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3010.30.10 INCOME STANDARDS HIP ......................................................................... 13

3010.30.10.05 INCOME STANDARDS LOW-INCOME PARENT CARETAKER.................... 13 3010.30.10.10 INCOME STANDARDS HIP TMA ............................................................. 14 3010.30.15 INCOME STANDARDS/CHILD AGE 6 - 18 (MED 3) ...................................... 14 3010.30.20 INCOME STANDARDS/CHILD AGE 1 - 5 (MED 3) ........................................ 14 3010.30.25 INCOME STANDARDS/CHILD UNDER 19 (MED 3) ...................................... 15 3010.30.30 PREGNANT WOMEN, INFANTS UNDER AGE ONE (MED 3) ......................... 15 3010.30.35 FOSTER CARE INDEPENDENCE (MED 3) .................................................... 15 3010.30.40 CERTAIN CHILDREN / PREMIUMS, AND (MED 3) ....................................... 15 3010.35.00 INCOME STANDARDS (MED 4) .................................................................. 16

3010.35.05 QMB INCOME STANDARDS (MED 4) ......................................................... 17 3010.35.10 SLMB INCOME STANDARDS (MED 4) ........................................................ 17 3010.35.15 QDW INCOME STANDARDS (MED 4) ......................................................... 17 3010.35.20 QI INCOME STANDARDS (MED 4) ............................................................. 18 3040.00.00 GENERAL INCOME DISREGARD (MED 1, 4) ........................................................... 18 3041.00.00 MEDICARE PART D BENCHMARK (MED 1) ............................................................ 18

3045.00.00 GENERAL EARNED INCOME DISREGARD (MED 1 MED 4) ...................................... 19 3046.00.00 SUBSTANTIAL GAINFUL ACTIVITY AMOUNT (MED 1) ............................................ 19 3047.00.00 MINIMUM EARNINGS FOR M.E.D. WORKS IMPROVED CATEGORY (MED 1) .......... 19