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EXHIBIT VII-1 INCOME AND ASSET STANDARDS
Special MA Group Program Size of Assistance Unit Monthly Income Limit (generally effective February 2007, but see individual Special MA Group Program notes) Asset Limit (effective March 1, 2004) Transitional Medicaid Assistance All None None Refugee Assistance: Adult only cases All Medically Needy income limit (unless person is receiving Refugee Cash Assistance) Medically Needy asset limit (unless person is receiving Refugee Cash Assistance) Refugee Assistance: Child only cases and Adult/Child cases All See AR in Exhibit 5: MA Income Standards in Part VI See AR in Exhibit 2: Asset Limits in Part VI (unless person is receiving Refugee Cash Assistance) Pickle Amendment, Disabled Widow(er)s, Early Widow(er)s), and Disabled Adult Children 1 2 Contact IMA Policy Unit for assistance Contact IMA Policy Unit for assistance QMB (effective February 1, 2008) 1 2 $2,600.00 $3,500.00 None, effective November 1, 2008 SLIMB (effective February 1, 2008)(Note that effective July 1, 2005, SLIMB eligibility applies only to the month of application and the three month retroactive period.) 1 2 $2,600.00 $3,500.00 None, effective November 1, 2008 QI-1 (effective January 1, 2006)(Note that effective July 1, 2005, there are no QI-1 eligible customers, since the QM and SLMB income limits have been increased to include these customers.) 1 2 $2,552.50 $3,422.50 $4,000 $6,000 QDWI (effective February 1, 2008) 1 2 $1,733.34 $2,333.34 $4,000 $6,000