,630

SOCIAL SECURITY/SUPPLEMENTAL SECURITY INCOME (SSI) Information

Full SSI for Single living alone: $750.00 (No State Supplement) SSI for Single receiving In-Kind Support: $500.00 (+$3.13 State Supplement)

Full SSI for Couple living alone: $1,125.00 (+$4.60 State Supplement) SSI for Couple receiving In-kind Support: $750.00 (+$9.73 State Supplement)

Dependent Expected to be Required to File Threshold

Earned: $6,350         Unearned: $1,050          Qualifying Relative Limit: $4,050

Table I - CHIP Income Limits

Effective:  March 1, 2018

HOUSEHOLD SIZE

PLAN B

Up to 150% OF POVERTY LEVEL

PLAN C

Up to 200% OF POVERTY LEVEL

1

$1518

$2024

2

$2058

$2744

3

$2598

$3464

4

$3138

$4184

5

$3678

$4904

6

$4218

$5624

7

$4758

$6344

8

$5298

$7064

9

$5838

$7784

10

$6378

$8504