Page 77

Medical Services – Appendix T, Standard of Need 01/01/14 Number of Eligible Individuals 100% Standard 29% Reduced Standard 1 $ 280.00 $ 81.00 2 $ 560.00 $ 162.00 3 $ 705.00 $ 204.00 4 $ 850.00 $ 247.00 5 $ 985.00 $ 286.00 6 $ 1,140.00 $ 331.00 7 $ 1,285.00 $ 373.00 8 $ 1,430.00 $ 415.00 9 or more $ 1,575.00 $ 457.00