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(248)Michigan Reference Tables Manual: RFT 248 STATE SSI PAYMENT LEVELS#

(248)(page-1)Page 1#

RFT 248 1 of 3 SSI PAYMENT LEVELS RFB 2026-006 5-1-2026

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

SSI PAYMENT LEVELS

Effective January 1, 2026 SSI Living Arrangement Monthly SSA Issued SSI Payment State SSI Payment Independent Living/Individual $994.00 $14.00 Independent Living/Couple $1491.00 $21.00 ($10.50 each) Household of Another/Individual $662.67 $9.33 Household of Another/Couple $994.00 $13.96 ($6.98 each) Domiciliary Care $1081.00* -0- Personal Care $1151.50* -0- Home for Aged $1173.30* -0- Institution $37.00* -0- * The payment amount includes the state-funded benefit. The payment columns show: • SSA Issued SSI Payment - monthly amount of the SSI check issued by SSA for a person who has no other income. • State SSI Payment - monthly amount of the State SSI Payment issued by DHS quarterly in: March. June. September. December.

Multiply the Federal SSI Benefit Rate $994 by 3 to obtain the Extended Care/Waiver income limit $2982.

in view

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▸rulespec code

Shown source

policies/mdhhs/rft/248.yaml

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Rules

independent_living_individual_state_ssi_payment

Parameter

source: RFT 248, SSI Payment Levels, effective January 1, 2026

- name: independent_living_individual_state_ssi_payment
  kind: parameter
  dtype: Money
  period: Month
  unit: USD
  source: RFT 248, SSI Payment Levels, effective January 1, 2026
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: amount
          source:
            corpus_citation_path: us-mi/manual/mdhhs/rft/248
            excerpt: Independent Living/Individual ... State SSI Payment $14.00
  versions:
    - effective_from: '2026-01-01'
      formula: '14.00'

independent_living_couple_state_ssi_payment

Parameter

source: RFT 248, SSI Payment Levels, effective January 1, 2026

- name: independent_living_couple_state_ssi_payment
  kind: parameter
  dtype: Money
  period: Month
  unit: USD
  source: RFT 248, SSI Payment Levels, effective January 1, 2026
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: amount
          source:
            corpus_citation_path: us-mi/manual/mdhhs/rft/248
            excerpt: Independent Living/Couple ... State SSI Payment $21.00 ($10.50 each)
  versions:
    - effective_from: '2026-01-01'
      formula: '10.50'

household_of_another_individual_state_ssi_payment

Parameter

source: RFT 248, SSI Payment Levels, effective January 1, 2026

- name: household_of_another_individual_state_ssi_payment
  kind: parameter
  dtype: Money
  period: Month
  unit: USD
  source: RFT 248, SSI Payment Levels, effective January 1, 2026
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: amount
          source:
            corpus_citation_path: us-mi/manual/mdhhs/rft/248
            excerpt: Household of Another/Individual ... State SSI Payment $9.33
  versions:
    - effective_from: '2026-01-01'
      formula: '9.33'

household_of_another_couple_state_ssi_payment

Parameter

source: RFT 248, SSI Payment Levels, effective January 1, 2026

- name: household_of_another_couple_state_ssi_payment
  kind: parameter
  dtype: Money
  period: Month
  unit: USD
  source: RFT 248, SSI Payment Levels, effective January 1, 2026
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: amount
          source:
            corpus_citation_path: us-mi/manual/mdhhs/rft/248
            excerpt: Household of Another/Couple ... State SSI Payment $13.96 ($6.98 each)
  versions:
    - effective_from: '2026-01-01'
      formula: '6.98'

eligible_child_state_ssi_payment

Parameter

source: RFT 248, Optional Supplemental Amounts, effective January 1, 2026

- name: eligible_child_state_ssi_payment
  kind: parameter
  dtype: Money
  period: Month
  unit: USD
  source: RFT 248, Optional Supplemental Amounts, effective January 1, 2026
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: amount
          source:
            corpus_citation_path: us-mi/manual/mdhhs/rft/248
            excerpt: Eligible Child Individual ... DHS Supplement $14.00
  versions:
    - effective_from: '2026-01-01'
      formula: '14.00'

domiciliary_care_individual_dhs_supplement

Parameter

source: RFT 248, Optional Supplemental Amounts, effective January 1, 2026

- name: domiciliary_care_individual_dhs_supplement
  kind: parameter
  dtype: Money
  period: Month
  unit: USD
  source: RFT 248, Optional Supplemental Amounts, effective January 1, 2026
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: amount
          source:
            corpus_citation_path: us-mi/manual/mdhhs/rft/248
            excerpt: Domiciliary Care Individual ... DHS Supplement $87.00
  versions:
    - effective_from: '2026-01-01'
      formula: '87.00'

domiciliary_care_couple_dhs_supplement

Parameter

source: RFT 248, Optional Supplemental Amounts, effective January 1, 2026

- name: domiciliary_care_couple_dhs_supplement
  kind: parameter
  dtype: Money
  period: Month
  unit: USD
  source: RFT 248, Optional Supplemental Amounts, effective January 1, 2026
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: amount
          source:
            corpus_citation_path: us-mi/manual/mdhhs/rft/248
            excerpt: Domiciliary Care Couple ... DHS Supplement $671.00
  versions:
    - effective_from: '2026-01-01'
      formula: '671.00'

personal_care_individual_dhs_supplement

Parameter

source: RFT 248, Optional Supplemental Amounts, effective January 1, 2026

- name: personal_care_individual_dhs_supplement
  kind: parameter
  dtype: Money
  period: Month
  unit: USD
  source: RFT 248, Optional Supplemental Amounts, effective January 1, 2026
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: amount
          source:
            corpus_citation_path: us-mi/manual/mdhhs/rft/248
            excerpt: Personal Care Individual ... DHS Supplement $157.50
  versions:
    - effective_from: '2026-01-01'
      formula: '157.50'

personal_care_couple_dhs_supplement

Parameter

source: RFT 248, Optional Supplemental Amounts, effective January 1, 2026

- name: personal_care_couple_dhs_supplement
  kind: parameter
  dtype: Money
  period: Month
  unit: USD
  source: RFT 248, Optional Supplemental Amounts, effective January 1, 2026
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: amount
          source:
            corpus_citation_path: us-mi/manual/mdhhs/rft/248
            excerpt: Personal Care Couple ... DHS Supplement $812.00
  versions:
    - effective_from: '2026-01-01'
      formula: '812.00'

home_for_aged_individual_dhs_supplement

Parameter

source: RFT 248, Optional Supplemental Amounts, effective January 1, 2026

- name: home_for_aged_individual_dhs_supplement
  kind: parameter
  dtype: Money
  period: Month
  unit: USD
  source: RFT 248, Optional Supplemental Amounts, effective January 1, 2026
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: amount
          source:
            corpus_citation_path: us-mi/manual/mdhhs/rft/248
            excerpt: Home for Aged Individual ... DHS Supplement $179.30
  versions:
    - effective_from: '2026-01-01'
      formula: '179.30'

home_for_aged_couple_dhs_supplement

Parameter

source: RFT 248, Optional Supplemental Amounts, effective January 1, 2026

- name: home_for_aged_couple_dhs_supplement
  kind: parameter
  dtype: Money
  period: Month
  unit: USD
  source: RFT 248, Optional Supplemental Amounts, effective January 1, 2026
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: amount
          source:
            corpus_citation_path: us-mi/manual/mdhhs/rft/248
            excerpt: Home for Aged Couple ... DHS Supplement $855.60
  versions:
    - effective_from: '2026-01-01'
      formula: '855.60'

institution_individual_dhs_supplement

Parameter

source: RFT 248, Optional Supplemental Amounts, effective January 1, 2026

- name: institution_individual_dhs_supplement
  kind: parameter
  dtype: Money
  period: Month
  unit: USD
  source: RFT 248, Optional Supplemental Amounts, effective January 1, 2026
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: amount
          source:
            corpus_citation_path: us-mi/manual/mdhhs/rft/248
            excerpt: Institution Individual ... DHS Supplement $7.00
  versions:
    - effective_from: '2026-01-01'
      formula: '7.00'

institution_couple_dhs_supplement

Parameter

source: RFT 248, Optional Supplemental Amounts, effective January 1, 2026

- name: institution_couple_dhs_supplement
  kind: parameter
  dtype: Money
  period: Month
  unit: USD
  source: RFT 248, Optional Supplemental Amounts, effective January 1, 2026
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: amount
          source:
            corpus_citation_path: us-mi/manual/mdhhs/rft/248
            excerpt: Institution Couple ... DHS Supplement $14.00
  versions:
    - effective_from: '2026-01-01'
      formula: '14.00'

federal_ssi_benefit_rate

Parameter

source: RFT 248, SSI Payment Levels, extended care/waiver income limit

- name: federal_ssi_benefit_rate
  kind: parameter
  dtype: Money
  period: Month
  unit: USD
  source: RFT 248, SSI Payment Levels, extended care/waiver income limit
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: amount
          source:
            corpus_citation_path: us-mi/manual/mdhhs/rft/248
            excerpt: Federal SSI Benefit Rate $994
  versions:
    - effective_from: '2026-01-01'
      formula: '994.00'

extended_care_waiver_income_limit_multiplier

Parameter

source: RFT 248, SSI Payment Levels, extended care/waiver income limit

- name: extended_care_waiver_income_limit_multiplier
  kind: parameter
  dtype: Integer
  period: Month
  source: RFT 248, SSI Payment Levels, extended care/waiver income limit
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: formula
          source:
            corpus_citation_path: us-mi/manual/mdhhs/rft/248
            excerpt: Multiply the Federal SSI Benefit Rate $994 by 3
  versions:
    - effective_from: '2026-01-01'
      formula: '3'

extended_care_waiver_income_limit

Parameter

source: RFT 248, SSI Payment Levels, extended care/waiver income limit

- name: extended_care_waiver_income_limit
  kind: parameter
  dtype: Money
  period: Month
  unit: USD
  source: RFT 248, SSI Payment Levels, extended care/waiver income limit
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: amount
          source:
            corpus_citation_path: us-mi/manual/mdhhs/rft/248
            excerpt: obtain the Extended Care/Waiver income limit $2982
  versions:
    - effective_from: '2026-01-01'
      formula: federal_ssi_benefit_rate * extended_care_waiver_income_limit_multiplier

essential_person_payment

Parameter

source: RFT 248, Optional Supplemental Amounts note

- name: essential_person_payment
  kind: parameter
  dtype: Money
  period: Month
  unit: USD
  source: RFT 248, Optional Supplemental Amounts note
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: amount
          source:
            corpus_citation_path: us-mi/manual/mdhhs/rft/248
            excerpt: The essential person payment is $498.00.
  versions:
    - effective_from: '2026-01-01'
      formula: '498.00'

adult_foster_care_individual_recipient_retained_allowance

Parameter

source: RFT 248, Adult Allowance

- name: adult_foster_care_individual_recipient_retained_allowance
  kind: parameter
  dtype: Money
  period: Month
  unit: USD
  source: RFT 248, Adult Allowance
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: amount
          source:
            corpus_citation_path: us-mi/manual/mdhhs/rft/248
            excerpt: allowance of at least $44.00 per month for an individual
  versions:
    - effective_from: '2026-01-01'
      formula: '44.00'

adult_foster_care_couple_recipient_retained_allowance

Parameter

source: RFT 248, Adult Allowance

- name: adult_foster_care_couple_recipient_retained_allowance
  kind: parameter
  dtype: Money
  period: Month
  unit: USD
  source: RFT 248, Adult Allowance
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: amount
          source:
            corpus_citation_path: us-mi/manual/mdhhs/rft/248
            excerpt: $88 for a couple
  versions:
    - effective_from: '2026-01-01'
      formula: '88.00'

mi_ssp_person

Derived

source: RFT 248, SSI payment levels and optional supplemental amounts effective January 1, 2026

- name: mi_ssp_person
  kind: derived
  entity: Person
  dtype: Money
  period: Month
  unit: USD
  source: RFT 248, SSI payment levels and optional supplemental amounts effective January 1, 2026
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: formula
          source:
            corpus_citation_path: us-mi/manual/mdhhs/rft/248
            excerpt: State SSI Payment ... DHS Supplement ... Payment Amounts Effective January 1, 2026
  versions:
    - effective_from: '2026-01-01'
      formula: >-
        if person_is_eligible_child: eligible_child_state_ssi_payment else: if
        person_lives_independently and person_is_member_of_intact_couple:
        independent_living_couple_state_ssi_payment else: if person_lives_independently:
        independent_living_individual_state_ssi_payment else: if
        person_lives_in_household_of_another and person_is_member_of_intact_couple:
        household_of_another_couple_state_ssi_payment else: if person_lives_in_household_of_another:
        household_of_another_individual_state_ssi_payment else: if person_lives_in_domiciliary_care
        and person_is_member_of_intact_couple: domiciliary_care_couple_dhs_supplement / 2 else: if
        person_lives_in_domiciliary_care: domiciliary_care_individual_dhs_supplement else: if
        person_lives_in_personal_care and person_is_member_of_intact_couple:
        personal_care_couple_dhs_supplement / 2 else: if person_lives_in_personal_care:
        personal_care_individual_dhs_supplement else: if person_lives_in_home_for_aged and
        person_is_member_of_intact_couple: home_for_aged_couple_dhs_supplement / 2 else: if
        person_lives_in_home_for_aged: home_for_aged_individual_dhs_supplement else: if
        person_lives_in_institution and person_is_member_of_intact_couple:
        institution_couple_dhs_supplement / 2 else: if person_lives_in_institution:
        institution_individual_dhs_supplement else: 0

loading…

(248)Michigan Reference Tables Manual: RFT 248 STATE SSI PAYMENT LEVELS#

(248)(page-1)Page 1#

RFT 248 1 of 3 SSI PAYMENT LEVELS RFB 2026-006 5-1-2026

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

SSI PAYMENT LEVELS

Multiply the Federal SSI Benefit Rate $994 by 3 to obtain the Extended Care/Waiver income limit $2982.

in view

Whole section

▸rulespec code

Shown source

policies/mdhhs/rft/248.yaml

Displaying the canonical repository encoding.

View on GitHub

Rules

independent_living_individual_state_ssi_payment

Parameter

source: RFT 248, SSI Payment Levels, effective January 1, 2026

- name: independent_living_individual_state_ssi_payment
  kind: parameter
  dtype: Money
  period: Month
  unit: USD
  source: RFT 248, SSI Payment Levels, effective January 1, 2026
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: amount
          source:
            corpus_citation_path: us-mi/manual/mdhhs/rft/248
            excerpt: Independent Living/Individual ... State SSI Payment $14.00
  versions:
    - effective_from: '2026-01-01'
      formula: '14.00'

independent_living_couple_state_ssi_payment

Parameter

source: RFT 248, SSI Payment Levels, effective January 1, 2026

- name: independent_living_couple_state_ssi_payment
  kind: parameter
  dtype: Money
  period: Month
  unit: USD
  source: RFT 248, SSI Payment Levels, effective January 1, 2026
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: amount
          source:
            corpus_citation_path: us-mi/manual/mdhhs/rft/248
            excerpt: Independent Living/Couple ... State SSI Payment $21.00 ($10.50 each)
  versions:
    - effective_from: '2026-01-01'
      formula: '10.50'

household_of_another_individual_state_ssi_payment

Parameter

source: RFT 248, SSI Payment Levels, effective January 1, 2026

- name: household_of_another_individual_state_ssi_payment
  kind: parameter
  dtype: Money
  period: Month
  unit: USD
  source: RFT 248, SSI Payment Levels, effective January 1, 2026
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: amount
          source:
            corpus_citation_path: us-mi/manual/mdhhs/rft/248
            excerpt: Household of Another/Individual ... State SSI Payment $9.33
  versions:
    - effective_from: '2026-01-01'
      formula: '9.33'

household_of_another_couple_state_ssi_payment

Parameter

source: RFT 248, SSI Payment Levels, effective January 1, 2026

- name: household_of_another_couple_state_ssi_payment
  kind: parameter
  dtype: Money
  period: Month
  unit: USD
  source: RFT 248, SSI Payment Levels, effective January 1, 2026
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: amount
          source:
            corpus_citation_path: us-mi/manual/mdhhs/rft/248
            excerpt: Household of Another/Couple ... State SSI Payment $13.96 ($6.98 each)
  versions:
    - effective_from: '2026-01-01'
      formula: '6.98'

eligible_child_state_ssi_payment

Parameter

source: RFT 248, Optional Supplemental Amounts, effective January 1, 2026

- name: eligible_child_state_ssi_payment
  kind: parameter
  dtype: Money
  period: Month
  unit: USD
  source: RFT 248, Optional Supplemental Amounts, effective January 1, 2026
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: amount
          source:
            corpus_citation_path: us-mi/manual/mdhhs/rft/248
            excerpt: Eligible Child Individual ... DHS Supplement $14.00
  versions:
    - effective_from: '2026-01-01'
      formula: '14.00'

domiciliary_care_individual_dhs_supplement

Parameter

source: RFT 248, Optional Supplemental Amounts, effective January 1, 2026

- name: domiciliary_care_individual_dhs_supplement
  kind: parameter
  dtype: Money
  period: Month
  unit: USD
  source: RFT 248, Optional Supplemental Amounts, effective January 1, 2026
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: amount
          source:
            corpus_citation_path: us-mi/manual/mdhhs/rft/248
            excerpt: Domiciliary Care Individual ... DHS Supplement $87.00
  versions:
    - effective_from: '2026-01-01'
      formula: '87.00'

domiciliary_care_couple_dhs_supplement

Parameter

source: RFT 248, Optional Supplemental Amounts, effective January 1, 2026

- name: domiciliary_care_couple_dhs_supplement
  kind: parameter
  dtype: Money
  period: Month
  unit: USD
  source: RFT 248, Optional Supplemental Amounts, effective January 1, 2026
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: amount
          source:
            corpus_citation_path: us-mi/manual/mdhhs/rft/248
            excerpt: Domiciliary Care Couple ... DHS Supplement $671.00
  versions:
    - effective_from: '2026-01-01'
      formula: '671.00'

personal_care_individual_dhs_supplement

Parameter

source: RFT 248, Optional Supplemental Amounts, effective January 1, 2026

- name: personal_care_individual_dhs_supplement
  kind: parameter
  dtype: Money
  period: Month
  unit: USD
  source: RFT 248, Optional Supplemental Amounts, effective January 1, 2026
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: amount
          source:
            corpus_citation_path: us-mi/manual/mdhhs/rft/248
            excerpt: Personal Care Individual ... DHS Supplement $157.50
  versions:
    - effective_from: '2026-01-01'
      formula: '157.50'

personal_care_couple_dhs_supplement

Parameter

source: RFT 248, Optional Supplemental Amounts, effective January 1, 2026

- name: personal_care_couple_dhs_supplement
  kind: parameter
  dtype: Money
  period: Month
  unit: USD
  source: RFT 248, Optional Supplemental Amounts, effective January 1, 2026
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: amount
          source:
            corpus_citation_path: us-mi/manual/mdhhs/rft/248
            excerpt: Personal Care Couple ... DHS Supplement $812.00
  versions:
    - effective_from: '2026-01-01'
      formula: '812.00'

home_for_aged_individual_dhs_supplement

Parameter

source: RFT 248, Optional Supplemental Amounts, effective January 1, 2026

- name: home_for_aged_individual_dhs_supplement
  kind: parameter
  dtype: Money
  period: Month
  unit: USD
  source: RFT 248, Optional Supplemental Amounts, effective January 1, 2026
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: amount
          source:
            corpus_citation_path: us-mi/manual/mdhhs/rft/248
            excerpt: Home for Aged Individual ... DHS Supplement $179.30
  versions:
    - effective_from: '2026-01-01'
      formula: '179.30'

home_for_aged_couple_dhs_supplement

Parameter

source: RFT 248, Optional Supplemental Amounts, effective January 1, 2026

- name: home_for_aged_couple_dhs_supplement
  kind: parameter
  dtype: Money
  period: Month
  unit: USD
  source: RFT 248, Optional Supplemental Amounts, effective January 1, 2026
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: amount
          source:
            corpus_citation_path: us-mi/manual/mdhhs/rft/248
            excerpt: Home for Aged Couple ... DHS Supplement $855.60
  versions:
    - effective_from: '2026-01-01'
      formula: '855.60'

institution_individual_dhs_supplement

Parameter

source: RFT 248, Optional Supplemental Amounts, effective January 1, 2026

- name: institution_individual_dhs_supplement
  kind: parameter
  dtype: Money
  period: Month
  unit: USD
  source: RFT 248, Optional Supplemental Amounts, effective January 1, 2026
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: amount
          source:
            corpus_citation_path: us-mi/manual/mdhhs/rft/248
            excerpt: Institution Individual ... DHS Supplement $7.00
  versions:
    - effective_from: '2026-01-01'
      formula: '7.00'

institution_couple_dhs_supplement

Parameter

source: RFT 248, Optional Supplemental Amounts, effective January 1, 2026

- name: institution_couple_dhs_supplement
  kind: parameter
  dtype: Money
  period: Month
  unit: USD
  source: RFT 248, Optional Supplemental Amounts, effective January 1, 2026
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: amount
          source:
            corpus_citation_path: us-mi/manual/mdhhs/rft/248
            excerpt: Institution Couple ... DHS Supplement $14.00
  versions:
    - effective_from: '2026-01-01'
      formula: '14.00'

federal_ssi_benefit_rate

Parameter

source: RFT 248, SSI Payment Levels, extended care/waiver income limit

- name: federal_ssi_benefit_rate
  kind: parameter
  dtype: Money
  period: Month
  unit: USD
  source: RFT 248, SSI Payment Levels, extended care/waiver income limit
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: amount
          source:
            corpus_citation_path: us-mi/manual/mdhhs/rft/248
            excerpt: Federal SSI Benefit Rate $994
  versions:
    - effective_from: '2026-01-01'
      formula: '994.00'

extended_care_waiver_income_limit_multiplier

Parameter

source: RFT 248, SSI Payment Levels, extended care/waiver income limit

- name: extended_care_waiver_income_limit_multiplier
  kind: parameter
  dtype: Integer
  period: Month
  source: RFT 248, SSI Payment Levels, extended care/waiver income limit
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: formula
          source:
            corpus_citation_path: us-mi/manual/mdhhs/rft/248
            excerpt: Multiply the Federal SSI Benefit Rate $994 by 3
  versions:
    - effective_from: '2026-01-01'
      formula: '3'

extended_care_waiver_income_limit

Parameter

source: RFT 248, SSI Payment Levels, extended care/waiver income limit

- name: extended_care_waiver_income_limit
  kind: parameter
  dtype: Money
  period: Month
  unit: USD
  source: RFT 248, SSI Payment Levels, extended care/waiver income limit
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: amount
          source:
            corpus_citation_path: us-mi/manual/mdhhs/rft/248
            excerpt: obtain the Extended Care/Waiver income limit $2982
  versions:
    - effective_from: '2026-01-01'
      formula: federal_ssi_benefit_rate * extended_care_waiver_income_limit_multiplier

essential_person_payment

Parameter

source: RFT 248, Optional Supplemental Amounts note

- name: essential_person_payment
  kind: parameter
  dtype: Money
  period: Month
  unit: USD
  source: RFT 248, Optional Supplemental Amounts note
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: amount
          source:
            corpus_citation_path: us-mi/manual/mdhhs/rft/248
            excerpt: The essential person payment is $498.00.
  versions:
    - effective_from: '2026-01-01'
      formula: '498.00'

adult_foster_care_individual_recipient_retained_allowance

Parameter

source: RFT 248, Adult Allowance

- name: adult_foster_care_individual_recipient_retained_allowance
  kind: parameter
  dtype: Money
  period: Month
  unit: USD
  source: RFT 248, Adult Allowance
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: amount
          source:
            corpus_citation_path: us-mi/manual/mdhhs/rft/248
            excerpt: allowance of at least $44.00 per month for an individual
  versions:
    - effective_from: '2026-01-01'
      formula: '44.00'

adult_foster_care_couple_recipient_retained_allowance

Parameter

source: RFT 248, Adult Allowance

- name: adult_foster_care_couple_recipient_retained_allowance
  kind: parameter
  dtype: Money
  period: Month
  unit: USD
  source: RFT 248, Adult Allowance
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: amount
          source:
            corpus_citation_path: us-mi/manual/mdhhs/rft/248
            excerpt: $88 for a couple
  versions:
    - effective_from: '2026-01-01'
      formula: '88.00'

mi_ssp_person

Derived

source: RFT 248, SSI payment levels and optional supplemental amounts effective January 1, 2026

- name: mi_ssp_person
  kind: derived
  entity: Person
  dtype: Money
  period: Month
  unit: USD
  source: RFT 248, SSI payment levels and optional supplemental amounts effective January 1, 2026
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: formula
          source:
            corpus_citation_path: us-mi/manual/mdhhs/rft/248
            excerpt: State SSI Payment ... DHS Supplement ... Payment Amounts Effective January 1, 2026
  versions:
    - effective_from: '2026-01-01'
      formula: >-
        if person_is_eligible_child: eligible_child_state_ssi_payment else: if
        person_lives_independently and person_is_member_of_intact_couple:
        independent_living_couple_state_ssi_payment else: if person_lives_independently:
        independent_living_individual_state_ssi_payment else: if
        person_lives_in_household_of_another and person_is_member_of_intact_couple:
        household_of_another_couple_state_ssi_payment else: if person_lives_in_household_of_another:
        household_of_another_individual_state_ssi_payment else: if person_lives_in_domiciliary_care
        and person_is_member_of_intact_couple: domiciliary_care_couple_dhs_supplement / 2 else: if
        person_lives_in_domiciliary_care: domiciliary_care_individual_dhs_supplement else: if
        person_lives_in_personal_care and person_is_member_of_intact_couple:
        personal_care_couple_dhs_supplement / 2 else: if person_lives_in_personal_care:
        personal_care_individual_dhs_supplement else: if person_lives_in_home_for_aged and
        person_is_member_of_intact_couple: home_for_aged_couple_dhs_supplement / 2 else: if
        person_lives_in_home_for_aged: home_for_aged_individual_dhs_supplement else: if
        person_lives_in_institution and person_is_member_of_intact_couple:
        institution_couple_dhs_supplement / 2 else: if person_lives_in_institution:
        institution_individual_dhs_supplement else: 0

(260)Michigan Reference Tables Manual: RFT 260 FOOD ASSISTANCE ISSUANCE TABLE#

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RFT 260 1 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

FOOD ASSISTANCE ISSUANCE TABLE Effective October 1, 2025 - September 30, 2026

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 0 - 0 298 546 785 994 1183 1421 1571 1789 1 - 3 297 545 784 993 1182 1420 1570 1788 4 - 6 296 544 783 992 1181 1419 1569 1787 7 - 10 295 543 782 991 1180 1418 1568 1786 11 - 13 294 542 781 990 1179 1417 1567 1785 14 - 16 293 541 780 989 1178 1416 1566 1784 17 - 20 292 540 779 988 1177 1415 1565 1783 21 - 23 291 539 778 987 1176 1414 1564 1782 24 - 26 290 538 777 986 1175 1413 1563 1781 27 - 30 289 537 776 985 1174 1412 1562 1780 31 - 33 288 536 775 984 1173 1411 1561 1779 34 - 36 287 535 774 983 1172 1410 1560 1778 37 - 40 286 534 773 982 1171 1409 1559 1777 41 - 43 285 533 772 981 1170 1408 1558 1776 44 - 46 284 532 771 980 1169 1407 1557 1775 47 - 50 283 531 770 979 1168 1406 1556 1774 51 - 53 282 530 769 978 1167 1405 1555 1773 54 - 56 281 529 768 977 1166 1404 1554 1772 57 - 60 280 528 767 976 1165 1403 1553 1771

(260)(page-2)Page 2#

RFT 260 2 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 61 - 63 279 527 766 975 1164 1402 1552 1770 64 - 66 278 526 765 974 1163 1401 1551 1769 67 - 70 277 525 764 973 1162 1400 1550 1768 71 - 73 276 524 763 972 1161 1399 1549 1767 74 - 76 275 523 762 971 1160 1398 1548 1766 77 - 80 274 522 761 970 1159 1397 1547 1765 81 - 83 273 521 760 969 1158 1396 1546 1764 84 - 86 272 520 759 968 1157 1395 1545 1763 87 - 90 271 519 758 967 1156 1394 1544 1762 91 - 93 270 518 757 966 1155 1393 1543 1761 94 - 96 269 517 756 965 1154 1392 1542 1760 97 - 100 268 516 755 964 1153 1391 1541 1759 101 - 103 267 515 754 963 1152 1390 1540 1758 104 - 106 266 514 753 962 1151 1389 1539 1757 107 - 110 265 513 752 961 1150 1388 1538 1756 111 - 113 264 512 751 960 1149 1387 1537 1755 114 - 116 263 511 750 959 1148 1386 1536 1754 117 - 120 262 510 749 958 1147 1385 1535 1753 121 - 123 261 509 748 957 1146 1384 1534 1752 124 - 126 260 508 747 956 1145 1383 1533 1751 127 - 130 259 507 746 955 1144 1382 1532 1750 131 - 133 258 506 745 954 1143 1381 1531 1749

(260)(page-3)Page 3#

RFT 260 3 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 134 - 136 257 505 744 953 1142 1380 1530 1748 137 - 140 256 504 743 952 1141 1379 1529 1747 141 - 143 255 503 742 951 1140 1378 1528 1746 144 - 146 254 502 741 950 1139 1377 1527 1745 147 - 150 253 501 740 949 1138 1376 1526 1744 151 - 153 252 500 739 948 1137 1375 1525 1743 154 - 156 251 499 738 947 1136 1374 1524 1742 157 - 160 250 498 737 946 1135 1373 1523 1741 161 - 163 249 497 736 945 1134 1372 1522 1740 164 - 166 248 496 735 944 1133 1371 1521 1739 167 - 170 247 495 734 943 1132 1370 1520 1738 171 - 173 246 494 733 942 1131 1369 1519 1737 174 - 176 245 493 732 941 1130 1368 1518 1736 177 - 180 244 492 731 940 1129 1367 1517 1735 181 - 183 243 491 730 939 1128 1366 1516 1734 184 - 186 242 490 729 938 1127 1365 1515 1733 187 - 190 241 489 728 937 1126 1364 1514 1732 191 - 193 240 488 727 936 1125 1363 1513 1731 194 - 196 239 487 726 935 1124 1362 1512 1730 197 - 200 238 486 725 934 1123 1361 1511 1729 201 - 203 237 485 724 933 1122 1360 1510 1728 204 - 206 236 484 723 932 1121 1359 1509 1727

(260)(page-4)Page 4#

RFT 260 4 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 207 - 210 235 483 722 931 1120 1358 1508 1726 211 - 213 234 482 721 930 1119 1357 1507 1725 214 - 216 233 481 720 929 1118 1356 1506 1724 217 - 220 232 480 719 928 1117 1355 1505 1723 221 - 223 231 479 718 927 1116 1354 1504 1722 224 - 226 230 478 717 926 1115 1353 1503 1721 227 - 230 229 477 716 925 1114 1352 1502 1720 231 - 233 228 476 715 924 1113 1351 1501 1719 234 - 236 227 475 714 923 1112 1350 1500 1718 237 - 240 226 474 713 922 1111 1349 1499 1717 241 - 243 225 473 712 921 1110 1348 1498 1716 244 - 246 224 472 711 920 1109 1347 1497 1715 247 - 250 223 471 710 919 1108 1346 1496 1714 251 - 253 222 470 709 918 1107 1345 1495 1713 254 - 256 221 469 708 917 1106 1344 1494 1712 257 - 260 220 468 707 916 1105 1343 1493 1711 261 - 263 219 467 706 915 1104 1342 1492 1710 264 - 266 218 466 705 914 1103 1341 1491 1709 267 - 270 217 465 704 913 1102 1340 1490 1708 271 - 273 216 464 703 912 1101 1339 1489 1707 274 - 276 215 463 702 911 1100 1338 1488 1706 277 - 280 214 462 701 910 1099 1337 1487 1705

(260)(page-5)Page 5#

RFT 260 5 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 281 - 283 213 461 700 909 1098 1336 1486 1704 284 - 286 212 460 699 908 1097 1335 1485 1703 287 - 290 211 459 698 907 1096 1334 1484 1702 291 - 293 210 458 697 906 1095 1333 1483 1701 294 - 296 209 457 696 905 1094 1332 1482 1700 297 - 300 208 456 695 904 1093 1331 1481 1699 301 - 303 207 455 694 903 1092 1330 1480 1698 304 - 306 206 454 693 902 1091 1329 1479 1697 307 - 310 205 453 692 901 1090 1328 1478 1696 311 - 313 204 452 691 900 1089 1327 1477 1695 314 - 316 203 451 690 899 1088 1326 1476 1694 317 - 320 202 450 689 898 1087 1325 1475 1693 321 - 323 201 449 688 897 1086 1324 1474 1692 324 - 326 200 448 687 896 1085 1323 1473 1691 327 - 330 199 447 686 895 1084 1322 1472 1690 331 - 333 198 446 685 894 1083 1321 1471 1689 334 - 336 197 445 684 893 1082 1320 1470 1688 337 - 340 196 444 683 892 1081 1319 1469 1687 341 - 343 195 443 682 891 1080 1318 1468 1686 344 - 346 194 442 681 890 1079 1317 1467 1685 347 - 350 193 441 680 889 1078 1316 1466 1684 351 - 353 192 440 679 888 1077 1315 1465 1683

(260)(page-6)Page 6#

RFT 260 6 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 354 - 356 191 439 678 887 1076 1314 1464 1682 357 - 360 190 438 677 886 1075 1313 1463 1681 361 - 363 189 437 676 885 1074 1312 1462 1680 364 - 366 188 436 675 884 1073 1311 1461 1679 367 - 370 187 435 674 883 1072 1310 1460 1678 371 - 373 186 434 673 882 1071 1309 1459 1677 374 - 376 185 433 672 881 1070 1308 1458 1676 377 - 380 184 432 671 880 1069 1307 1457 1675 381 - 383 183 431 670 879 1068 1306 1456 1674 384 - 386 182 430 669 878 1067 1305 1455 1673 387 - 390 181 429 668 877 1066 1304 1454 1672 391 - 393 180 428 667 876 1065 1303 1453 1671 394 - 396 179 427 666 875 1064 1302 1452 1670 397 - 400 178 426 665 874 1063 1301 1451 1669 401 - 403 177 425 664 873 1062 1300 1450 1668 404 - 406 176 424 663 872 1061 1299 1449 1667 407 - 410 175 423 662 871 1060 1298 1448 1666 411 - 413 174 422 661 870 1059 1297 1447 1665 414 - 416 173 421 660 869 1058 1296 1446 1664 417 - 420 172 420 659 868 1057 1295 1445 1663 421 - 423 171 419 658 867 1056 1294 1444 1662 424 - 426 170 418 657 866 1055 1293 1443 1661

(260)(page-7)Page 7#

RFT 260 7 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 427 - 430 169 417 656 865 1054 1292 1442 1660 431 - 433 168 416 655 864 1053 1291 1441 1659 434 - 436 167 415 654 863 1052 1290 1440 1658 437 - 440 166 414 653 862 1051 1289 1439 1657 441 - 443 165 413 652 861 1050 1288 1438 1656 444 - 446 164 412 651 860 1049 1287 1437 1655 447 - 450 163 411 650 859 1048 1286 1436 1654 451 - 453 162 410 649 858 1047 1285 1435 1653 454 - 456 161 409 648 857 1046 1284 1434 1652 457 - 460 160 408 647 856 1045 1283 1433 1651 461 - 463 159 407 646 855 1044 1282 1432 1650 464 - 466 158 406 645 854 1043 1281 1431 1649 467 - 470 157 405 644 853 1042 1280 1430 1648 471 - 473 156 404 643 852 1041 1279 1429 1647 474 - 476 155 403 642 851 1040 1278 1428 1646 477 - 480 154 402 641 850 1039 1277 1427 1645 481 - 483 153 401 640 849 1038 1276 1426 1644 484 - 486 152 400 639 848 1037 1275 1425 1643 487 - 490 151 399 638 847 1036 1274 1424 1642 491 - 493 150 398 637 846 1035 1273 1423 1641 494 - 496 149 397 636 845 1034 1272 1422 1640 497 - 500 148 396 635 844 1033 1271 1421 1639

(260)(page-8)Page 8#

RFT 260 8 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 501 - 503 147 395 634 843 1032 1270 1420 1638 504 - 506 146 394 633 842 1031 1269 1419 1637 507 - 510 145 393 632 841 1030 1268 1418 1636 511 - 513 144 392 631 840 1029 1267 1417 1635 514 - 516 143 391 630 839 1028 1266 1416 1634 517 - 520 142 390 629 838 1027 1265 1415 1633 521 - 523 141 389 628 837 1026 1264 1414 1632 524 - 526 140 388 627 836 1025 1263 1413 1631 527 - 530 139 387 626 835 1024 1262 1412 1630 531 - 533 138 386 625 834 1023 1261 1411 1629 534 - 536 137 385 624 833 1022 1260 1410 1628 537 - 540 136 384 623 832 1021 1259 1409 1627 541 - 543 135 383 622 831 1020 1258 1408 1626 544 - 546 134 382 621 830 1019 1257 1407 1625 547 - 550 133 381 620 829 1018 1256 1406 1624 551 - 553 132 380 619 828 1017 1255 1405 1623 554 - 556 131 379 618 827 1016 1254 1404 1622 557 - 560 130 378 617 826 1015 1253 1403 1621 561 - 563 129 377 616 825 1014 1252 1402 1620 564 - 566 128 376 615 824 1013 1251 1401 1619 567 - 570 127 375 614 823 1012 1250 1400 1618 571 - 573 126 374 613 822 1011 1249 1399 1617

(260)(page-9)Page 9#

RFT 260 9 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 574 - 576 125 373 612 821 1010 1248 1398 1616 577 - 580 124 372 611 820 1009 1247 1397 1615 581 - 583 123 371 610 819 1008 1246 1396 1614 584 - 586 122 370 609 818 1007 1245 1395 1613 587 - 590 121 369 608 817 1006 1244 1394 1612 591 - 593 120 368 607 816 1005 1243 1393 1611 594 - 596 119 367 606 815 1004 1242 1392 1610 597 - 600 118 366 605 814 1003 1241 1391 1609 601 - 603 117 365 604 813 1002 1240 1390 1608 604 - 606 116 364 603 812 1001 1239 1389 1607 607 - 610 115 363 602 811 1000 1238 1388 1606 611 - 613 114 362 601 810 999 1237 1387 1605 614 - 616 113 361 600 809 998 1236 1386 1604 617 - 620 112 360 599 808 997 1235 1385 1603 621 - 623 111 359 598 807 996 1234 1384 1602 624 - 626 110 358 597 806 995 1233 1383 1601 627 - 630 109 357 596 805 994 1232 1382 1600 631 - 633 108 356 595 804 993 1231 1381 1599 634 - 636 107 355 594 803 992 1230 1380 1598 637 - 640 106 354 593 802 991 1229 1379 1597 641 - 643 105 353 592 801 990 1228 1378 1596 644 - 646 104 352 591 800 989 1227 1377 1595

(260)(page-10)Page 10#

RFT 260 10 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 647 - 650 103 351 590 799 988 1226 1376 1594 651 - 653 102 350 589 798 987 1225 1375 1593 654 - 656 101 349 588 797 986 1224 1374 1592 657 - 660 100 348 587 796 985 1223 1373 1591 661 - 663 99 347 586 795 984 1222 1372 1590 664 - 666 98 346 585 794 983 1221 1371 1589 667 - 670 97 345 584 793 982 1220 1370 1588 671 - 673 96 344 583 792 981 1219 1369 1587 674 - 676 95 343 582 791 980 1218 1368 1586 677 - 680 94 342 581 790 979 1217 1367 1585 681 - 683 93 341 580 789 978 1216 1366 1584 684 - 686 92 340 579 788 977 1215 1365 1583 687 - 690 91 339 578 787 976 1214 1364 1582 691 - 693 90 338 577 786 975 1213 1363 1581 694 - 696 89 337 576 785 974 1212 1362 1580 697 - 700 88 336 575 784 973 1211 1361 1579 701 - 703 87 335 574 783 972 1210 1360 1578 704 - 706 86 334 573 782 971 1209 1359 1577 707 - 710 85 333 572 781 970 1208 1358 1576 711 - 713 84 332 571 780 969 1207 1357 1575 714 - 716 83 331 570 779 968 1206 1356 1574 717 - 720 82 330 569 778 967 1205 1355 1573

(260)(page-11)Page 11#

RFT 260 11 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 721 - 723 81 329 568 777 966 1204 1354 1572 724 - 726 80 328 567 776 965 1203 1353 1571 727 - 730 79 327 566 775 964 1202 1352 1570 731 - 733 78 326 565 774 963 1201 1351 1569 734 - 736 77 325 564 773 962 1200 1350 1568 737 - 740 76 324 563 772 961 1199 1349 1567 741 - 743 75 323 562 771 960 1198 1348 1566 744 - 746 74 322 561 770 959 1197 1347 1565 747 - 750 73 321 560 769 958 1196 1346 1564 751 - 753 72 320 559 768 957 1195 1345 1563 754 - 756 71 319 558 767 956 1194 1344 1562 757 - 760 70 318 557 766 955 1193 1343 1561 761 - 763 69 317 556 765 954 1192 1342 1560 764 - 766 68 316 555 764 953 1191 1341 1559 767 - 770 67 315 554 763 952 1190 1340 1558 771 - 773 66 314 553 762 951 1189 1339 1557 774 - 776 65 313 552 761 950 1188 1338 1556 777 - 780 64 312 551 760 949 1187 1337 1555 781 - 783 63 311 550 759 948 1186 1336 1554 784 - 786 62 310 549 758 947 1185 1335 1553 787 - 790 61 309 548 757 946 1184 1334 1552 791 - 793 60 308 547 756 945 1183 1333 1551

(260)(page-12)Page 12#

RFT 260 12 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 794 - 796 59 307 546 755 944 1182 1332 1550 797 - 800 58 306 545 754 943 1181 1331 1549 801 - 803 57 305 544 753 942 1180 1330 1548 804 - 806 56 304 543 752 941 1179 1329 1547 807 - 810 55 303 542 751 940 1178 1328 1546 811 - 813 54 302 541 750 939 1177 1327 1545 814 - 816 53 301 540 749 938 1176 1326 1544 817 - 820 52 300 539 748 937 1175 1325 1543 821 - 823 51 299 538 747 936 1174 1324 1542 824 - 826 50 298 537 746 935 1173 1323 1541 827 - 830 49 297 536 745 934 1172 1322 1540 831 - 833 48 296 535 744 933 1171 1321 1539 834 - 836 47 295 534 743 932 1170 1320 1538 837 - 840 46 294 533 742 931 1169 1319 1537 841 - 843 45 293 532 741 930 1168 1318 1536 844 - 846 44 292 531 740 929 1167 1317 1535 847 - 850 43 291 530 739 928 1166 1316 1534 851 - 853 42 290 529 738 927 1165 1315 1533 854 - 856 41 289 528 737 926 1164 1314 1532 857 - 860 40 288 527 736 925 1163 1313 1531 861 - 863 39 287 526 735 924 1162 1312 1530 864 - 866 38 286 525 734 923 1161 1311 1529

(260)(page-13)Page 13#

RFT 260 13 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 867 - 870 37 285 524 733 922 1160 1310 1528 871 - 873 36 284 523 732 921 1159 1309 1527 874 - 876 35 283 522 731 920 1158 1308 1526 877 - 880 34 282 521 730 919 1157 1307 1525 881 - 883 33 281 520 729 918 1156 1306 1524 884 - 886 32 280 519 728 917 1155 1305 1523 887 - 890 31 279 518 727 916 1154 1304 1522 891 - 893 30 278 517 726 915 1153 1303 1521 894 - 896 29 277 516 725 914 1152 1302 1520 897 - 900 28 276 515 724 913 1151 1301 1519 901 - 903 27 275 514 723 912 1150 1300 1518 904 - 906 26 274 513 722 911 1149 1299 1517 907 - 910 25 273 512 721 910 1148 1298 1516 911 - 913 24 272 511 720 909 1147 1297 1515 914 - 916 24 271 510 719 908 1146 1296 1514 917 - 920 24 270 509 718 907 1145 1295 1513 921 - 923 24 269 508 717 906 1144 1294 1512 924 - 926 24 268 507 716 905 1143 1293 1511 927 - 930 24 267 506 715 904 1142 1292 1510 931 - 933 24 266 505 714 903 1141 1291 1509 934 - 936 24 265 504 713 902 1140 1290 1508 937 - 940 24 264 503 712 901 1139 1289 1507

(260)(page-14)Page 14#

RFT 260 14 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 941 - 943 24 263 502 711 900 1138 1288 1506 944 - 946 24 262 501 710 899 1137 1287 1505 947 - 950 24 261 500 709 898 1136 1286 1504 951 - 953 24 260 499 708 897 1135 1285 1503 954 - 956 24 259 498 707 896 1134 1284 1502 957 - 960 24 258 497 706 895 1133 1283 1501 961 - 963 24 257 496 705 894 1132 1282 1500 964 - 966 24 256 495 704 893 1131 1281 1499 967 - 970 24 255 494 703 892 1130 1280 1498 971 - 973 24 254 493 702 891 1129 1279 1497 974 - 976 24 253 492 701 890 1128 1278 1496 977 - 980 24 252 491 700 889 1127 1277 1495 981 - 983 24 251 490 699 888 1126 1276 1494 984 - 986 24 250 489 698 887 1125 1275 1493 987 - 990 24 249 488 697 886 1124 1274 1492 991 - 993 24 248 487 696 885 1123 1273 1491 994 - 996 24 247 486 695 884 1122 1272 1490 997 - 1000 24 246 485 694 883 1121 1271 1489 1001 - 1003 24 245 484 693 882 1120 1270 1488 1004 - 1006 24 244 483 692 881 1119 1269 1487 1007 - 1010 24 243 482 691 880 1118 1268 1486 1011 - 1013 24 242 481 690 879 1117 1267 1485

(260)(page-15)Page 15#

RFT 260 15 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 1014 - 1016 24 241 480 689 878 1116 1266 1484 1017 - 1020 24 240 479 688 877 1115 1265 1483 1021 - 1023 24 239 478 687 876 1114 1264 1482 1024 - 1026 24 238 477 686 875 1113 1263 1481 1027 - 1030 24 237 476 685 874 1112 1262 1480 1031 - 1033 24 236 475 684 873 1111 1261 1479 1034 - 1036 24 235 474 683 872 1110 1260 1478 1037 - 1040 24 234 473 682 871 1109 1259 1477 1041 - 1043 24 233 472 681 870 1108 1258 1476 1044 - 1046 24 232 471 680 869 1107 1257 1475 1047 - 1050 24 231 470 679 868 1106 1256 1474 1051 - 1053 24 230 469 678 867 1105 1255 1473 1054 - 1056 24 229 468 677 866 1104 1254 1472 1057 - 1060 24 228 467 676 865 1103 1253 1471 1061 - 1063 24 227 466 675 864 1102 1252 1470 1064 - 1066 24 226 465 674 863 1101 1251 1469 1067 - 1070 24 225 464 673 862 1100 1250 1468 1071 - 1073 24 224 463 672 861 1099 1249 1467 1074 - 1076 24 223 462 671 860 1098 1248 1466 1077 - 1080 24 222 461 670 859 1097 1247 1465 1081 - 1083 24 221 460 669 858 1096 1246 1464 1084 - 1086 24 220 459 668 857 1095 1245 1463

(260)(page-16)Page 16#

RFT 260 16 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 1087 - 1090 24 219 458 667 856 1094 1244 1462 1091 - 1093 24 218 457 666 855 1093 1243 1461 1094 - 1096 24 217 456 665 854 1092 1242 1460 1097 - 1100 24 216 455 664 853 1091 1241 1459 1101 - 1103 24 215 454 663 852 1090 1240 1458 1104 - 1106 24 214 453 662 851 1089 1239 1457 1107 - 1110 24 213 452 661 850 1088 1238 1456 1111 - 1113 24 212 451 660 849 1087 1237 1455 1114 - 1116 24 211 450 659 848 1086 1236 1454 1117 - 1120 24 210 449 658 847 1085 1235 1453 1121 - 1123 24 209 448 657 846 1084 1234 1452 1124 - 1126 24 208 447 656 845 1083 1233 1451 1127 - 1130 24 207 446 655 844 1082 1232 1450 1131 - 1133 24 206 445 654 843 1081 1231 1449 1134 - 1136 24 205 444 653 842 1080 1230 1448 1137 - 1140 24 204 443 652 841 1079 1229 1447 1141 - 1143 24 203 442 651 840 1078 1228 1446 1144 - 1146 24 202 441 650 839 1077 1227 1445 1147 - 1150 24 201 440 649 838 1076 1226 1444 1151 -1153 24 200 439 648 837 1075 1225 1443 1154 - 1156 24 199 438 647 836 1074 1224 1442 1157 - 1160 24 198 437 646 835 1073 1223 1441

(260)(page-17)Page 17#

RFT 260 17 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 1161 - 1163 24 197 436 645 834 1072 1222 1440 1164 - 1166 24 196 435 644 833 1071 1221 1439 1167 - 1170 24 195 434 643 832 1070 1220 1438 1171 - 1173 24 194 433 642 831 1069 1219 1437 1174 - 1176 24 193 432 641 830 1068 1218 1436 1177 - 1180 24 192 431 640 829 1067 1217 1435 1181 - 1183 24 191 430 639 828 1066 1216 1434 1184 - 1186 24 190 429 638 827 1065 1215 1433 1187 - 1190 24 189 428 637 826 1064 1214 1432 1191 - 1193 24 188 427 636 825 1063 1213 1431 1194 - 1196 24 187 426 635 824 1062 1212 1430 1197 - 1200 24 186 425 634 823 1061 1211 1429 1201 - 1203 24 185 424 633 822 1060 1210 1428 1204 - 1206 24 184 423 632 821 1059 1209 1427 1207 - 1210 24 183 422 631 820 1058 1208 1426 1211 - 1213 24 182 421 630 819 1057 1207 1425 1214 - 1216 24 181 420 629 818 1056 1206 1424 1217 - 1220 24 180 419 628 817 1055 1205 1423 1221 - 1223 24 179 418 627 816 1054 1204 1422 1224 - 1226 24 178 417 626 815 1053 1203 1421 1227 - 1230 24 177 416 625 814 1052 1202 1420 1231 - 1233 24 176 415 624 813 1051 1201 1419

(260)(page-18)Page 18#

RFT 260 18 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 1234 - 1236 24 175 414 623 812 1050 1200 1418 1237 - 1240 24 174 413 622 811 1049 1199 1417 1241 - 1243 24 173 412 621 810 1048 1198 1416 1244 - 1246 24 172 411 620 809 1047 1197 1415 1247 - 1250 24 171 410 619 808 1046 1196 1414 1251 - 1253 24 170 409 618 807 1045 1195 1413 1254 - 1256 24 169 408 617 806 1044 1194 1412 1257 - 1260 24 168 407 616 805 1043 1193 1411 1261 - 1263 24 167 406 615 804 1042 1192 1410 1264 - 1266 24 166 405 614 803 1041 1191 1409 1267 - 1270 24 165 404 613 802 1040 1190 1408 1271 - 1273 24 164 403 612 801 1039 1189 1407 1274 - 1276 24 163 402 611 800 1038 1188 1406 1277 - 1280 24 162 401 610 799 1037 1187 1405 1281 - 1283 24 161 400 609 798 1036 1186 1404 1284 - 1286 24 160 399 608 797 1035 1185 1403 1287 - 1290 24 159 398 607 796 1034 1184 1402 1291 - 1293 24 158 397 606 795 1033 1183 1401 1294 - 1296 24 157 396 605 794 1032 1182 1400 1297 - 1300 24 156 395 604 793 1031 1181 1399 1301 - 1303 24 155 394 603 792 1030 1180 1398 1304 - 1306 24 154 393 602 791 1029 1179 1397

(260)(page-19)Page 19#

RFT 260 19 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 1307 - 1310 24 153 392 601 790 1028 1178 1396 1311 - 1313 24 152 391 600 789 1027 1177 1395 1314 - 1316 24 151 390 599 788 1026 1176 1394 1317 - 1320 24 150 389 598 787 1025 1175 1393 1321 - 1323 24 149 388 597 786 1024 1174 1392 1324 - 1326 24 148 387 596 785 1023 1173 1391 1327 - 1330 24 147 386 595 784 1022 1172 1390 1331 - 1333 24 146 385 594 783 1021 1171 1389 1334 - 1336 24 145 384 593 782 1020 1170 1388 1337 - 1340 24 144 383 592 781 1019 1169 1387 1341 - 1343 24 143 382 591 780 1018 1168 1386 1344 - 1346 24 142 381 590 779 1017 1167 1385 1347 - 1350 24 141 380 589 778 1016 1166 1384 1351 - 1353 24 140 379 588 777 1015 1165 1383 1354 - 1356 24 139 378 587 776 1014 1164 1382 1357 - 1360 24 138 377 586 775 1013 1163 1381 1361 - 1363 24 137 376 585 774 1012 1162 1380 1364 - 1366 24 136 375 584 773 1011 1161 1379 1367 - 1370 24 135 374 583 772 1010 1160 1378 1371 - 1373 24 134 373 582 771 1009 1159 1377 1374 - 1376 24 133 372 581 770 1008 1158 1376 1377 - 1380 24 132 371 580 769 1007 1157 1375

(260)(page-20)Page 20#

RFT 260 20 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 1381 - 1383 24 131 370 579 768 1006 1156 1374 1384 - 1386 24 130 369 578 767 1005 1155 1373 1387 - 1390 24 129 368 577 766 1004 1154 1372 1391 - 1393 24 128 367 576 765 1003 1153 1371 1394 - 1396 24 127 366 575 764 1002 1152 1370 1397 - 1400 24 126 365 574 763 1001 1151 1369 1401 - 1403 24 125 364 573 762 1000 1150 1368 1404 - 1406 24 124 363 572 761 999 1149 1367 1407 - 1410 24 123 362 571 760 998 1148 1366 1411 - 1413 24 122 361 570 759 997 1147 1365 1414 - 1416 24 121 360 569 758 996 1146 1364 1417 - 1420 24 120 359 568 757 995 1145 1363 1421 - 1423 24 119 358 567 756 994 1144 1362 1424 - 1426 24 118 357 566 755 993 1143 1361 1427 - 1430 24 117 356 565 754 992 1142 1360 1431 - 1433 24 116 355 564 753 991 1141 1359 1434 - 1436 24 115 354 563 752 990 1140 1358 1437 - 1440 24 114 353 562 751 989 1139 1357 1441 - 1443 24 113 352 561 750 988 1138 1356 1444 - 1446 24 112 351 560 749 987 1137 1355 1447 - 1450 24 111 350 559 748 986 1136 1354 1451 - 1453 24 110 349 558 747 985 1135 1353

(260)(page-21)Page 21#

RFT 260 21 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 1454 - 1456 24 109 348 557 746 984 1134 1352 1457 - 1460 24 108 347 556 745 983 1133 1351 1461 - 1463 24 107 346 555 744 982 1132 1350 1464 - 1466 24 106 345 554 743 981 1131 1349 1467 - 1470 24 105 344 553 742 980 1130 1348 1471 - 1473 24 104 343 552 741 979 1129 1347 1474 - 1476 24 103 342 551 740 978 1128 1346 1477 - 1480 24 102 341 550 739 977 1127 1345 1481 - 1483 24 101 340 549 738 976 1126 1344 1484 - 1486 24 100 339 548 737 975 1125 1343 1487 - 1490 24 99 338 547 736 974 1124 1342 1491 - 1493 24 98 337 546 735 973 1123 1341 1494 - 1496 24 97 336 545 734 972 1122 1340 1497 - 1500 24 96 335 544 733 971 1121 1339 1501 - 1503 24 95 334 543 732 970 1120 1338 1504 - 1506 24 94 333 542 731 969 1119 1337 1507 - 1510 24 93 332 541 730 968 1118 1336 1511 - 1513 24 92 331 540 729 967 1117 1335 1514 - 1516 24 91 330 539 728 966 1116 1334 1517 - 1520 24 90 329 538 727 965 1115 1333 1521 - 1523 24 89 328 537 726 964 1114 1332 1524 - 1526 24 88 327 536 725 963 1113 1331

(260)(page-22)Page 22#

RFT 260 22 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 1527 - 1530 24 87 326 535 724 962 1112 1330 1531 - 1533 24 86 325 534 723 961 1111 1329 1534 - 1536 24 85 324 533 722 960 1110 1328 1537 - 1540 24 84 323 532 721 959 1109 1327 1541 - 1543 24 83 322 531 720 958 1108 1326 1544 - 1546 24 82 321 530 719 957 1107 1325 1547 - 1550 24 81 320 529 718 956 1106 1324 1551 - 1553 24 80 319 528 717 955 1105 1323 1554 - 1556 24 79 318 527 716 954 1104 1322 1557 - 1560 24 78 317 526 715 953 1103 1321 1561 - 1563 24 77 316 525 714 952 1102 1320 1564 - 1566 24 76 315 524 713 951 1101 1319 1567 - 1570 24 75 314 523 712 950 1100 1318 1571 - 1573 24 74 313 522 711 949 1099 1317 1574 - 1576 24 73 312 521 710 948 1098 1316 1577 - 1580 24 72 311 520 709 947 1097 1315 1581 - 1583 24 71 310 519 708 946 1096 1314 1584 - 1586 24 70 309 518 707 945 1095 1313 1587 - 1590 24 69 308 517 706 944 1094 1312 1591 - 1593 24 68 307 516 705 943 1093 1311 1594 - 1596 24 67 306 515 704 942 1092 1310 1597 - 1600 24 66 305 514 703 941 1091 1309

(260)(page-23)Page 23#

RFT 260 23 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 1601 - 1603 24 65 304 513 702 940 1090 1308 1604 - 1606 24 64 303 512 701 939 1089 1307 1607 - 1610 24 63 302 511 700 938 1088 1306 1611 - 1613 24 62 301 510 699 937 1087 1305 1614 - 1616 24 61 300 509 698 936 1086 1304 1617 - 1620 24 60 299 508 697 935 1085 1303 1621 - 1623 24 59 298 507 696 934 1084 1302 1624 - 1626 24 58 297 506 695 933 1083 1301 1627 - 1630 24 57 296 505 694 932 1082 1300 1631 - 1633 24 56 295 504 693 931 1081 1299 1634 - 1636 24 55 294 503 692 930 1080 1298 1637 - 1640 24 54 293 502 691 929 1079 1297 1641 - 1643 24 53 292 501 690 928 1078 1296 1644 - 1646 24 52 291 500 689 927 1077 1295 1647 - 1650 24 51 290 499 688 926 1076 1294 1651 - 1653 24 50 289 498 687 925 1075 1293 1654 - 1656 24 49 288 497 686 924 1074 1292 1657 - 1660 24 48 287 496 685 923 1073 1291 1661 - 1663 24 47 286 495 684 922 1072 1290 1664 - 1666 24 46 285 494 683 921 1071 1289 1667 - 1670 24 45 284 493 682 920 1070 1288 1671 - 1673 24 44 283 492 681 919 1069 1287

(260)(page-24)Page 24#

RFT 260 24 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 1674 - 1676 24 43 282 491 680 918 1068 1286 1677 - 1680 24 42 281 490 679 917 1067 1285 1681 - 1683 24 41 280 489 678 916 1066 1284 1684 - 1686 24 40 279 488 677 915 1065 1283 1687 - 1690 24 39 278 487 676 914 1064 1282 1691 - 1693 24 38 277 486 675 913 1063 1281 1694 - 1696 24 37 276 485 674 912 1062 1280 1697 - 1700 24 36 275 484 673 911 1061 1279 1701 - 1703 24 35 274 483 672 910 1060 1278 1704 - 1706 24 34 273 482 671 909 1059 1277 1707 - 1710 24 33 272 481 670 908 1058 1276 1711 - 1713 24 32 271 480 669 907 1057 1275 1714 - 1716 24 31 270 479 668 906 1056 1274 1717 - 1720 24 30 269 478 667 905 1055 1273 1721 - 1723 24 29 268 477 666 904 1054 1272 1724 - 1726 24 28 267 476 665 903 1053 1271 1727 - 1730 24 27 266 475 664 902 1052 1270 1731 - 1733 24 26 265 474 663 901 1051 1269 1734 - 1736 24 25 264 473 662 900 1050 1268 1737 - 1740 24 24 263 472 661 899 1049 1267 1741 - 1743 24 24 262 471 660 898 1048 1266 1744 - 1746 24 24 261 470 659 897 1047 1265

(260)(page-25)Page 25#

RFT 260 25 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 1747 - 1750 24 24 260 469 658 896 1046 1264 1751 - 1753 24 24 259 468 657 895 1045 1263 1754 - 1756 24 24 258 467 656 894 1044 1262 1757 - 1760 24 24 257 466 655 893 1043 1261 1761 - 1763 24 24 256 465 654 892 1042 1260 1764 - 1766 24 24 255 464 653 891 1041 1259 1767 - 1770 24 24 254 463 652 890 1040 1258 1771 - 1773 24 24 253 462 651 889 1039 1257 1774 - 1776 24 24 252 461 650 888 1038 1256 1777 - 1780 24 24 251 460 649 887 1037 1255 1781 - 1783 24 24 250 459 648 886 1036 1254 1784 - 1786 24 24 249 458 647 885 1035 1253 1787 - 1790 24 24 248 457 646 884 1034 1252 1791 - 1793 24 24 247 456 645 883 1033 1251 1794 - 1796 24 24 246 455 644 882 1032 1250 1797 - 1800 24 24 245 454 643 881 1031 1249 1801 - 1803 24 24 244 453 642 880 1030 1248 1804 - 1806 24 24 243 452 641 879 1029 1247 1807 - 1810 24 24 242 451 640 878 1028 1246 1811 - 1813 24 24 241 450 639 877 1027 1245 1814 - 1816 24 24 240 449 638 876 1026 1244 1817 - 1820 24 24 239 448 637 875 1025 1243

(260)(page-26)Page 26#

RFT 260 26 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 1821 - 1823 24 24 238 447 636 874 1024 1242 1824 - 1826 24 24 237 446 635 873 1023 1241 1827 - 1830 24 24 236 445 634 872 1022 1240 1831 - 1833 24 24 235 444 633 871 1021 1239 1834 - 1836 24 24 234 443 632 870 1020 1238 1837 - 1840 24 24 233 442 631 869 1019 1237 1841 - 1843 24 24 232 441 630 868 1018 1236 1844 - 1846 24 24 231 440 629 867 1017 1235 1847 - 1850 24 24 230 439 628 866 1016 1234 1851 - 1853 24 24 229 438 627 865 1015 1233 1854 - 1856 24 24 228 437 626 864 1014 1232 1857 - 1860 24 24 227 436 625 863 1013 1231 1861 - 1863 24 24 226 435 624 862 1012 1230 1864 - 1866 24 24 225 434 623 861 1011 1229 1867 - 1870 24 24 224 433 622 860 1010 1228 1871 - 1873 24 24 223 432 621 859 1009 1227 1874 - 1876 24 24 222 431 620 858 1008 1226 1877 - 1880 24 24 221 430 619 857 1007 1225 1881 - 1883 24 24 220 429 618 856 1006 1224 1884 - 1886 24 24 219 428 617 855 1005 1223 1887 - 1890 24 24 218 427 616 854 1004 1222 1891 - 1893 24 24 217 426 615 853 1003 1221

(260)(page-27)Page 27#

RFT 260 27 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 1894 - 1896 24 24 216 425 614 852 1002 1220 1897 - 1900 24 24 215 424 613 851 1001 1219 1901 - 1903 24 24 214 423 612 850 1000 1218 1904 - 1906 24 24 213 422 611 849 999 1217 1907 - 1910 24 24 212 421 610 848 998 1216 1911 - 1913 24 24 211 420 609 847 997 1215 1914 - 1916 24 24 210 419 608 846 996 1214 1917 - 1920 24 24 209 418 607 845 995 1213 1921 - 1923 24 24 208 417 606 844 994 1212 1924 - 1926 24 24 207 416 605 843 993 1211 1927 - 1930 24 24 206 415 604 842 992 1210 1931 - 1933 24 24 205 414 603 841 991 1209 1934 - 1936 24 24 204 413 602 840 990 1208 1937 - 1940 24 24 203 412 601 839 989 1207 1941 - 1943 24 24 202 411 600 838 988 1206 1944 - 1946 24 24 201 410 599 837 987 1205 1947 - 1950 24 24 200 409 598 836 986 1204 1951 - 1953 24 24 199 408 597 835 985 1203 1954 - 1956 24 24 198 407 596 834 984 1202 1957 - 1960 24 24 197 406 595 833 983 1201 1961 - 1963 24 24 196 405 594 832 982 1200 1964 - 1966 24 24 195 404 593 831 981 1199

(260)(page-28)Page 28#

RFT 260 28 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 1967 - 1970 24 24 194 403 592 830 980 1198 1971 - 1973 24 24 193 402 591 829 979 1197 1974 - 1976 24 24 192 401 590 828 978 1196 1977 - 1980 24 24 191 400 589 827 977 1195 1981 - 1983 24 24 190 399 588 826 976 1194 1984 - 1986 24 24 189 398 587 825 975 1193 1987 - 1990 24 24 188 397 586 824 974 1192 1991 - 1993 24 24 187 396 585 823 973 1191 1994 - 1996 24 24 186 395 584 822 972 1190 1997 - 2000 24 24 185 394 583 821 971 1189 2001 - 2003 24 24 184 393 582 820 970 1188 2004 - 2006 24 24 183 392 581 819 969 1187 2007 - 2010 24 24 182 391 580 818 968 1186 2011 - 2013 24 24 181 390 579 817 967 1185 2014 - 2016 24 24 180 389 578 816 966 1184 2017 - 2020 24 24 179 388 577 815 965 1183 2021 - 2023 24 24 178 387 576 814 964 1182 2024 - 2026 24 24 177 386 575 813 963 1181 2027 - 2030 24 24 176 385 574 812 962 1180 2031 - 2033 24 24 175 384 573 811 961 1179 2034 - 2036 24 24 174 383 572 810 960 1178 2037 - 2040 24 24 173 382 571 809 959 1177

(260)(page-29)Page 29#

RFT 260 29 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 2041 - 2043 24 24 172 381 570 808 958 1176 2044 - 2046 24 24 171 380 569 807 957 1175 2047 - 2050 24 24 170 379 568 806 956 1174 2051 - 2053 24 24 169 378 567 805 955 1173 2054 - 2056 24 24 168 377 566 804 954 1172 2057 - 2060 24 24 167 376 565 803 953 1171 2061 - 2063 24 24 166 375 564 802 952 1170 2064 - 2066 24 24 165 374 563 801 951 1169 2067 - 2070 24 24 164 373 562 800 950 1168 2071 - 2073 24 24 16324 372 561 799 949 1167 2074 - 2076 24 24 162 371 560 798 948 1166 2077 - 2080 24 24 161 370 559 797 947 1165 2081 - 2083 24 24 160 369 558 796 946 1164 2084 - 2086 24 24 159 368 557 795 945 1163 2087 - 2090 24 24 158 367 556 794 944 1162 2091 - 2093 24 24 157 366 555 793 943 1161 2094 - 2096 24 24 156 365 554 792 942 1160 2097 - 2100 24 24 155 364 553 791 941 1159 2101 - 2103 24 24 154 363 552 790 940 1158 2104 - 2106 24 24 153 362 551 789 939 1157 2107 - 2110 24 24 152 361 550 788 938 1156 2111 - 2113 24 24 151 360 549 787 937 1155

(260)(page-30)Page 30#

RFT 260 30 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 2114 - 2116 24 24 150 359 548 786 936 1154 2117 - 2120 24 24 149 358 547 785 935 1153 2121 - 2123 24 24 148 357 546 784 934 1152 2124 - 2126 24 24 147 356 545 783 933 1151 2127 - 2130 24 24 146 355 544 782 932 1150 2131 - 2133 24 24 145 354 543 781 931 1149 2134 - 2136 24 24 144 353 542 780 930 1148 2137 - 2140 24 24 143 352 541 779 929 1147 2141 - 2143 24 24 142 351 540 778 928 1146 2144 - 2146 24 24 141 350 539 777 927 1145 2147 - 2150 24 24 140 349 538 776 926 1144 2151 - 2153 24 24 139 348 537 775 925 1143 2154 - 2156 24 138 347 536 774 924 1142 2157 - 2160 24 137 346 535 773 923 1141 2161 - 2163 24 136 345 534 772 922 1140 2164 - 2166 24 135 344 533 771 921 1139 2167 - 2170 24 134 343 532 770 920 1138 2171 - 2173 24 133 342 531 769 919 1137 2174 - 2176 24 132 341 530 768 918 1136 2177 - 2180 24 131 340 529 767 917 1135 2181 - 2183 24 130 339 528 766 916 1134 2184 - 2186 24 129 338 527 765 915 1133

(260)(page-31)Page 31#

RFT 260 31 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 2187 - 2190 24 128 337 526 764 914 1132 2191 - 2193 24 127 336 525 763 913 1131 2194 - 2196 24 126 335 524 762 912 1130 2197 - 2200 24 125 334 523 761 911 1129 2201 - 2203 24 124 333 522 760 910 1128 2204 - 2206 24 123 332 521 759 909 1127 2207 - 2210 24 122 331 520 758 908 1126 2211 - 2213 24 121 330 519 757 907 1125 2214 - 2216 24 120 329 518 756 906 1124 2217 - 2220 24 119 328 517 755 905 1123 2221 - 2223 24 118 327 516 754 904 1122 2224 - 2226 24 117 326 515 753 903 1121 2227 - 2230 24 116 325 514 752 902 1120 2231 - 2233 24 115 324 513 751 901 1119 2234 - 2236 24 114 323 512 750 900 1118 2237 - 2240 24 113 322 511 749 899 1117 2241 - 2243 24 112 321 510 748 898 1116 2244 - 2246 24 111 320 509 747 897 1115 2247 - 2250 24 110 319 508 746 896 1114 2251 - 2253 24 109 318 507 745 895 1113 2254 - 2256 24 108 317 506 744 894 1112 2257 - 2260 24 107 316 505 743 893 1111

(260)(page-32)Page 32#

RFT 260 32 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 2261 - 2263 24 106 315 504 742 892 1110 2264 - 2266 24 105 314 503 741 891 1109 2267 - 2270 24 104 313 502 740 890 1108 2271 - 2273 24 103 312 501 739 889 1107 2274 - 2276 24 102 311 500 738 888 1106 2277 - 2280 24 101 310 499 737 887 1105 2281 - 2283 24 100 309 498 736 886 1104 2284 - 2286 24 99 308 497 735 885 1103 2287 - 2290 24 98 307 496 734 884 1102 2291 - 2293 24 97 306 495 733 883 1101 2294 - 2296 24 96 305 494 732 882 1100 2297 - 2300 24 95 304 493 731 881 1099 2301 - 2303 24 94 303 492 730 880 1098 2304 - 2306 24 93 302 491 729 879 1097 2307 - 2310 24 92 301 490 728 878 1096 2311 - 2313 24 91 300 489 727 877 1095 2314 - 2316 24 90 299 488 726 876 1094 2317 - 2320 24 89 298 487 725 875 1093 2321 - 2323 24 88 297 486 724 874 1092 2324 - 2326 24 87 296 485 723 873 1091 2327 - 2330 24 86 295 484 722 872 1090 2331 - 2333 24 85 294 483 721 871 1089

(260)(page-33)Page 33#

RFT 260 33 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 2334 - 2336 24 84 293 482 720 870 1088 2337 - 2340 24 83 292 481 719 869 1087 2341 - 2343 24 82 291 480 718 868 1086 2344 - 2346 24 81 290 479 717 867 1085 2347 - 2350 24 80 289 478 716 866 1084 2351 - 2353 24 79 288 477 715 865 1083 2354 - 2356 24 78 287 476 714 864 1082 2357 - 2360 24 77 286 475 713 863 1081 2361 - 2363 24 76 285 474 712 862 1080 2364 - 2366 24 75 284 473 711 861 1079 2367 - 2370 24 74 283 472 710 860 1078 2371 - 2373 24 73 282 471 709 859 1077 2374 - 2376 24 72 281 470 708 858 1076 2377 - 2380 24 71 280 469 707 857 1075 2381 - 2383 24 70 279 468 706 856 1074 2384 - 2386 24 69 278 467 705 855 1073 2387 - 2390 24 68 277 466 704 854 1072 2391 - 2393 24 67 276 465 703 853 1071 2394 - 2396 24 66 275 464 702 852 1070 2397 - 2400 24 65 274 463 701 851 1069 2401 - 2403 24 64 273 462 700 850 1068 2404 - 2406 24 63 272 461 699 849 1067

(260)(page-34)Page 34#

RFT 260 34 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 2407 - 2410 24 62 271 460 698 848 1066 2411 - 2413 24 61 270 459 697 847 1065 2414 - 2416 24 60 269 458 696 846 1064 2417 - 2420 24 59 268 457 695 845 1063 2421 - 2423 24 58 267 456 694 844 1062 2424 - 2426 24 57 266 455 693 843 1061 2427 - 2430 24 56 265 454 692 842 1060 2431 - 2433 24 55 264 453 691 841 1059 2434 - 2436 24 54 263 452 690 840 1058 2437 - 2440 24 53 262 451 689 839 1057 2441 - 2443 24 52 261 450 688 838 1056 2444 - 2446 24 51 260 449 687 837 1055 2447 - 2450 24 50 259 448 686 836 1054 2451 - 2453 24 49 258 447 685 835 1053 2454 - 2456 24 48 257 446 684 834 1052 2457 - 2460 24 47 256 445 683 833 1051 2461 - 2463 24 46 255 444 682 832 1050 2464 - 2466 24 45 254 443 681 831 1049 2467 - 2470 24 44 253 442 680 830 1048 2471 - 2473 24 43 252 441 679 829 1047 2474 - 2476 24 42 251 440 678 828 1046 2477 - 2480 24 41 250 439 677 827 1045

(260)(page-35)Page 35#

RFT 260 35 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 2481 - 2483 24 40 249 438 676 826 1044 2484 - 2486 24 39 248 437 675 825 1043 2487 - 2490 24 38 247 436 674 824 1042 2491 - 2493 24 37 246 435 673 823 1041 2494 - 2496 24 36 245 434 672 822 1040 2497 - 2500 24 35 244 433 671 821 1039 2501 - 2503 24 34 243 432 670 820 1038 2504 - 2506 24 33 242 431 669 819 1037 2507 - 2510 24 32 241 430 668 818 1036 2511 - 2513 24 31 240 429 667 817 1035 2514 - 2516 24 30 239 428 666 816 1034 2517 - 2520 24 29 238 427 665 815 1033 2521 - 2523 24 28 237 426 664 814 1032 2524 - 2526 24 27 236 425 663 813 1031 2527 - 2530 24 26 235 424 662 812 1030 2531 - 2533 24 25 234 423 661 811 1029 2534 - 2536 24 24 233 422 660 810 1028 2537 - 2540 24 23 232 421 659 809 1027 2541 - 2543 24 22 231 420 658 808 1026 2544 - 2546 24 21 230 419 657 807 1025 2547 - 2550 24 20 229 418 656 806 1024 2551 - 2553 24 19 228 417 655 805 1023

(260)(page-36)Page 36#

RFT 260 36 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 2554 - 2556 24 18 227 416 654 804 1022 2557 - 2560 24 17 226 415 653 803 1021 2561 - 2563 24 16 225 414 652 802 1020 2564 - 2566 24 15 224 413 651 801 1019 2567 - 2570 24 14 223 412 650 800 1018 2571 - 2573 24 13 222 411 649 799 1017 2574 - 2576 24 12 221 410 648 798 1016 2577 - 2580 24 11 220 409 647 797 1015 2581 - 2583 24 10 219 408 646 796 1014 2584 - 2586 24 9 218 407 645 795 1013 2587 - 2590 24 8 217 406 644 794 1012 2591 - 2593 24 7 216 405 643 793 1011 2594 - 2596 24 6 215 404 642 792 1010 2597 - 2600 24 5 214 403 641 791 1009 2601 - 2603 24 4 213 402 640 790 1008 2604 - 2606 24 3 212 401 639 789 1007 2607 - 2610 24 2 211 400 638 788 1006 2611 - 2613 24 1 210 399 637 787 1005 2614 - 2616 24

209 398 636 786 1004 2617 - 2620 24

208 397 635 785 1003 2621 - 2623 24

207 396 634 784 1002 2624 - 2626 24

206 395 633 783 1001

(260)(page-37)Page 37#

RFT 260 37 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 2627 - 2630 24

205 394 632 782 1000 2631 - 2633 24

204 393 631 781 999 2634 - 2636 24

203 392 630 780 998 2637 - 2640 24

202 391 629 779 997 2641 - 2643 24

201 390 628 778 996 2644 - 2646 24

200 389 627 777 995 2647 - 2650 24

199 388 626 776 994 2651 - 2653 24

198 387 625 775 993 2654 - 2656 24

197 386 624 774 992 2657 - 2660 24

196 385 623 773 991 2661 - 2663 24

195 384 622 772 990 2664 - 2666 24

194 383 621 771 989 2667 - 2670 24

193 382 620 770 988 2671 - 2673 24

192 381 619 769 987 2674 - 2676 24

191 380 618 768 986 2677 - 2680 24

190 379 617 767 985 2681 - 2683 24

189 378 616 766 984 2684 - 2686 24

188 377 615 765 983 2687 - 2690 24

187 376 614 764 982 2691 - 2693 24

186 375 613 763 981 2694 - 2696 24

185 374 612 762 980 2697 - 2700 24

184 373 611 761 979

(260)(page-38)Page 38#

RFT 260 38 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 2701 - 2703 24

183 372 610 760 978 2704 - 2706 24

182 371 609 759 977 2707 - 2710 24

181 370 608 758 976 2711 - 2713 24

180 369 607 757 975 2714 - 2716 24

179 368 606 756 974 2717 - 2720 24

178 367 605 755 973 2721 - 2723 24

177 366 604 754 972 2724 - 2726 24

176 365 603 753 971 2727 - 2730 24

175 364 602 752 970 2731 - 2733 24

174 363 601 751 969 2734 - 2736 24

173 362 600 750 968 2737 - 2740 24

172 361 599 749 967 2741 - 2743 24

171 360 598 748 966 2744 - 2746 24

170 359 597 747 965 2747 - 2750 24

169 358 596 746 964 2751 - 2753 24

168 357 595 745 963 2754 - 2756 24

167 356 594 744 962 2757 - 2760 24

166 355 593 743 961 2761 - 2763 24

165 354 592 742 960 2764 - 2766 24

164 353 591 741 959 2767 - 2770 24

163 352 590 740 958 2771 - 2773 24

162 351 589 739 957

(260)(page-39)Page 39#

RFT 260 39 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 2774 - 2776 24

161 350 588 738 956 2777 - 2780 24

160 349 587 737 955 2781 - 2783 24

159 348 586 736 954 2784 - 2786 24

158 347 585 735 953 2787 - 2790 24

157 346 584 734 952 2791 - 2793 24

156 345 583 733 951 2794 - 2796 24

155 344 582 732 950 2797 - 2800 24

154 343 581 731 949 2801 - 2803 24

153 342 580 730 948 2804 - 2806 24

152 341 579 729 947 2807 - 2810 24

151 340 578 728 946 2811 - 2813 24

150 339 577 727 945 2814 - 2816 24

149 338 576 726 944 2817 - 2820 24

148 337 575 725 943 2821 - 2823 24

147 336 574 724 942 2824 - 2826 24

146 335 573 723 941 2827 - 2830 24

145 334 572 722 940 2831 - 2833 24

144 333 571 721 939 2834 - 2836 24

143 332 570 720 938 2837 - 2840 24

142 331 569 719 937 2841 - 2843 24

141 330 568 718 936 2844 - 2846 24

140 329 567 717 935

(260)(page-40)Page 40#

RFT 260 40 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 2847 - 2850 24

139 328 566 716 934 2851 - 2853 24

138 327 565 715 933 2854 - 2856 24

137 326 564 714 932 2857 - 2860 24

136 325 563 713 931 2861 - 2863 24

135 324 562 712 930 2864 - 2866 24

134 323 561 711 929 2867 - 2870 24

133 322 560 710 928 2871 - 2873 24

132 321 559 709 927 2874 - 2876 24

131 320 558 708 926 2877 - 2880 24

130 319 557 707 925 2881 - 2883 24

129 318 556 706 924 2884 - 2886 24

128 317 555 705 923 2887 - 2890 24

127 316 554 704 922 2891 - 2893 24

126 315 553 703 921 2894 - 2896 24

125 314 552 702 920 2897 - 2900 24

124 313 551 701 919 2901 - 2903 24

123 312 550 700 918 2904 - 2906 24

122 311 549 699 917 2907 - 2910 24

121 310 548 698 916 2911 - 2913

120 309 547 697 915 2914 - 2916

119 308 546 696 914 2917 - 2920

118 307 545 695 913

(260)(page-41)Page 41#

RFT 260 41 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 2921 - 2923

117 306 544 694 912 2924 - 2926

116 305 543 693 911 2927 - 2930

115 304 542 692 910 2931 - 2933

114 303 541 691 909 2934 - 2936

113 302 540 690 908 2937 - 2940

112 301 539 689 907 2941 - 2943

111 300 538 688 906 2944 - 2946

110 299 537 687 905 2947 - 2950

109 298 536 686 904 2951 - 2953

108 297 535 685 903 2954 - 2956

107 296 534 684 902 2957 - 2960

106 295 533 683 901 2961 - 2963

105 294 532 682 900 2964 - 2966

104 293 531 681 899 2967 - 2970

103 292 530 680 898 2971 - 2973

102 291 529 679 897 2974 - 2976

101 290 528 678 896 2977 - 2980

100 289 527 677 895 2981 - 2983

99 288 526 676 894 2984 - 2986

98 287 525 675 893 2987 - 2990

97 286 524 674 892 2991 - 2993

96 285 523 673 891

(260)(page-42)Page 42#

RFT 260 42 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 2994 - 2996

95 284 522 672 890 2997 - 3000

94 283 521 671 889 3001 - 3003

93 282 520 670 888 3004 - 3006

92 281 519 669 887 3007 - 3010

91 280 518 668 886 3011 - 3013

90 279 517 667 885 3014 - 3016

89 278 516 666 884 3017 - 3020

88 277 515 665 883 3021 - 3023

87 276 514 664 882 3024 - 3026

86 275 513 663 881 3027 - 3030

85 274 512 662 880 3031 - 3033

84 273 511 661 879 3034 - 3036

83 272 510 660 878 3037 - 3040

82 271 509 659 877 3041 - 3043

81 270 508 658 876 3044 - 3046

80 269 507 657 875 3047 - 3050

79 268 506 656 874 3051 - 3053

78 267 505 655 873 3054 - 3056

77 266 504 654 872 3057 - 3060

76 265 503 653 871 3061 - 3063

75 264 502 652 870 3064 - 3066

74 263 501 651 869

(260)(page-43)Page 43#

RFT 260 43 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 3067 - 3070

73 262 500 650 868 3071 - 3073

72 261 499 649 867 3074 - 3076

71 260 498 648 866 3077 - 3080

70 259 497 647 865 3081 - 3083

69 258 496 646 864 3084 - 3086

68 257 495 645 863 3087 - 3090

67 256 494 644 862 3091 - 3093

66 255 493 643 861 3094 - 3096

65 254 492 642 860 3097 - 3100

64 253 491 641 859 3101 - 3103

63 252 490 640 858 3104 - 3106

62 251 489 639 857 3107 - 3110

61 250 488 638 856 3111 - 3113

60 249 487 637 855 3114 - 3116

59 248 486 636 854 3117 - 3120

58 247 485 635 853 3121 - 3123

57 246 484 634 852 3124 - 3126

56 245 483 633 851 3127 - 3130

55 244 482 632 850 3131 - 3133

54 243 481 630 849 3134 - 3136

53 242 480 631 848 3137 - 3140

52 241 479 629 847

(260)(page-44)Page 44#

RFT 260 44 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 3141 - 3143

51 240 478 628 846 3144 - 3146

50 239 477 627 845 3147 - 3150

49 238 476 626 844 3151 - 3153

48 237 475 625 843 3154 - 3156

47 236 474 624 842 3157 - 3160

46 235 473 623 841 3161 - 3163

45 234 472 622 840 3164 - 3166

44 233 471 621 839 3167 - 3170

43 232 470 620 838 3171 - 3173

42 231 469 619 837 3174 - 3176

41 230 468 618 836 3177 - 3180

40 229 467 617 835 3181 - 3183

39 228 466 616 834 3184 - 3186

38 227 465 615 833 3187 - 3190

37 226 464 614 832 3191 -3193

36 225 463 613 831 3194 -3196

35 224 462 612 830 3197 - 3200

34 223 461 611 829 3201 - 3203

33 222 460 610 828 3204 - 3206

32 221 459 609 827 3207 - 3210

31 220 458 608 826 3211 - 3213

30 219 457 607 825

(260)(page-45)Page 45#

RFT 260 45 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 3214 - 3216

29 218 456 606 824 3217 - 3220

28 217 455 605 823 3221 - 3223

27 216 454 604 822 3224 - 3226

26 215 453 603 821 3227 - 3230

25 214 452 602 820 3231 - 3233

24 213 451 601 819 3234 - 3236

23 212 450 600 818 3237 - 3240

22 211 449 599 817 3241 - 3243

21 210 448 598 816 3244 - 3246

20 209 447 597 815 3247 - 3250

19 208 446 596 814 3251 - 3253

18 207 445 595 813 3254 - 3256

17 206 444 594 812 3257 - 3260

16 205 443 593 811 3261 - 3263

15 204 442 592 810 3264 - 3266

14 203 441 591 809 3267 - 3270

13 202 440 590 808 3271 - 3273

12 201 439 589 807 3274 - 3276

11 200 438 588 806 3277 - 3280

10 199 437 587 805 3281 - 3283

9 198 436 586 804 3284 - 3286

8 197 435 585 803

(260)(page-46)Page 46#

RFT 260 46 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 3287 - 3290

7 196 434 584 802 3291 - 3293

6 195 433 583 801 3294 - 3296

5 194 432 582 800 3297 - 3300

4 193 431 581 799 3301 - 3303

3 192 430 580 798 3304 - 3306

2 191 429 579 797 3307 - 3310

1 190 428 578 796 3311 - 3313

189 427 577 795 3314 - 3316

188 426 576 794 3317 - 3320

187 425 575 793 3321 - 3323

186 424 574 792 3324 - 3326

185 423 573 791 3327 - 3330

184 422 572 790 3331 - 3333

183 421 571 789 3334 - 3336

182 420 570 788 3337 - 3340

181 419 569 787 3341 - 3343

180 418 568 786 3344 - 3346

179 417 567 785 3347 - 3350

178 416 566 784 3351 - 3353

177 415 565 783 3354 - 3356

176 414 564 782 3357 - 3360

175 413 563 781

(260)(page-47)Page 47#

RFT 260 47 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 3361 - 3363

174 412 562 780 3364 - 3366

173 411 561 779 3367 - 3370

172 410 560 778 3371 - 3373

171 409 559 777 3374 - 3376

170 408 558 776 3377 - 3380

169 407 557 775 3381 - 3383

168 406 556 774 3384 - 3386

167 405 555 773 3387 - 3390

166 404 554 772 3391 - 3393

165 403 553 771 3394 - 3396

164 402 552 770 3397 - 3400

163 401 551 769 3401 - 3403

162 400 550 768 3404 - 3406

161 399 549 767 3407 - 3410

160 398 548 766 3411 - 3413

159 397 547 765 3414 - 3416

158 396 546 764 3417 - 3420

157 395 545 763 3421 - 3423

156 394 544 762 3424 - 3426

155 393 543 761 3427 - 3430

154 392 542 760 3431 - 3433

153 391 541 759

(260)(page-48)Page 48#

RFT 260 48 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 3434 - 3436

152 390 540 758 3437 - 3440

151 389 539 757 3441 - 3443

150 388 538 756 3444 - 3446

149 387 537 755 3447 - 3450

148 386 536 754 3451 - 3453

147 385 535 753 3454 - 3456

146 384 534 752 3457 - 3460

145 383 533 751 3461 - 3463

144 382 532 750 3464 - 3466

143 381 531 749 3467 - 3470

142 380 530 748 3471 - 3473

141 379 529 747 3474 - 3476

140 378 528 746 3477 - 3480

139 377 527 745 3481 - 3483

138 376 526 744 3484 - 3486

137 375 525 743 3487 - 3490

136 374 524 742 3491 - 3493

135 373 523 741 3494 - 3496

134 372 522 740 3497 - 3500

133 371 521 739 3501 - 3503

132 370 520 738 3504 - 3506

131 369 519 737

(260)(page-49)Page 49#

RFT 260 49 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 3507 - 3510

130 368 518 736 3511 - 3513

129 367 517 735 3514 - 3516

128 366 516 734 3517 - 3520

127 365 515 733 3521 - 3523

126 364 514 732 3524 - 3526

125 363 513 731 3527 - 3530

124 362 512 730 3531 - 3533

123 361 511 729 3534 - 3536

122 360 510 728 3537 - 3540

121 359 509 727 3541 - 3543

120 358 508 726 3544 - 3546

119 357 507 725 3547 - 3550

118 356 506 724 3551 - 3553

117 355 505 723 3554 - 3556

116 354 504 722 3557 - 3560

115 353 503 721 3561 - 3563

114 352 502 720 3564 - 3566

113 351 501 719 3567 - 3570

112 350 500 718 3571 - 3573

111 349 499 717 3574 - 3576

110 348 498 716 3577 - 3580

109 347 497 715

(260)(page-50)Page 50#

RFT 260 50 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 3581 - 3583

108 346 496 714 3584 - 3586

107 345 495 713 3587 - 3590

106 344 494 712 3591 - 3593

105 343 493 711 3594 - 3596

104 342 492 710 3597 - 3600

103 341 491 709 3601 - 3603

102 340 490 708 3604 - 3606

101 339 489 707 3607 - 3610

100 338 488 706 3611 - 3613

99 337 487 705 3614 - 3616

98 336 486 704 3617 - 3620

97 335 485 703 3621 - 3623

96 334 484 702 3624 - 3626

95 333 483 701 3627 - 3630

94 332 482 700 3631 - 3633

93 331 481 699 3634 - 3636

92 330 480 698 3637 - 3640

91 329 479 697 3641 - 3643

90 328 478 696 3644 - 3646

89 327 477 695 3647 - 3650

88 326 476 694 3651 - 3653

87 325 475 693

(260)(page-51)Page 51#

RFT 260 51 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 3654 - 3656

86 324 474 692 3657 - 3660

85 323 473 691 3661 - 3663

84 322 472 690 3664 - 3666

83 321 471 689 3667 - 3670

82 320 470 688 3671 - 3673

81 319 469 687 3674 - 3676

80 318 468 686 3677 - 3680

79 317 467 685 3681 - 3683

78 316 466 684 3684 - 3686

77 315 465 683 3687 - 3690

76 314 464 682 3691 - 3693

75 313 463 681 3694 - 3696

74 312 462 680 3697 - 3700

73 311 461 679 3701 - 3703

72 310 460 678 3704 - 3706

71 309 459 677 3707 - 3710

70 308 458 676 3711 - 3713

69 307 457 675 3714 - 3716

68 306 456 674 3717 - 3720

67 305 455 673 3721 - 3723

66 304 454 672 3724 - 3726

65 303 453 671

(260)(page-52)Page 52#

RFT 260 52 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 3727 - 3730

64 302 452 670 3731 - 3733

63 301 451 669 3734 - 3736

62 300 450 668 3737 - 3740

61 299 449 667 3741 - 3743

60 298 448 666 3744 - 3746

59 297 447 665 3747 - 3750

58 296 446 664 3751 - 3753

57 295 445 663 3754 - 3756

56 294 444 662 3757 - 3760

55 293 443 661 3761 - 3763

54 292 442 660 3764 - 3766

53 291 441 659 3767 - 3770

52 290 440 658 3771 - 3773

51 289 439 657 3774 - 3776

50 288 438 656 3777 - 3780

49 287 437 655 3781 - 3783

48 286 436 654 3784 - 3786

47 285 435 653 3787 - 3790

46 284 434 652 3791 - 3793

45 283 433 651 3794 - 3796

44 282 432 650 3797 - 3800

43 281 431 649

(260)(page-53)Page 53#

RFT 260 53 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 3801 - 3803

42 280 430 648 3804 - 3806

41 279 429 647 3807 - 3810

40 278 428 646 3811 - 3813

39 277 427 645 3814 - 3816

38 276 426 644 3817 - 3820

37 275 425 643 3821 - 3823

36 274 424 642 3824 - 3826

35 273 423 641 3827 - 3830

34 272 422 640 3831 - 3833

33 271 421 639 3834 - 3836

32 270 420 638 3837 - 3840

31 269 419 637 3841 - 3843

30 268 418 636 3844 - 3846

29 267 417 635 3847 - 3850

28 266 416 634 3851 - 3853

27 265 415 633 3854 - 3856

26 264 414 632 3857 - 3860

25 263 413 631 3861 - 3863

24 262 412 630 3864 - 3866

23 261 411 629 3867 - 3870

22 260 410 628 3871 - 3873

21 259 409 627

(260)(page-54)Page 54#

RFT 260 54 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 3874 - 3876

20 258 408 626 3877 - 3880

19 257 407 625 3881 - 3883

18 256 406 624 3884 - 3886

17 255 405 623 3887 - 3890

16 254 404 622 3891 - 3893

15 253 403 621 3894 - 3896

14 252 402 620 3897 - 3900

13 251 401 619 3901 - 3903

12 250 400 618 3904 - 3906

11 249 399 617 3907 - 3910

10 248 398 616 3911 - 3913

9 247 397 615 3914 - 3916

8 246 396 614 3917 - 3920

7 245 395 613 3921 - 3923

6 244 394 612 3924 - 3926

5 243 393 611 3927 - 3930

4 242 392 610 3931 - 3933

3 241 391 609 3934 - 3936

2 240 390 608 3937 - 3940

1 239 389 607 3941 - 3943

238 388 606 3944 - 3946

237 387 605

(260)(page-55)Page 55#

RFT 260 55 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 3947 - 3950

236 386 604 3951 - 3953

235 385 603 3954 - 3956

234 384 602 3957 - 3960

233 383 601 3961 - 3963

232 382 600 3964 - 3966

231 381 599 3967 - 3970

230 380 598 3971 - 3973

229 379 597 3974 - 3976

228 378 596 3977 - 3980

227 377 595 3981 - 3983

226 376 594 3984 - 3986

225 375 593 3987 - 3990

224 374 592 3991 - 3993

223 373 591 3994 - 3996

222 372 590 3997 - 4000

221 371 589 4001 - 4003

220 370 588 4004 - 4006

219 369 587 4007 - 4010

218 368 586 4011 - 4013

217 367 585 4014 - 4016

216 366 584 4017 - 4020

215 365 583

(260)(page-56)Page 56#

RFT 260 56 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 4021 - 4023

214 364 582 4024 - 4026

213 363 581 4027 - 4030

212 362 580 4031 - 4033

211 361 579 4034 - 4036

210 360 578 4037 - 4040

209 359 577 4041 - 4043

208 358 576 4044 - 4046

207 357 575 4047 - 4050

206 356 574 4051 - 4053

205 355 573 4054 - 4056

204 354 572 4057 - 4060

203 353 571 4061 - 4063

202 352 570 4064 - 4066

201 351 569 4067 - 4070

200 350 568 4071 - 4073

199 349 567 4074 - 4076

198 348 566 4077 - 4080

197 347 565 4081 - 4083

196 346 564 4084 - 4086

195 345 563 4087 - 4090

194 344 562 4091 - 4093

193 343 561

(260)(page-57)Page 57#

RFT 260 57 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 4094 - 4096

192 342 560 4097 - 4100

191 341 559 4101 - 4103

190 340 558 4104 - 4106

189 339 557 4107 - 4110

188 338 556 4111 - 4113

187 337 555 4114 - 4116

186 336 554 4117 - 4120

185 335 553 4121 - 4123

184 334 552 4124 - 4126

183 333 551 4127 - 4130

182 332 550 4131 - 4133

181 331 549 4134 - 4136

180 330 548 4137 - 4140

179 329 547 4141 - 4143

178 328 546 4144 - 4146

177 327 545 4147 - 4150

176 326 544 4151 - 4153

175 325 543 4154 - 4156

174 324 542 4157 - 4160

173 323 541 4161 - 4163

172 322 540 4164 - 4166

171 321 539

(260)(page-58)Page 58#

RFT 260 58 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 4167 - 4170

170 320 538 4171 - 4173

169 319 537 4174 - 4176

168 318 536 4177 - 4180

167 317 535 4181 - 4183

166 316 534 4184 - 4186

165 315 533 4187 - 4190

164 314 532 4191 - 4193

163 313 531 4194 - 4196

162 312 530 4197 - 4200

161 311 529 4201 - 4203

160 310 528 4204 - 4206

159 309 527 4207 - 4210

158 308 526 4211 - 4213

157 307 525 4214 - 4216

156 306 524 4217 - 4220

155 305 523 4221 - 4223

154 304 522 4224 - 4226

153 303 521 4227 - 4230

152 302 520 4231 - 4233

151 301 519 4234 - 4236

150 300 518 4237 - 4240

149 299 517

(260)(page-59)Page 59#

RFT 260 59 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 4241 - 4243

148 298 516 4244 - 4246

147 297 515 4247 - 4250

146 296 514 4251 - 4253

145 295 513 4254 - 4256

144 294 512 4257 - 4260

143 293 511 4261 - 4263

142 292 510 4264 - 4266

141 291 509 4267 - 4270

140 290 508 4271 - 4273

139 289 507 4274 - 4276

138 288 506 4277 - 4280

137 287 505 4281 - 4283

136 286 504 4284 - 4286

135 285 503 4287 - 4290

134 284 502 4291 - 4293

133 283 501 4294 - 4296

132 282 500 4297 - 4300

131 281 499 4301 - 4303

130 280 498 4304 - 4306

129 279 497 4307 - 4310

128 278 496 4311 - 4313

127 277 495

(260)(page-60)Page 60#

RFT 260 60 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 4314 - 4316

126 276 494 4317 - 4320

125 275 493 4321 - 4323

124 274 492 4324 - 4326

123 273 491 4327 - 4330

122 272 490 4331 - 4333

121 271 489 4334 - 4336

120 270 488 4337 - 4340

119 269 487 4341 - 4343

118 268 486 4344 - 4346

117 267 485 4347 - 4350

116 266 484 4351 - 4353

115 265 483 4354 - 4356

114 264 482 4357 - 4360

113 263 481 4361 - 4363

112 262 480 4364 - 4366

111 261 479 4367 - 4370

110 260 478 4371 - 4373

109 259 477 4374 - 4376

108 258 476 4377 - 4380

107 257 475 4381 - 4383

106 256 474 4384 - 4386

105 255 473

(260)(page-61)Page 61#

RFT 260 61 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 4387 - 4390

104 254 472 4391 - 4393

103 253 471 4394 - 4396

102 252 470 4397 - 4400

101 251 469 4401 - 4403

100 250 468 4404 - 4406

99 249 467 4407 - 4410

98 248 466 4411 - 4413

97 247 465 4414 - 4416

96 246 464 4417 - 4420

95 245 463 4421 - 4423

94 244 462 4424 - 4426

93 243 461 4427 - 4430

92 242 460 4431 - 4433

91 241 459 4434 - 4436

90 240 458 4437 - 4440

89 239 457 4441 - 4443

88 238 456 4444 - 4446

87 237 455 4447 - 4450

86 236 454 4451 - 4453

85 235 453 4454 - 4456

84 234 452 4457 - 4460

83 233 451

(260)(page-62)Page 62#

RFT 260 62 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 4461 - 4463

82 232 450 4464 - 4466

81 231 449 4467 - 4470

80 230 448 4471 - 4473

79 229 447 4474 - 4476

78 228 446 4477 - 4480

77 227 445 4481 - 4483

76 226 444 4484 - 4486

75 225 443 4487 - 4490

74 224 442 4491 - 4493

73 223 441 4494 - 4496

72 222 440 4497 - 4500

71 221 439 4501 - 4503

70 220 438 4504 - 4506

69 219 437 4507 - 4510

68 218 436 4511 - 4513

67 217 435 4514 - 4516

66 216 434 4517 - 4520

65 215 433 4521 - 4523

64 214 432 4524 - 4526

63 213 431 4527 - 4530

62 212 430 4531 - 4533

61 211 429

(260)(page-63)Page 63#

RFT 260 63 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 4534 - 4536

60 210 428 4537 - 4540

59 209 427 4541 - 4543

58 208 426 4544 - 4546

57 207 425 4547 - 4550

56 206 424 4551 - 4553

55 205 423 4554 - 4556

54 204 422 4557 - 4560

53 203 421 4561 - 4563

52 202 420 4564 - 4566

51 201 419 4567 - 4570

50 200 418 4571 - 4573

49 199 417 4574 - 4576

48 198 416 4577 - 4580

47 197 415 4581 - 4583

46 196 414 4584 - 4586

45 195 413 4587 - 4590

44 194 412 4591 - 4593

43 193 411 4594 - 4596

42 192 410 4597 - 4600

41 191 409 4601 - 4603

40 190 408 4604 - 4606

39 189 407

(260)(page-64)Page 64#

RFT 260 64 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 4607 - 4610

38 188 406 4611 - 4613

37 187 405 4614 - 4616

36 186 404 4617 - 4620

35 185 403 4621 - 4623

34 184 402 4624 - 4626

33 183 401 4627 - 4630

32 182 400 4631 - 4633

31 181 399 4634 - 4636

30 180 398 4637 - 4640

29 179 397 4641 - 4643

28 178 396 4644 - 4646

27 177 395 4647 - 4650

26 176 394 4651 - 4653

25 175 393 4654 - 4656

24 174 392 4657 - 4660

23 173 391 4661 - 4663

22 172 390 4664 - 4666

21 171 389 4667 - 4670

20 170 388 4671 - 4673

19 169 387 4674 - 4676

18 168 386 4677 - 4680

17 167 385

(260)(page-65)Page 65#

RFT 260 65 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 4681 - 4683

16 166 384 4864 - 4686

15 165 383 4687 - 4690

14 164 382 4691 - 4693

13 163 381 4694 - 4696

12 162 380 4697 - 4700

11 161 379 4701 - 4703

10 160 378 4704 - 4706

9 159 377 4707 - 4710

8 158 376 4711 - 4713

7 157 375 4714 - 4716

6 156 374 4717 - 4720

5 155 373 4721 - 4723

4 154 372 4724 - 4726

3 153 371 4727 - 4730

2 152 370 4731 - 4733

1 151 369 4734 - 4736

150 368 4737 - 4740

149 367 4741 - 4743

148 366 4744 - 4746

147 365 4747 - 4750

146 364 4751 - 4753

145 363

(260)(page-66)Page 66#

RFT 260 66 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 4754 - 4756

144 362 4757 - 4760

143 361 4761 - 4763

142 360 4764 - 4766

141 359 4767 - 4770

140 358 4771 - 4773

139 357 4774 - 4776

138 356 4777 - 4780

137 355 4781 - 4783

136 354 4784 - 4786

135 353 4787 - 4790

134 352 4791 - 4793

133 351 4794 - 4796

132 350 4797 - 4800

131 349 4801 - 4803

130 348 4804 - 4806

129 347 4870 - 4810

128 346 4811 - 4813

127 345 4814 - 4816

126 344 4817 - 4820

125 343 4821 - 4823

124 342 4824 - 4826

123 341

(260)(page-67)Page 67#

RFT 260 67 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 4827 - 4830

122 340 4831 - 4833

121 339 4834 - 4836

120 338 4837 - 4840

119 337 4841 - 4843

118 336 4844 - 4846

117 335 4847 - 4850

116 334 4851 - 4853

115 333 4854 - 4856

114 332 4857 - 4860

113 331 4861 - 4863

112 330 4864 - 4866

111 329 4867 - 4870

110 328 4871 - 4873

109 327 4874 - 4876

108 326 4877 - 4880

107 325 4881 - 4883

106 324 4884 - 4886

105 323 4887 - 4890

104 322 4891 - 4893

103 321 4894 - 4896

102 320 4897 - 4900

101 319

(260)(page-68)Page 68#

RFT 260 68 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 4901 - 4903

100 318 4904 - 4906

99 317 4907 - 4910

98 316 4911 - 4913

97 315 4914 - 4916

96 314 4917 - 4920

95 313 4921 - 4923

94 312 4924 - 4926

93 311 4927 - 4930

92 310 4931 - 4933

91 309 4934 - 4936

90 308 4937 - 4940

89 307 4941 - 4943

88 306 4944 - 4946

87 305 4947 - 4950

86 304 4951 - 4953

85 303 4954 - 4956

84 302 4957 - 4960

83 301 4961 - 4963

82 300 4964 - 4966

81 299 4967 - 4970

80 298 4971 - 4973

79 297

(260)(page-69)Page 69#

RFT 260 69 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 4974 - 4976

78 296 4977 - 4980

77 295 4981 - 4983

76 294 4984 - 4986

75 293 4987 - 4990

74 292 4991 - 4993

73 291 4994 - 4996

72 290 4997 - 5000

71 289 5001 - 5003

70 288 5004 - 5006

69 287 5007 - 5010

68 286 5011 - 5013

67 285 5014 - 5016

66 284 5017 - 5020

65 283 5021 - 5023

64 282 5024 - 5026

63 281 5027 - 5030

62 280 5031 - 5033

61 279 5034 - 5036

60 278 5037 - 5040

59 277 5041 - 5043

58 276 5044 - 5046

57 275

(260)(page-70)Page 70#

RFT 260 70 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 5047 - 5050

56 274 5051- 5053

55 273 5054 - 5056

54 272 5057 - 5060

53 271 5061 - 5063

52 270 5064 - 5066

51 269 5067 - 5070

50 268 5071 - 5073

49 267 5074 - 5076

48 266 5077 - 5080

47 265 5081 - 5083

46 264 5084 - 5086

45 263 5087 - 5090

44 262 5091 - 5093

43 261 5094 - 5096

42 260 5097 - 5100

41 259 5101 - 5103

40 258 5104 - 5106

39 257 5107 - 5110

38 256 5111 - 5113

37 255 5114 - 5116

36 254 5117 - 5120

35 253

(260)(page-71)Page 71#

RFT 260 71 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 5121 - 5123

34 252 5124 - 5126

33 251 5127 - 5130

32 250 5131 - 5133

31 249 5134 - 5136

30 248 5137 - 5140

29 247 5141 - 5143

28 246 5144 - 5146

27 245 5147 - 5150

26 244 5151 - 5153

25 243 5154 - 5156

24 242 5157 - 5160

23 241 5161 - 5163

22 240 5164 - 5166

21 239 5167 - 5170

20 238 5171 - 5173

19 237 5174 - 5176

18 236 5177 - 5180

17 235 5181 - 5183

16 234 5184 - 5186

15 233 5187 - 5190

14 232 5191 - 5193

13 231

(260)(page-72)Page 72#

RFT 260 72 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 5194 - 5196

12 230 5197 - 5200

11 229 5201 - 5203

10 228 5204 - 5206

9 227 5207 - 5210

8 226 5211 - 5213

7 225 5214 - 5216

6 224 5217 - 5220

5 223 5221 - 5223

4 222 5224 - 5226

3 221 5227 - 5230

2 220 5231 - 5233

1 219 5234 - 5236

218 5237 - 5240

217 5241 - 5243

216 5244 - 5246

215 5247 - 5250

214 5251 - 5253

213 5254 - 5256

212 5257 - 5260

211 5261 - 5263

210

(260)(page-73)Page 73#

RFT 260 73 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 5264 - 5266

209 5267 - 5270

208 5271 - 5273

207 5274 - 5276

206 5277 - 5280

205 5281 - 5283

204 5284 - 5286

203 5287 - 5290

202 5291 - 5293

201 5294 - 5296

200 5297 - 5300

199 5301 - 5303

198 5304 - 5306

197 5307 - 5310

196 5311 - 5313

195 5314 - 5316

194 5317 - 5320

193 5321 - 5323

192 5324 - 5326

191 5327 - 5330

190 5331 - 5333

189 5334 - 5336

188

(260)(page-74)Page 74#

RFT 260 74 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 5337 - 5340

187 5341 - 5343

186 5344 - 5346

185 5347 - 5350

184 5351 - 5353

183 5354 - 5356

182 5357 - 5360

181 5361 - 5363

180 5364 - 5366

179 5367 - 5370

178 5371 - 5373

177 5374 - 5376

176 5377 - 5380

175 5381 - 5383

174 5384 - 5386

173 5387 - 5390

172 5391 - 5393

171 5394 - 5396

170 5397 - 5400

169 5401 - 5403

168 5404 - 5406

167 5407 - 5410

166

(260)(page-75)Page 75#

RFT 260 75 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 5411 - 5413

165 5414 - 5416

164 5417 - 5420

163 5421 - 5423

162 5424 - 5426

161 5427 - 5430

160 5431 - 5433

159 5434 - 5436

158 5437 - 5440

157 5441 - 5443

156 5444 - 5446

155 5447 - 5450

154 5451 - 5453

153 5454 - 5456

152 5457 - 5460

151 5461 - 5463

150 5464 - 5466

149 5467 - 5470

148 5471 - 5473

147 5474 - 5476

146 5477 - 5480

145 5481 - 5483

144

(260)(page-76)Page 76#

RFT 260 76 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 5484 - 5486

143 5487 - 5490

142 5491 - 5493

141 5494 - 5496

140 5497 - 5500

139 5501 - 5503

138 5504 - 5506

137 5507 - 5510

136 5511 - 5513

135 5514 - 5516

134 5517 - 5520

133 5521 - 5523

132 5524 - 5526

131 5527 - 5530

130 5531 - 5533

129 5534 - 5536

128 5537 - 5540

127 5541 - 5543

126 5544 - 5546

125 5547 - 5550

124 5551 - 5553

123 5554 - 5556

122

(260)(page-77)Page 77#

RFT 260 77 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 5557 - 5560

121 5561 - 5563

120 5564 - 5566

119 5567 - 5570

118 5571 - 5573

117 5574 - 5576

116 5577 - 5580

115 5581 - 5583

114 5584 - 5586

113 5587 - 5590

112 5591 - 5593

111 5594 - 5596

110 5597 - 5600

109 5601 - 5603

108 5604 - 5606

107 5607 - 5610

106 5611 - 5613

105 5614 - 5616

104 5617 - 5620

103 5621 - 5623

102 5624 - 5626

101 5627 - 5630

100

(260)(page-78)Page 78#

RFT 260 78 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 5631 - 5633

99 5634 - 5636

98 5637 - 5640

97 5641 - 5643

96 5644 - 5646

95 5647 - 5650

94 5651 - 5653

93 5654 - 5656

92 5657 - 5660

91 5661 - 5663

90 5664 - 5666

89 5667 - 5670

88 5671 - 5673

87 5674 - 5676

86 5677 - 5680

85 5681 - 5683

84 5684 - 5686

83 5687 - 5690

82 5691 - 5693

81 5694 - 5696

80 5697 - 5700

79 5701 - 5703

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RFT 260 79 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 5704 - 5706

77 5707 - 5710

76 5711 - 5713

75 5714 - 5716

74 5717 - 5720

73 5721 - 5723

72 5724 - 5726

71 5727 - 5730

70 5731 - 5733

69 5734 - 5736

68 5737- 5740

67 5741 - 5743

66 5744 - 5746

65 5747 - 5750

64 5751 - 5753

63 5754 - 5756

62 5757 - 5760

61 5761 - 5763

60 5764 - 5766

59 5767 - 5770

58 5771 -5773

57 5774 - 5766

(260)(page-80)Page 80#

RFT 260 80 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 5777 - 5780

55 5781 - 5783

54 5784 - 5786

53 5787 - 5790

52 5791 - 5793

51 5794 - 5796

50 5797 - 5800

49 5801 - 5803

48 5804 - 5806

47 5807 - 5810

46 5811 - 5813

45 5814 - 5816

44 5817 - 5820

43 5821 - 5823

42 5824 - 5826

41 5827 - 5830

40 5831- 5833

39 5834 - 5836

38 5837 - 5840

37 5841-5843

36 5844 - 5846

35 5847 - 5850

(260)(page-81)Page 81#

RFT 260 81 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 5851 - 5853

33 5854 - 5856

32 5857 - 5860

31 5861 - 5863

30 5864 - 5866

29 5867 - 5870

28 5871 - 5873

27 5874 - 5876

26 5877 - 5880

25 5881 - 5883

24 5884 - 5886

23 5887 - 5890

22 5891 - 5893

21 5894 - 5896

20 5897 - 5900

19 5901 - 5903

18 5904 - 5906

17 5907 - 5910

16 5911 - 5913

15 5914 - 5916

14 5917 - 5920

13 5921 - 5923

(260)(page-82)Page 82#

RFT 260 82 of 82 FOOD ASSISTANCE ISSUANCE TABLE RFB 2025-006 10-1-2025

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

Monthly Net Income One Person Two Persons Three Persons Four Persons Five Persons Six Persons Seven Persons Eight Persons 5924 - 5926

11 5927 - 5930

10 5931 - 5933

9 5934 - 5936

8 5937 - 5940

7 5941 - 5943

6 5944 - 5946

5 5947 - 5950

4 5951 - 5953

3 5954 - 5956

2 5957 - 5960

GROUPS GREATER THAN EIGHT For groups of more than eight persons, use the following instruc- tions to determine benefit amounts: A. Benefit Maximum. For each person in excess of eight, add $218 to the benefit maximum for an eight-person group ($1789). B. Monthly Benefit. To determine the monthly benefit: 1. Multiply the group's net monthly income by 30 percent (.30) and round up to the next dollar for cents .01-.99. 2. Subtract the result obtained in Step 1 from the benefit maximum for that group size. 3. The difference is the monthly FAP benefit amount (unless proration applies).

(295)Michigan Reference Tables Manual: RFT 295 COMBINED BUDGET TABLES#

(295)(page-1)Page 1#

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REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

COMBINED BUDGET TABLES The combined budget tables contain the following:  A column for determining 185% of needs.  Amounts to be deducted from income. The combined budget tables are to be used in accordance with FIP, SDA, MA and FAP policy effective October 1, 1989. These tables are calculated based on dollar amounts from $1 through $2,000.

DEPENDENT CARE DOLLAR AMOUNT 185% 80% 20% 10% 1/3 65+1/2 UNDER AGE 2 AGE 2 & OVER 1 2 3 4 5 1 3 5 7 9 0 1 2 3 4 0 0 0 0 1 0 0 0 0 0 0 0 1 1 1 1 2 3 4 5 0 0 0 1 1 0 0 0 1 1 6 7 8 9 10 11 12 14 16 18 4 5 6 7 8 1 1 1 1 2 0 0 0 0 1 2 2 2 3 3 6 7 8 9 10 1 1 2 2 2 1 1 2 2 2 11 12 13 14 15 20 22 24 25 27 8 9 10 11 12 2 2 2 2 3 1 1 1 1 1 3 4 4 4 5 11 12 13 14 15 3 3 3 3 4 3 3 3 3 4 16 17 18 19 20 29 31 33 35 37 12 13 14 15 16 3 3 3 3 4 1 1 1 1 2 5 5 6 6 6 16 17 18 19 20 4 4 4 5 5 4 4 4 5 5 21 22 23 24 25 38 40 42 44 46 16 17 18 19 20 4 4 4 4 5 2 2 2 2 2 7 7 7 8 8 21 22 23 24 25 5 6 6 6 6 5 6 6 6 6

(295)(page-2)Page 2#

RFT 295 2 of 58 COMBINED BUDGET TABLES RFB 2013-009 12-1-2013

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

DEPENDENT CARE DOLLAR AMOUNT 185% 80% 20% 10% 1/3 65+1/2 UNDER AGE 2 AGE 2 & OVER 26 27 28 29 30 48 49 51 53 55 20 21 22 23 24 5 5 5 5 6 2 2 2 2 3 8 9 9 9 10 26 27 28 29 30 7 7 7 7 8 7 7 7 7 8 31 32 33 34 35 57 59 61 62 64 24 25 26 27 28 6 6 6 6 7 3 3 3 3 3 10 10 11 11 11 31 32 33 34 35 8 8 9 9 9 8 8 9 9 9 36 37 38 39 40 66 68 70 72 74 28 29 30 31 32 7 7 7 7 8 3 3 3 3 4 12 12 12 13 13 36 37 38 39 40 90 10 10 10 11 9 10 10 10 11 41 42 43 44 45 75 77 79 81 83 32 33 34 35 36 8 8 8 8 9 4 4 4 4 4 13 14 14 14 15 41 42 43 44 45 11 11 11 12 12 11 11 11 12 12 46 47 48 49 50 85 86 88 90 92 36 37 38 39 40 9 9 9 9 10 4 4 4 4 5 15 15 16 16 16 46 47 48 49 50 12 12 13 13 13 12 12 13 13 13 51 52 53 54 55 94 96 98 99 101 40 41 42 43 44 10 10 10 10 11 5 5 5 5 5 17 17 17 18 18 51 52 53 54 55 14 14 14 14 15 14 14 14 14 15 56 57 58 59 60 103 105 107 109 111 44 45 46 47 48 11 11 11 11 12 5 5 5 5 6 18 19 19 19 20 56 57 58 59 60 15 15 15 16 16 15 15 15 16 16

(295)(page-3)Page 3#

RFT 295 3 of 58 COMBINED BUDGET TABLES RFB 2013-009 12-1-2013

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

DEPENDENT CARE DOLLAR AMOUNT 185% 80% 20% 10% 1/3 65+1/2 UNDER AGE 2 AGE 2 & OVER 61 52 63 64 65 112 114 116 118 120 48 49 50 51 52 12 12 12 12 13 6 6 6 6 6 20 20 21 21 21 61 62 63 64 65 16 17 17 17 17 16 17 17 17 17 66 67 68 69 70 122 123 125 127 129 52 53 54 55 56 13 13 13 13 14 6 6 6 6 7 22 22 22 23 23 65 66 66 67 67 18 18 18 19 19 18 18 18 19 19 71 72 73 71 75 131 133 135 136 138 56 57 58 59 60 14 14 14 14 15 7 7 7 7 7 23 24 24 24 25 68 68 69 69 70 19 19 20 20 20 19 19 20 20 20 76 77 78 79 80 140 142 144 146 148 60 61 62 63 64 15 15 15 15 16 7 7 7 7 8 25 25 26 26 26 70 71 71 72 72 20 21 21 21 22 20 21 21 21 22 81 82 83 84 85 149 151 153 155 157 64 65 66 67 68 16 16 16 16 17 8 8 8 8 8 27 27 27 28 28 73 73 74 74 75 22 22 22 23 23 22 22 22 23 23 86 87 88 89 90 159 160 162 164 166 68 69 70 71 72 17 17 17 17 18 8 8 8 8 9 28 29 29 29 30 75 76 76 77 77 23 23 24 24 24 23 23 24 24 24 91 92 93 94 95 168 170 172 173 175 72 73 74 75 76 18 18 18 18 19 9 9 9 9 9 30 30 31 31 31 78 78 79 79 80 25 25 25 25 26 25 25 25 25 26

(295)(page-4)Page 4#

RFT 295 4 of 58 COMBINED BUDGET TABLES RFB 2013-009 12-1-2013

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

DEPENDENT CARE DOLLAR AMOUNT 185% 80% 20% 10% 1/3 65+1/2 UNDER AGE 2 AGE 2 & OVER 96 97 98 99 100 177 179 181 183 185 76 77 78 79 80 19 19 19 19 20 9 9 9 9 10 32 32 32 33 33 80 81 81 82 82 26 26 26 27 27 26 26 26 27 27 101 102 103 104 105 186 188 190 192 194 80 81 82 83 84 20 20 20 20 21 10 10 10 10 10 33 34 34 34 35 83 83 84 84 82 27 28 28 28 28 27 28 28 28 28 106 107 108 109 110 196 197 199 201 203 84 85 86 87 88 21 21 21 21 22 10 10 10 10 11 35 35 36 36 36 85 86 86 87 87 29 29 29 30 30 29 29 29 30 30 111 112 113 114 115 205 207 209 210 212 88 89 90 91 92 22 22 22 22 23 11 11 11 11 11 37 37 37 38 38 88 88 89 89 90 30 30 31 31 31 30 30 31 31 31 116 117 118 119 120 214 216 218 220 222 92 93 94 95 96 23 23 23 23 24 11 11 11 11 12 38 39 39 39 40 90 91 91 92 92 31 32 32 33 31 32 32 33 121 122 123 124 125 223 225 227 229 231 96 97 98 99 100 24 24 24 24 25 12 12 12 12 12 40 40 41 41 41 93 93 94 94 95 33 33 33 34 34 33 33 33 34 34 126 127 128 129 130 233 234 236 238 240 100 101 102 103 104 25 25 25 25 26 12 12 12 12 13 42 42 42 43 43 95 96 96 97 97 34 34 35 35 35 34 34 35 35 35

(295)(page-5)Page 5#

RFT 295 5 of 58 COMBINED BUDGET TABLES RFB 2013-009 12-1-2013

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

DEPENDENT CARE DOLLAR AMOUNT 185% 80% 20% 10% 1/3 65+1/2 UNDER AGE 2 AGE 2 & OVER 131 132 133 134 135 242 244 246 247 249 104 105 106 107 108 26 26 26 26 27 13 13 13 13 13 43 44 44 44 45 98 98 99 99 100 36 36 36 36 37 36 36 36 36 37 136 137 138 139 140 251 253 255 257 259 108 109 110 111 112 27 27 27 27 28 13 13 13 13 14 45 45 46 46 46 100 101 101 102 102 37 37 38 38 38 37 37 38 38 38 141 142 143 144 145 260 262 264 266 268 112 113 114 115 116 28 28 28 28 29 14 14 14 14 14 47 47 47 48 48 103 103 104 104 105 38 39 39 39 39 38 39 39 39 39 146 147 148 149 150 270 271 273 275 277 116 117 118 119 120 29 29 29 29 30 14 14 14 14 15 48 49 49 49 50 105 106 106 107 107 40 40 40 41 41 40 40 40 41 41 151 152 153 154 155 279 281 283 284 286 120 121 122 123 124 30 30 30 30 31 15 15 15 15 15 50 50 51 51 51 108 108 109 109 110 41 41 42 42 42 41 41 42 42 42 156 157 158 159 160 288 290 292 294 296 124 125 126 127 128 31 31 31 31 32 15 15 15 15 16 52 52 52 53 53 110 111 111 112 112 42 43 43 43 44 42 43 43 43 44 161 162 163 164 165 297 299 301 303 305 128 129 130 131 132 32 32 32 32 33 16 16 16 16 16 54 54 54 54 55 113 113 114 114 115 44 44 44 45 45 44 44 44 45 45

(295)(page-6)Page 6#

RFT 295 6 of 58 COMBINED BUDGET TABLES RFB 2013-009 12-1-2013

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

DEPENDENT CARE DOLLAR AMOUNT 185% 80% 20% 10% 1/3 65+1/2 UNDER AGE 2 AGE 2 & OVER 166 167 168 169 170 307 308 310 312 614 132 133 134 135 136 33 33 33 33 34 16 16 16 16 17 55 55 56 56 56 115 116 116 117 117 45 46 46 46 46 45 46 46 46 46 171 172 173 174 175 316 318 320 321 323 136 137 138 139 140 34 34 34 34 35 17 17 17 17 17 57 57 57 58 58 118 118 119 119 120 47 47 47 47 48 47 47 47 47 48 176 177 178 179 180 325 327 329 331 333 140 141 142 143 144 35 35 35 36 17 17 17 17 18 58 59 59 59 60 120 121 121 122 122 48 48 49 49 49 48 48 49 49 49 181 182 183 184 185 334 336 338 340 342 144 145 146 147 148 36 36 36 36 37 18 18 18 18 18 60 60 61 61 61 123 123 124 124 125 49 50 50 50 50 49 50 50 50 50 186 187 188 189 190 344 345 347 349 351 148 149 150 151 152 37 37 37 37 38 18 18 18 18 19 62 62 62 63 63 125 126 126 127 127 51 51 51 52 52 51 51 51 52 52 191 192 193 194 195 353 355 357 358 360 152 153 154 155 156 38 38 38 38 39 19 19 19 19 19 63 64 64 64 65 128 128 129 129 130 52 52 53 53 53 52 52 53 53 53 196 197 198 199 200 362 364 366 368 370 156 157 158 159 160 39 39 39 39 40 19 19 19 19 20 65 65 66 66 66 130 131 131 132 132 53 54 54 54 55 53 54 54 54 55

(295)(page-7)Page 7#

RFT 295 7 of 58 COMBINED BUDGET TABLES RFB 2013-009 12-1-2013

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

DEPENDENT CARE DOLLAR AMOUNT 185% 80% 20% 10% 1/3 65+1/2 UNDER AGE 2 AGE 2 & OVER 201 202 203 20 205 371 373 375 377 379 160 161 162 163 164 40 40 40 40 41 20 20 20 20 20 67 67 67 68 68 133 133 134 134 135 55 55 55 56 56 55 55 55 56 56 206 207 208 209 210 381 382 384 386 388 164 165 166 167 168 41 41 41 41 42 20 20 20 20 21 68 69 69 69 70 135 136 136 137 137 56 57 57 57 57 56 57 57 57 57 211 212 213 214 215 390 392 394 395 397 168 169 170 171 172 42 42 42 42 43 21 21 21 21 21 70 70 71 71 71 138 138 139 139 140 58 58 58 58 59 58 58 58 58 59 216 217 218 219 220 399 401 403 405 407 172 173 174 175 176 43 43 43 43 44 21 21 21 21 22 72 72 72 73 73 140 141 141 142 142 59 59 60 60 60 59 59 60 60 60 221 222 223 224 225 408 410 412 414 416 176 177 178 179 180 44 44 44 44 45 22 22 22 22 22 73 74 74 74 75 143 143 144 144 145 60 61 61 61 61 60 61 61 61 61 226 227 228 229 230 418 419 421 423 425 180 181 182 183 184 45 45 45 45 46 22 22 22 22 23 75 75 76 76 76 145 146 146 147 147 62 62 62 63 63 62 62 62 63 63 231 232 233 234 235 427 429 431 432 434 184 185 186 187 188 46 46 46 46 47 23 23 23 23 23 77 77 77 78 78 148 148 149 149 150 63 63 64 64 64 63 63 64 64 64

(295)(page-8)Page 8#

RFT 295 8 of 58 COMBINED BUDGET TABLES RFB 2013-009 12-1-2013

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

DEPENDENT CARE DOLLAR AMOUNT 185% 80% 20% 10% 1/3 65+1/2 UNDER AGE 2 AGE 2 & OVER 236 237 238 239 240 436 438 440 442 444 188 189 190 191 192 47 47 47 47 48 23 23 23 23 24 78 79 79 79 80 150 151 151 152 152 65 65 65 65 66 65 65 65 65 66 241 242 243 244 245 445 447 449 451 453 192 193 194 195 196 48 48 48 48 49 24 24 24 24 24 80 80 81 81 81 153 153 154 154 155 66 66 66 67 67 66 66 66 67 67 246 247 248 249 250 455 456 458 460 462 196 197 198 199 200 49 49 49 49 50 24 24 24 24 25 82 82 82 83 83 155 156 156 157 157 67 68 68 68 68 67 68 68 68 68 251 252 253 254 255 464 466 468 469 471 200 201 202 203 204 50 50 50 50 51 25 25 25 25 25 83 84 84 84 85 158 158 159 159 160 69 69 69 69 70 69 69 69 69 70 256 257 258 259 260 473 475 477 479 481 204 205 206 207 208 51 51 51 51 52 25 25 25 25 26 85 85 86 86 86 160 161 161 162 162 70 70 71 71 71 70 70 71 71 71 261 262 263 264 265 482 484 486 488 490 208 209 210 211 212 52 52 52 52 53 26 26 26 26 26 87 87 87 88 88 163 163 164 164 165 71 72 72 72 73 71 72 72 72 73 266 267 268 269 270 492 493 495 497 499 212 213 214 215 216 53 53 53 53 54 26 26 26 26 27 88 89 89 89 90 165 166 166 167 167 73 73 73 74 74 73 73 73 74 74

(295)(page-9)Page 9#

RFT 295 9 of 58 COMBINED BUDGET TABLES RFB 2013-009 12-1-2013

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

DEPENDENT CARE DOLLAR AMOUNT 185% 80% 20% 10% 1/3 65+1/2 UNDER AGE 2 AGE 2 & OVER 271 272 273 274 275 501 503 505 506 508 216 217 218 219 220 54 54 54 54 55 27 27 27 27 27 90 90 91 91 91 168 168 169 169 170 74 74 75 75 75 74 74 75 75 75 276 277 278 279 280 510 512 514 516 518 220 221 222 223 224 55 55 55 55 56 27 27 27 27 28 92 92 92 93 93 170 171 171 172 172 76 76 76 76 77 76 76 76 76 77 281 282 283 284 285 519 521 523 525 527 224 225 226 227 228 56 56 56 56 57 28 28 28 28 28 93 94 94 94 95 173 173 174 174 175 77 77 77 78 78 77 77 77 78 78 286 287 288 289 290 529 530 532 534 536 228 229 230 231 232 57 57 57 57 58 28 28 28 28 29 95 95 96 96 96 175 176 176 177 177 78 79 79 79 79 78 79 79 79 79 291 292 293 294 295 538 540 542 543 545 232 233 234 235 236 58 58 58 58 59 29 29 29 29 29 97 97 97 98 98 178 178 179 179 180 80 80 80 80 81 80 80 80 80 81 296 297 298 299 300 547 549 551 553 555 236 237 238 239 240 59 59 59 59 60 29 29 29 29 30 98 99 99 99 100 180 181 181 182 182 81 81 82 82 82 81 81 82 82 82 301 302 303 304 305 556 558 560 562 564 240 241 242 243 244 60 60 60 60 61 30 30 30 30 30 100 100 101 101 101 183 183 184 184 185 82 83 83 83 84 82 83 83 83 84

(295)(page-10)Page 10#

RFT 295 10 of 58 COMBINED BUDGET TABLES RFB 2013-009 12-1-2013

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

DEPENDENT CARE DOLLAR AMOUNT 185% 80% 20% 10% 1/3 65+1/2 UNDER AGE 2 AGE 2 & OVER 306 307 308 309 310 566 567 569 571 573 244 245 246 247 248 61 61 61 61 62 30 30 30 30 31 102 102 102 103 103 185 186 186 187 187 84 84 84 85 85 84 84 84 85 85 311 312 313 314 315 575 577 579 580 582 248 249 250 251 252 62 62 62 62 63 31 31 31 31 31 103 104 104 104 105 188 188 189 189 190 85 85 86 86 86 85 85 86 86 86 316 317 318 319 320 584 586 588 590 592 252 253 254 255 256 63 63 63 63 64 31 31 31 31 32 105 105 106 106 106 190 191 191 192 192 87 87 87 87 88 87 87 87 87 88 321 322 323 324 325 593 595 597 599 601 256 257 258 259 260 64 64 64 64 65 32 32 32 32 32 107 107 107 108 108 193 193 194 194 195 88 88 88 89 89 88 88 88 89 89 326 327 328 329 330 603 604 606 608 610 260 261 262 263 264 65 65 65 65 66 32 32 32 32 33 108 109 109 109 110 195 196 196 197 197 89 90 90 90 90 89 90 90 90 90 331 332 333 334 335 612 614 616 617 619 264 265 266 267 268 66 66 66 66 67 33 33 33 33 33 110 110 111 111 111 198 198 199 199 200 91 91 91 92 92 91 91 91 92 92 336 337 338 339 340 621 623 625 627 629 268 269 270 271 272 67 67 67 67 68 33 33 33 33 34 112 112 112 113 113 200 201 201 202 202 92 92 93 93 93 92 92 93 93 93

(295)(page-11)Page 11#

RFT 295 11 of 58 COMBINED BUDGET TABLES RFB 2013-009 12-1-2013

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

DEPENDENT CARE DOLLAR AMOUNT 185% 80% 20% 10% 1/3 65+1/2 UNDER AGE 2 AGE 2 & OVER 341 342 343 344 345 630 632 634 636 638 272 273 274 275 276 68 68 68 68 69 34 34 34 34 34 113 114 114 114 115 203 203 204 204 205 93 94 94 94 95 93 94 94 94 95 346 347 348 349 350 640 641 643 645 647 276 277 278 279 280 69 69 69 69 70 34 34 34 34 35 115 115 116 116 116 205 206 206 207 207 95 95 95 96 96 95 95 95 96 96 351 352 353 354 355 649 651 653 654 656 280 281 282 283 284 70 70 70 70 71 35 35 35 35 35 117 117 117 118 118 208 208 209 209 210 96 96 97 97 97 96 96 97 97 97 356 357 358 359 360 658 660 662 664 666 284 285 286 287 288 71 71 71 71 72 35 35 35 35 36 118 119 119 119 12 210 211 211 212 212 98 98 98 98 99 98 98 98 98 99 361 362 363 364 365 667 669 671 673 675 288 289 290 291 292 72 72 72 72 73 36 36 36 36 36 120 120 121 121 121 213 213 214 214 215 99 99 100 100 100 99 99 100 100 100 366 367 368 369 370 677 678 680 682 684 292 293 294 295 296 73 73 73 73 74 36 36 36 36 37 122 122 122 123 123 215 216 216 217 217 100 101 101 101 101 100 101 101 101 101 371 372 373 374 375 686 688 690 691 693 296 297 298 299 300 74 74 74 74 75 37 37 37 37 37 123 124 124 124 125 218 218 219 219 220 102 102 102 103 103 102 102 102 103 103

(295)(page-12)Page 12#

RFT 295 12 of 58 COMBINED BUDGET TABLES RFB 2013-009 12-1-2013

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

DEPENDENT CARE DOLLAR AMOUNT 185% 80% 20% 10% 1/3 65+1/2 UNDER AGE 2 AGE 2 & OVER 376 377 378 379 380 695 697 699 701 703 300 301 302 303 304 75 75 75 75 76 37 37 37 37 38 125 125 126 126 126 220 221 221 222 222 103 103 104 104 104 103 103 104 104 104 381 382 383 384 385 704 706 708 710 712 304 305 306 307 308 76 76 76 76 77 38 38 38 38 38 127 127 127 128 128 223 223 224 224 225 104 104 105 105 106 104 104 105 105 106 386 387 388 389 390 714 715 717 719 721 308 309 310 311 312 77 77 77 77 78 38 38 38 38 39 128 129 129 129 130 225 226 226 227 227 106 106 106 107 107 106 106 106 107 107 391 392 393 394 395 723 725 727 728 730 312 313 314 315 316 78 78 78 78 79 39 39 39 39 39 130 130 131 131 131 228 228 229 229 230 107 107 108 108 108 107 107 108 108 108 396 397 398 399 400 732 734 736 738 740 316 317 318 319 320 79 79 79 79 80 39 39 39 39 40 132 132 132 133 133 230 231 231 232 232 109 109 109 109 110 109 109 109 109 110 401 402 403 404 405 741 743 745 747 749 320 321 322 323 324 80 80 80 80 81 40 40 40 40 40 133 134 134 134 135 233 233 234 234 235 110 110 111 111 111 110 110 111 111 111 406 407 408 409 410 751 752 754 756 758 324 325 326 327 328 81 81 81 81 82 40 40 40 40 41 135 135 136 136 136 235 236 236 237 237 111 112 112 112 112 111 112 112 112 112

(295)(page-13)Page 13#

RFT 295 13 of 58 COMBINED BUDGET TABLES RFB 2013-009 12-1-2013

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

DEPENDENT CARE DOLLAR AMOUNT 185% 80% 20% 10% 1/3 65+1/2 UNDER AGE 2 AGE 2 & OVER 411 412 413 414 415 760 762 764 765 767 328 329 330 331 332 82 82 82 82 83 41 41 41 41 41 137 137 137 138 138 238 238 239 239 240 113 113 113 114 114 113 113 113 114 114 416 417 418 419 420 769 771 773 775 777 332 333 334 335 336 83 83 83 83 84 41 41 41 41 42 138 139 139 139 140 240 241 241 242 242 114 114 115 115 115 114 114 115 115 115 421 422 423 424 425 778 780 782 781 786 336 337 338 339 340 84 84 84 84 85 42 42 42 42 42 140 140 141 141 141 243 243 244 244 245 115 116 116 116 117 115 116 116 116 117 426 427 428 429 430 788 789 791 793 795 340 341 342 343 344 85 85 85 85 86 42 42 42 42 43 142 142 142 143 143 245 246 246 247 247 117 117 117 118 118 117 117 117 118 118 431 432 433 434 435 797 799 801 802 804 344 345 346 347 348 86 86 86 86 87 43 43 43 43 43 143 144 144 144 145 248 248 249 249 250 118 119 119 119 119 118 119 119 119 119 436 437 438 439 440 806 808 810 812 814 348 349 350 351 352 87 87 87 87 88 43 43 43 43 44 145 145 146 146 146 250 251 251 252 252 120 120 120 120 121 120 120 120 120 121 441 442 443 444 445 815 817 819 821 823 352 353 354 355 356 88 88 88 88 89 44 44 44 44 44 147 147 147 148 148 253 253 254 254 255 121 121 122 122 122 121 121 122 122 122

(295)(page-14)Page 14#

RFT 295 14 of 58 COMBINED BUDGET TABLES RFB 2013-009 12-1-2013

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

DEPENDENT CARE DOLLAR AMOUNT 185% 80% 20% 10% 1/3 65+1/2 UNDER AGE 2 AGE 2 & OVER 446 447 448 449 450 825 826 828 830 832 356 357 358 359 360 89 89 89 89 90 44 44 44 44 45 148 149 149 149 150 255 256 256 257 257 122 123 123 123 123 122 123 123 123 123 451 452 453 454 455 834 836 838 839 841 360 361 362 363 364 90 90 90 90 91 45 45 45 45 45 150 150 151 151 151 258 258 259 259 260 124 124 124 125 125 124 124 124 125 125 456 457 458 459 460 843 845 847 849 851 364 365 366 367 368 91 91 91 91 92 45 45 45 45 46 152 152 152 153 153 260 261 261 262 262 125 125 126 126 126 125 125 126 126 126 461 462 463 464 465 852 854 856 858 860 368 369 371 371 372 92 92 92 92 93 46 46 46 46 46 153 154 154 154 155 263 263 264 264 265 127 127 127 127 128 127 127 127 127 128 466 467 468 469 470 862 863 865 867 869 372 373 374 375 376 93 93 93 93 94 46 46 46 46 47 155 155 156 156 156 265 266 266 267 267 128 128 128 129 129 128 128 128 129 129 471 472 473 474 475 871 873 875 876 878 376 377 378 379 380 94 94 94 94 95 47 47 47 47 47 157 157 157 158 158 268 268 269 269 270 129 130 130 130 130 129 130 130 130 130 476 477 478 479 480 880 882 884 886 888 380 381 382 383 384 95 95 95 95 96 47 47 47 47 48 158 159 159 159 160 270 271 271 272 272 131 131 131 131 132 131 131 131 131 132

(295)(page-15)Page 15#

RFT 295 15 of 58 COMBINED BUDGET TABLES RFB 2013-009 12-1-2013

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

DEPENDENT CARE DOLLAR AMOUNT 185% 80% 20% 10% 1/3 65+1/2 UNDER AGE 2 AGE 2 & OVER 481 482 483 484 485 889 891 893 895 897 384 385 386 387 388 96 96 96 96 97 48 48 48 48 48 160 160 161 161 161 273 273 274 274 275 132 132 133 133 133 132 132 133 133 133 486 487 488 489 490 899 900 902 904 906 388 389 390 391 392 97 97 97 97 98 48 48 48 48 49 162 162 162 163 163 275 276 276 277 277 133 134 134 134 134 133 134 134 134 134 491 492 493 494 495 908 910 912 913 915 392 393 394 395 396 98 98 98 98 99 49 49 49 49 49 163 164 164 164 165 278 278 279 279 280 135 135 135 136 136 135 135 135 136 136 496 497 498 499 500 917 919 921 923 925 396 397 398 399 400 99 99 99 99 100 49 49 49 49 50 165 165 166 166 166 280 281 281 282 282 136 136 137 137 137 136 136 137 137 137 501 502 503 504 505 926 928 930 932 934 400 401 402 403 404 100 100 100 100 101 50 50 50 50 50 167 167 167 168 168 283 283 284 284 285 138 138 138 138 139 138 138 138 138 139 506 507 508 509 510 936 937 939 941 943 404 405 406 407 408 101 101 101 101 102 50 50 50 50 51 168 169 169 169 170 282 286 286 287 287 139 139 139 140 140 139 139 139 140 140 511 512 513 514 515 945 947 949 950 952 408 409 410 411 412 102 102 102 102 103 51 51 51 51 51 170 170 171 171 171 288 288 289 289 290 140 141 141 141 141 140 141 141 141 141

(295)(page-16)Page 16#

RFT 295 16 of 58 COMBINED BUDGET TABLES RFB 2013-009 12-1-2013

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

DEPENDENT CARE DOLLAR AMOUNT 185% 80% 20% 10% 1/3 65+1/2 UNDER AGE 2 AGE 2 & OVER 516 517 518 519 520 954 956 959 960 962 412 413 414 415 416 103 103 103 103 104 51 51 51 51 52 172 172 172 173 173 290 291 291 292 292 142 142 142 142 143 142 142 142 142 143 521 522 523 524 525 963 965 967 969 971 416 417 418 419 420 104 104 104 104 105 52 52 52 52 52 173 174 174 174 175 293 293 294 294 295 143 143 144 144 144 143 143 144 144 144 526 527 528 529 530 973 974 976 978 980 421 421 422 423 424 105 105 105 105 106 52 52 52 52 53 175 175 176 176 176 295 296 296 297 297 144 145 145 145 146 144 145 145 145 146 531 531 533 534 535 982 984 986 987 989 424 425 426 427 428 106 106 106 106 107 53 53 53 53 53 177 177 177 178 178 298 298 299 299 300 146 146 146 147 147 146 146 146 147 147 536 537 538 539 540 991 993 995 997 999 428 429 431 431 432 107 107 107 107 108 53 53 53 53 54 178 179 179 179 180 300 301 301 302 302 147 147 148 148 148 147 147 148 148 148 541 542 543 544 545 1000 1002 1004 1006 1008 432 433 434 435 436 108 108 108 108 109 54 54 54 54 54 180 180 181 181 181 303 303 304 304 305 149 149 149 149 150 149 149 149 149 150 546 547 548 549 550 1010 1011 1013 1015 1017 436 437 438 439 440 109 109 109 109 110 54 54 54 54 55 182 182 182 183 183 305 306 306 307 307 150 150 150 151 151 150 150 150 151 151

(295)(page-17)Page 17#

RFT 295 17 of 58 COMBINED BUDGET TABLES RFB 2013-009 12-1-2013

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

DEPENDENT CARE DOLLAR AMOUNT 185% 80% 20% 10% 1/3 65+1/2 UNDER AGE 2 AGE 2 & OVER 551 552 553 554 555 1019 1021 1023 1024 1026 440 441 442 443 444 110 110 110 110 111 55 55 55 55 55 183 184 184 184 185 308 308 309 309 310 151 152 152 152 152 151 152 152 152 152 556 557 558 559 560 1028 1030 1032 1034 1036 444 445 446 447 448 111 111 111 111 112 55 55 55 55 56 185 185 186 186 186 310 311 311 312 312 153 153 153 154 154 153 153 153 154 154 561 562 563 564 565 1037 1039 1041 1043 1045 448 449 450 451 452 112 112 112 112 113 56 56 56 56 56 187 187 187 188 188 313 313 314 314 315 154 154 155 155 155 154 154 155 155 155 566 567 568 569 570 1047 1048 1050 1052 1054 452 453 454 455 456 113 113 113 113 114 56 56 56 56 57 188 189 189 189 190 315 316 316 317 317 155 156 156 156 157 155 156 156 156 157 571 572 573 574 575 1056 1058 1060 1061 1063 456 457 458 459 460 114 114 114 114 115 57 57 57 57 57 190 190 191 191 191 318 318 319 319 320 157 157 157 158 158 157 157 157 158 158 576 577 578 579 580 1065 1067 1069 1071 1073 460 461 462 463 464 115 115 115 115 116 57 57 57 57 58 192 192 192 193 193 320 321 321 322 322 158 158 159 159 159 158 158 159 159 159 581 582 583 584 585 1074 1076 1078 1080 1082 464 465 466 467 468 116 116 116 116 117 58 58 58 58 58 193 194 194 194 195 323 323 324 324 325 160 160 160 160 161 160 160 160 160 161

(295)(page-18)Page 18#

RFT 295 18 of 58 COMBINED BUDGET TABLES RFB 2013-009 12-1-2013

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

DEPENDENT CARE DOLLAR AMOUNT 185% 80% 20% 10% 1/3 65+1/2 UNDER AGE 2 AGE 2 & OVER 586 587 588 589 590 1084 1085 1087 1089 1091 468 469 470 471 472 117 117 117 117 118 58 58 58 58 59 195 195 196 196 196 325 326 326 327 327 161 161 161 162 162 161 161 161 162 162 591 592 593 594 595 1093 1095 1097 1098 1100 472 473 474 475 476 118 118 118 118 119 59 59 59 59 59 197 197 197 198 198 328 328 329 329 330 162 163 163 163 163 162 163 163 163 163 596 597 598 599 600 1102 1104 1106 1108 1110 476 477 478 479 480 119 119 119 119 120 59 59 59 59 60 198 199 199 199 200 330 331 331 332 332 164 164 164 165 165 164 164 164 165 165 601 602 603 604 605 1111 1113 1115 1117 1119 480 481 482 483 484 120 120 120 120 121 60 60 60 60 60 200 200 201 201 201 333 333 334 334 335 165 165 166 166 166 165 165 166 166 166 606 607 608 609 610 1121 1122 1124 1126 1128 484 485 486 487 488 121 121 121 121 122 60 60 60 60 61 202 202 202 203 203 335 336 336 337 337 166 167 167 167 168 166 167 167 167 168 611 612 613 614 615 1130 1132 1134 1135 1137 488 489 490 491 492 122 122 122 122 123 61 61 61 61 61 203 204 204 204 205 338 338 339 339 340 168 168 168 169 169 168 168 168 169 169 616 617 618 619 620 1139 1141 1143 1145 1147 492 493 494 495 496 123 123 123 123 124 61 61 61 61 62 205 205 206 206 206 340 341 341 342 342 169 169 170 170 170 169 169 170 170 170

(295)(page-19)Page 19#

RFT 295 19 of 58 COMBINED BUDGET TABLES RFB 2013-009 12-1-2013

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

DEPENDENT CARE DOLLAR AMOUNT 185% 80% 20% 10% 1/3 65+1/2 UNDER AGE 2 AGE 2 & OVER 621 622 623 624 625 1148 1150 1152 1154 1156 496 497 498 499 500 124 124 124 124 125 62 62 62 62 62 207 207 207 208 208 343 343 344 344 345 171 171 171 171 172 171 171 171 171 172 626 627 628 629 630 1158 1159 1161 1163 1165 500 501 502 503 504 125 125 125 125 126 62 62 62 62 63 208 209 209 209 210 345 346 346 347 347 172 172 173 173 173 172 172 173 173 173 631 632 633 634 635 1167 1169 1171 1172 1174 504 505 506 507 508 126 126 126 126 127 63 63 63 63 63 210 210 211 211 211 348 348 349 349 350 173 174 174 174 174 173 174 174 174 174 636 637 638 638 640 1176 1178 1180 1182 1184 508 509 510 511 512 127 127 127 127 128 63 63 63 63 64 212 212 212 213 213 350 351 351 352 352 175 175 175 176 176 175 175 175 175 175 641 642 643 644 645 1185 1187 1189 1191 1193 512 513 514 515 516 128 128 128 128 129 64 64 64 64 64 213 214 214 214 215 353 353 354 354 355 176 176 177 177 177 175 175 175 175 175 646 647 648 649 650 1195 1196 1198 1200 1202 516 517 518 519 520 129 129 129 129 130 64 64 64 64 65 215 215 216 216 216 355 356 356 357 357 177 178 178 178 179 175 175 175 175 175 651 652 653 654 655 1204 1206 1208 1209 1211 520 521 522 523 524 130 130 130 130 131 65 65 65 65 65 217 217 217 218 218 358 358 359 359 360 179 179 179 180 180 175 175 175 175 175

(295)(page-20)Page 20#

RFT 295 20 of 58 COMBINED BUDGET TABLES RFB 2013-009 12-1-2013

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

DEPENDENT CARE DOLLAR AMOUNT 185% 80% 20% 10% 1/3 65+1/2 UNDER AGE 2 AGE 2 & OVER 656 657 658 659 660 1213 1215 1217 1219 1221 524 525 526 527 528 131 131 131 131 132 65 65 65 65 66 218 219 219 219 220 360 361 361 362 362 180 181 181 181 181 175 175 175 175 175 661 662 663 664 665 1222 1224 1226 1228 1230 528 529 530 531 532 132 132 132 132 133 66 66 66 66 66 220 220 221 221 221 363 363 364 364 365 182 182 182 182 183 175 175 175 175 175 666 667 668 669 670 1232 1233 1235 1237 1239 532 533 534 535 536 133 133 133 133 134 66 66 66 66 67 222 222 222 223 223 365 366 366 367 367 183 183 184 184 184 175 175 175 175 175 671 672 673 674 675 1241 1243 1245 1246 1248 536 537 538 539 540 134 134 134 134 135 67 67 67 67 67 223 224 224 224 225 368 368 369 369 370 184 185 185 185 185 175 175 175 175 175 676 677 678 679 680 1250 1252 1254 1256 1258 540 541 542 543 544 135 135 135 135 136 67 67 67 67 68 225 225 226 226 226 370 371 371 372 372 186 186 186 187 187 175 175 175 175 175 681 682 683 684 685 1259 1261 1263 1265 1267 544 545 546 547 548 136 136 136 136 137 68 68 68 68 68 227 227 227 228 228 373 373 374 374 375 187 187 188 188 188 175 175 175 175 175 686 687 688 688 690 1269 1270 1272 1274 1276 548 549 550 551 552 137 137 137 137 138 68 68 68 68 69 228 229 229 229 230 375 376 376 377 377 188 189 189 189 190 175 175 175 175 175

(295)(page-21)Page 21#

RFT 295 21 of 58 COMBINED BUDGET TABLES RFB 2013-009 12-1-2013

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

DEPENDENT CARE DOLLAR AMOUNT 185% 80% 20% 10% 1/3 65+1/2 UNDER AGE 2 AGE 2 & OVER 691 692 693 694 695 1278 1280 1282 1283 1285 552 553 554 555 556 138 138 138 138 139 69 69 69 69 69 230 230 231 231 231 378 378 379 379 380 190 190 190 191 191 175 175 175 175 175 696 697 698 699 700 1287 1289 1291 1293 1295 556 557 558 559 560 139 139 139 139 140 69 69 69 69 70 232 232 232 233 233 380 381 381 382 382 191 192 192 192 192 175 175 175 175 175 701 702 703 704 705 1296 1298 1300 1302 1304 560 561 562 563 564 140 140 140 140 141 70 70 70 70 70 233 234 234 234 235 383 383 384 384 385 193 193 193 193 194 175 175 175 175 175 706 707 708 709 710 1306 1307 1309 1311 1313 564 565 566 567 568 141 141 141 141 142 70 70 70 70 71 235 235 236 236 236 385 386 386 387 387 194 194 195 195 195 175 175 175 175 175 711 712 713 714 715 1315 1317 1319 1320 1322 568 569 570 571 572 142 142 142 142 143 71 71 71 71 71 237 237 237 238 238 388 388 389 389 390 195 196 196 196 196 175 175 175 175 175 716 717 718 719 720 1324 1326 1328 1330 1332 572 573 574 575 576 143 143 143 143 144 71 71 71 71 72 238 239 239 239 240 390 391 391 392 392 197 197 197 198 198 175 175 175 175 175 721 722 723 724 725 1333 1335 1337 1339 1341 576 577 578 579 580 144 144 144 144 145 72 72 72 72 72 240 240 241 241 241 393 393 394 394 395 198 198 199 199 199 175 175 175 175 175

(295)(page-22)Page 22#

RFT 295 22 of 58 COMBINED BUDGET TABLES RFB 2013-009 12-1-2013

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

DEPENDENT CARE DOLLAR AMOUNT 185% 80% 20% 10% 1/3 65+1/2 UNDER AGE 2 AGE 2 & OVER 726 727 728 729 730 1343 1344 1346 1348 1350 580 581 582 583 584 145 145 145 145 146 72 72 72 72 73 242 242 242 243 243 395 396 396 397 397 200 200 200 200 200 175 175 175 175 175 731 732 733 734 735 1352 1354 1356 1357 1359 584 585 586 587 588 146 146 146 146 147 73 73 73 73 73 243 244 244 244 245 398 398 399 399 400 200 200 200 200 200 175 175 175 175 175 736 737 738 739 740 1361 1363 1365 1367 1369 588 589 590 591 592 147 147 147 147 148 73 73 73 73 74 245 245 246 246 246 400 401 401 402 402 200 200 200 200 200 175 175 175 175 175 741 742 743 744 745 1370 1372 1374 1376 1378 592 593 594 595 596 148 148 148 148 149 74 74 74 74 74 247 247 247 248 248 403 403 404 404 405 200 200 200 200 200 175 175 175 175 175 746 747 748 749 750 1380 1381 1383 1385 1387 596 597 598 599 600 149 149 149 149 150 74 74 74 74 75 248 249 249 249 250 405 406 406 407 407 200 200 200 200 200 175 175 175 175 175 751 752 753 754 755 1389 1391 1393 1394 1396 600 601 602 603 604 150 150 150 150 151 75 75 75 75 75 250 250 251 251 251 408 408 409 409 410 200 200 200 200 200 175 175 175 175 175 756 757 758 759 760 1398 1400 1402 1404 1406 604 605 606 607 608 151 151 151 151 152 75 75 75 75 76 252 252 252 253 253 410 411 411 412 412 200 200 200 200 200 175 175 175 175 175

(295)(page-23)Page 23#

RFT 295 23 of 58 COMBINED BUDGET TABLES RFB 2013-009 12-1-2013

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

DEPENDENT CARE DOLLAR AMOUNT 185% 80% 20% 10% 1/3 65+1/2 UNDER AGE 2 AGE 2 & OVER 761 762 763 764 765 1407 1409 1411 1413 1415 608 609 610 611 612 152 152 152 152 153 76 76 76 76 76 253 254 254 254 255 413 413 414 414 415 200 200 200 200 200 175 175 175 175 175 766 767 768 769 770 1417 1418 1420 1422 1424 612 613 614 615 616 153 153 153 153 154 76 76 76 76 77 255 255 256 256 256 415 416 416 417 417 200 200 200 200 200 175 175 175 175 175 771 772 773 774 775 1426 1428 1430 1431 1433 616 617 618 619 620 154 154 154 154 155 77 77 77 77 77 257 257 257 258 258 418 418 419 419 420 200 200 200 200 200 175 175 175 175 175 776 777 778 779 780 1435 1437 1439 1441 1443 620 621 622 623 624 155 155 155 155 156 77 77 77 77 78 258 259 259 259 260 420 421 421 422 422 200 200 200 200 200 175 175 175 175 175 781 782 783 784 785 1444 1446 1448 1450 1452 624 625 626 627 628 156 156 156 156 157 78 78 78 78 78 260 260 261 261 261 423 423 424 424 425 200 200 200 200 200 175 175 175 175 175 786 787 788 789 790 1454 1455 1457 1459 1461 628 629 630 631 632 157 157 157 157 158 78 78 78 78 79 262 262 262 263 263 425 426 426 427 427 200 200 200 200 200 175 175 175 175 175 791 792 793 794 795 1463 1465 1467 1468 1470 632 633 634 635 636 158 158 158 158 159 79 79 79 79 79 263 264 264 264 265 428 428 429 429 430 200 200 200 200 200 175 175 175 175 175

(295)(page-24)Page 24#

RFT 295 24 of 58 COMBINED BUDGET TABLES RFB 2013-009 12-1-2013

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

DEPENDENT CARE DOLLAR AMOUNT 185% 80% 20% 10% 1/3 65+1/2 UNDER AGE 2 AGE 2 & OVER 796 797 798 799 800 1472 1474 1476 1478 1480 636 637 638 639 640 159 159 159 159 160 79 79 79 79 80 265 265 266 266 266 430 431 431 432 432 200 200 200 200 200 175 175 175 175 175 801 802 803 804 805 1481 1483 1485 1487 1489 640 641 642 643 644 160 160 160 160 161 80 80 80 80 80 267 267 267 268 268 433 433 434 434 435 200 200 200 200 200 175 175 175 175 175 806 807 808 809 810 1491 1492 1494 1496 1498 644 645 646 647 648 161 161 161 161 162 80 80 80 80 81 268 269 269 269 270 435 436 436 437 437 200 200 200 200 200 175 175 175 175 175 811 812 813 814 815 1500 1502 1504 1505 1507 648 649 650 651 652 162 162 162 162 163 81 81 81 81 81 270 270 271 271 271 438 438 439 439 440 200 200 200 200 200 175 175 175 175 175 816 817 818 819 820 1509 1511 1513 1515 1517 652 653 654 655 656 163 163 163 163 164 81 81 81 81 82 272 272 272 273 273 440 441 441 442 442 200 200 200 200 200 175 175 175 175 175 821 822 823 824 825 1518 1520 1522 1524 1526 656 657 658 659 660 164 164 164 164 165 82 82 82 82 82 273 274 274 274 275 443 443 444 444 445 200 200 200 200 200 175 175 175 175 175 826 827 828 829 830 1528 1529 1531 1533 1535 660 661 662 663 664 165 165 165 165 166 82 82 82 82 83 275 275 276 276 276 445 446 46 447 447 200 200 200 200 200 175 175 175 175 175

(295)(page-25)Page 25#

RFT 295 25 of 58 COMBINED BUDGET TABLES RFB 2013-009 12-1-2013

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

DEPENDENT CARE DOLLAR AMOUNT 185% 80% 20% 10% 1/3 65+1/2 UNDER AGE 2 AGE 2 & OVER 831 832 833 834 835 1537 1539 1541 1542 1544 664 665 666 667 668 166 166 166 166 167 83 83 83 83 83 277 277 277 278 278 448 448 449 449 450 200 200 200 200 200 175 175 175 175 175 836 837 838 839 840 1546 1548 1550 1552 1554 668 669 670 671 672 167 167 167 167 168 83 83 83 83 84 278 279 279 279 280 450 451 451 452 452 200 200 200 200 200 175 175 175 175 175 841 842 843 844 845 1555 1557 1559 1561 1563 672 673 674 675 676 168 168 168 168 169 84 84 84 84 84 280 280 281 281 281 453 453 454 454 455 200 200 200 200 200 175 175 175 175 175 846 847 848 849 850 1565 1566 1568 1570 1572 676 677 678 679 680 169 169 169 169 170 84 84 84 84 85 282 282 282 283 283 455 456 456 457 457 200 200 200 200 200 175 175 175 175 175 851 852 853 854 855 1574 1576 1578 1579 1581 680 681 682 683 684 170 170 170 170 171 85 85 85 85 85 283 284 284 284 285 458 458 459 459 460 200 200 200 200 200 175 175 175 175 175 856 857 858 859 860 1583 1585 1587 1589 1591 684 685 686 687 688 171 171 171 171 172 85 85 85 85 86 285 285 286 286 286 460 461 461 462 462 200 200 200 200 200 175 175 175 175 175 861 862 863 864 865 1592 1594 1596 1598 1600 688 689 690 691 692 172 172 172 172 173 86 86 86 86 86 287 287 287 288 288 463 463 464 464 465 200 200 200 200 200 175 175 175 175 175

(295)(page-26)Page 26#

RFT 295 26 of 58 COMBINED BUDGET TABLES RFB 2013-009 12-1-2013

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

DEPENDENT CARE DOLLAR AMOUNT 185% 80% 20% 10% 1/3 65+1/2 UNDER AGE 2 AGE 2 & OVER 866 867 868 869 870 1602 1603 1605 1607 1609 692 693 694 695 696 173 173 173 173 174 86 86 86 86 87 288 289 289 289 290 465 466 466 467 467 200 200 200 200 200 175 175 175 175 175 871 872 873 874 875 1611 1613 1615 1616 1618 696 697 698 699 700 174 174 174 174 175 87 87 87 87 87 290 290 291 291 291 468 468 469 469 470 200 200 200 200 200 175 175 175 175 175 876 877 878 879 880 1620 1622 1624 1626 1628 700 701 702 703 704 175 175 175 175 176 87 87 87 87 88 292 292 292 293 293 470 471 471 472 472 200 200 200 200 200 175 175 175 175 175 881 882 883 884 885 1629 1631 1633 1635 1637 704 705 706 707 708 176 176 176 176 177 88 88 88 88 88 293 294 294 294 295 473 473 474 474 475 200 200 200 200 200 175 175 175 175 175 886 887 888 889 890 1639 1640 1642 1644 1646 708 709 710 711 712 177 177 177 177 178 88 88 88 88 89 295 295 296 296 296 475 476 476 477 477 200 200 200 200 200 175 175 175 175 175 891 892 893 894 895 1648 1650 1652 1653 1655 712 713 714 715 716 178 178 178 178 179 89 89 89 89 89 297 297 297 298 298 478 478 479 479 480 200 200 200 200 200 175 175 175 175 175 896 897 898 899 900 1657 1659 1661 1663 1665 716 717 718 719 720 179 179 179 179 180 89 89 89 89 90 298 299 299 299 300 480 481 481 482 482 200 200 200 200 200 175 175 175 175 175

(295)(page-27)Page 27#

RFT 295 27 of 58 COMBINED BUDGET TABLES RFB 2013-009 12-1-2013

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

DEPENDENT CARE DOLLAR AMOUNT 185% 80% 20% 10% 1/3 65+1/2 UNDER AGE 2 AGE 2 & OVER 901 902 903 904 905 1666 1668 1670 1672 1674 720 721 722 723 724 180 180 180 180 181 90 90 90 90 90 300 300 301 301 301 483 483 484 484 485 200 200 200 200 200 175 175 175 175 175 906 907 908 909 910 1676 1677 1679 1681 1683 724 725 726 727 728 181 181 181 181 182 90 90 90 90 91 302 302 302 303 303 485 486 486 487 487 200 200 200 200 200 175 175 175 175 175 911 912 913 914 915 1685 1687 1689 1690 1692 728 729 730 731 732 182 182 182 182 183 91 91 91 91 91 303 304 304 304 305 488 488 489 489 490 200 200 200 200 200 175 175 175 175 175 916 917 918 919 920 1694 1696 1698 1700 1702 732 733 734 735 736 183 183 183 183 184 91 91 91 91 92 305 305 306 306 306 490 491 491 492 492 200 200 200 200 200 175 175 175 175 175 921 922 923 924 925 1703 1705 1707 1709 1711 736 737 738 739 740 184 184 184 184 185 92 92 92 92 92 307 307 307 308 308 493 493 494 494 495 200 200 200 200 200 175 175 175 175 175 926 927 928 929 930 1713 1714 1716 1718 1720 740 741 742 743 744 185 185 185 185 186 92 92 92 92 93 308 309 309 309 310 495 496 496 497 497 200 200 200 200 200 175 175 175 175 175 931 932 933 934 935 1722 1724 1726 1727 1729 744 745 746 747 748 186 186 186 186 187 93 93 93 93 93 310 310 311 311 311 498 498 499 499 500 200 200 200 200 200 175 175 175 175 175

(295)(page-28)Page 28#

RFT 295 28 of 58 COMBINED BUDGET TABLES RFB 2013-009 12-1-2013

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

DEPENDENT CARE DOLLAR AMOUNT 185% 80% 20% 10% 1/3 65+1/2 UNDER AGE 2 AGE 2 & OVER 936 937 938 939 940 1731 1733 1735 1737 1739 748 749 750 751 752 187 187 187 187 188 93 93 93 93 94 312 312 312 313 313 500 501 501 502 502 200 200 200 200 200 175 175 175 175 175 941 942 943 944 945 1740 1742 1744 1746 1748 752 753 754 755 756 188 188 188 188 189 94 94 94 94 94 313 314 314 314 315 503 503 504 504 505 200 200 200 200 200 175 175 175 175 175 946 947 948 949 950 1750 1751 1753 1755 1757 756 757 758 759 760 189 189 189 189 190 94 94 94 94 95 315 315 316 316 316 505 506 506 507 507 200 200 200 200 200 175 175 175 175 175 951 952 953 954 955 1759 1761 1763 1764 1766 760 761 762 763 764 190 190 190 190 191 95 95 95 95 95 317 317 317 318 318 508 508 509 509 510 200 200 200 200 200 175 175 175 175 175 956 957 958 959 960 1768 1770 1772 1774 1776 764 765 766 767 768 191 191 191 191 192 95 95 95 95 96 318 319 319 319 320 510 511 511 512 512 200 200 200 200 200 175 175 175 175 175 961 962 963 964 965 1777 1779 1781 1783 1785 768 769 770 771 772 192 192 192 192 193 96 96 96 96 96 320 320 321 321 321 513 513 514 514 515 200 200 200 200 200 175 175 175 175 175 966 967 968 969 970 1787 1788 1790 1792 1794 772 773 774 775 776 193 193 193 193 194 96 96 96 96 97 322 322 322 323 323 515 516 516 517 517 200 200 200 200 200 175 175 175 175 175

(295)(page-29)Page 29#

RFT 295 29 of 58 COMBINED BUDGET TABLES RFB 2013-009 12-1-2013

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

DEPENDENT CARE DOLLAR AMOUNT 185% 80% 20% 10% 1/3 65+1/2 UNDER AGE 2 AGE 2 & OVER 971 972 973 974 975 1796 1798 1800 1801 1803 776 777 778 779 780 194 194 194 194 195 97 97 97 97 97 323 324 324 324 325 518 518 519 519 520 200 200 200 200 200 175 175 175 175 175 976 977 978 979 980 1805 1807 1809 1811 1813 780 781 782 783 784 195 195 195 195 196 97 97 97 97 98 325 325 326 326 326 520 521 521 522 522 200 200 200 200 200 175 175 175 175 175 981 982 983 984 985 1,81 1816 1818 1820 1822 784 785 786 787 788 196 196 196 196 197 98 98 98 98 98 327 327 327 328 328 523 523 524 524 525 200 200 200 200 200 175 175 175 175 175 986 987 988 989 990 1824 1825 1827 1829 1831 788 789 790 791 792 197 197 197 197 198 98 98 98 98 99 328 329 329 329 330 525 526 526 527 527 200 200 200 200 200 175 175 175 175 175 991 992 993 994 995 1833 1835 1837 1838 1840 792 793 794 795 796 198 198 198 198 199 99 99 99 99 99 330 330 331 331 331 528 528 529 529 530 200 200 200 200 200 175 175 175 175 175 996 997 998 999 1000 1842 1844 1846 1848 1850 796 797 798 799 800 199 199 199 199 200 99 99 99 99 100 332 332 332 333 333 530 531 531 532 532 200 200 200 200 200 175 175 175 175 175 1001 1002 1003 1004 1005 1851 1853 1855 1857 1859 800 801 802 803 804 200 200 200 200 201 100 100 100 100 100 333 334 334 334 335 533 533 534 534 534 200 200 200 200 200 175 175 175 175 175

(295)(page-30)Page 30#

RFT 295 30 of 58 COMBINED BUDGET TABLES RFB 2013-009 12-1-2013

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

DEPENDENT CARE DOLLAR AMOUNT 185% 80% 20% 10% 1/3 65+1/2 UNDER AGE 2 AGE 2 & OVER 1006 1007 1008 1009 1010 1861 1862 1864 1866 1868 804 805 806 807 808 201 201 201 201 202 100 100 100 100 101 335 335 336 336 336 535 536 536 537 537 200 200 200 200 200 175 175 175 175 175 1011 1012 1013 1014 1015 1870 1872 1874 1875 1877 808 809 810 811 812 202 202 202 202 203 101 101 101 101 101 337 337 337 338 338 538 538 539 539 540 200 200 200 200 200 175 175 175 175 175 1016 1017 1018 1019 1020 1879 1881 1883 1885 1887 812 813 814 815 816 203 203 203 203 204 101 101 101 101 102 338 339 339 339 340 540 541 541 542 542 200 200 200 200 200 175 175 175 175 175 1021 1022 1023 1024 1025 1888 1890 1892 1894 1896 816 817 818 819 820 204 204 204 204 205 102 102 102 102 102 340 340 341 341 341 543 543 544 544 545 200 200 200 200 200 175 175 175 175 175 1026 1027 1028 1029 1030 1898 1899 1901 1903 1905 820 821 822 823 824 205 205 205 205 206 102 102 102 102 103 342 342 342 343 343 545 546 546 547 547 200 200 200 200 200 175 175 175 175 175 1031 1032 1033 1034 1035 1907 1909 1911 1912 1914 824 825 826 827 828 206 206 206 206 207 103 103 103 103 103 343 344 344 344 345 548 548 549 549 550 200 200 200 200 200 175 175 175 175 175 1036 1037 1038 1039 1040 1916 1918 1920 1922 1924 828 829 830 831 832 207 207 207 207 208 103 103 103 103 104 345 345 346 346 346 550 551 551 552 552 200 200 200 200 200 175 175 175 175 175

(295)(page-31)Page 31#

RFT 295 31 of 58 COMBINED BUDGET TABLES RFB 2013-009 12-1-2013

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

DEPENDENT CARE DOLLAR AMOUNT 185% 80% 20% 10% 1/3 65+1/2 UNDER AGE 2 AGE 2 & OVER 1041 1042 1043 1044 1045 1925 1927 1929 1931 1933 832 833 834 835 836 208 208 208 208 209 104 104 104 104 104 347 347 347 348 348 553 553 554 554 555 200 200 200 200 200 175 175 175 175 175 1046 1047 1048 1049 1050 1935 1936 1938 1940 1942 836 837 738 839 840 209 209 209 209 210 104 104 104 104 105 348 349 349 349 350 555 556 556 557 557 200 200 200 200 200 175 175 175 175 175 1051 1052 1053 1054 1055 1944 1946 1948 1949 1951 840 841 842 843 844 210 210 210 210 211 105 105 105 105 105 350 350 351 351 351 558 558 559 559 560 200 200 200 200 200 175 175 175 175 175 1056 1057 1058 1059 1060 1953 1955 1957 1959 1961 844 845 846 847 848 211 211 211 211 212 105 105 105 105 106 352 352 352 353 353 560 561 561 562 562 200 200 200 200 200 175 175 175 175 175 1061 1062 1063 1064 1065 1962 1964 1966 1968 1970 848 849 850 851 852 212 212 212 212 213 106 106 106 106 106 353 354 354 354 355 563 563 564 564 565 200 200 200 200 200 175 175 175 175 175 1066 1067 1068 1069 1070 1972 1973 1975 1977 1979 852 853 864 855 856 213 213 213 213 214 106 106 106 106 107 355 355 356 356 356 565 566 566 567 567 200 200 200 200 200 175 175 175 175 175 1071 1072 1073 1074 1075 1981 1983 1985 1986 1988 856 857 858 859 860 214 214 214 214 215 107 107 107 107 107 357 357 357 358 358 568 568 569 569 570 200 200 200 200 200 175 175 175 175 175

(295)(page-32)Page 32#

RFT 295 32 of 58 COMBINED BUDGET TABLES RFB 2013-009 12-1-2013

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

DEPENDENT CARE DOLLAR AMOUNT 185% 80% 20% 10% 1/3 65+1/2 UNDER AGE 2 AGE 2 & OVER 1076 1077 1078 1079 1080 1990 1992 1994 1996 1998 860 861 862 863 864 215 215 215 215 216 107 107 107 107 108 358 359 359 359 360 570 571 571 572 572 200 200 200 200 200 175 175 175 175 175 1081 1082 1083 1084 1085 1999 2001 2003 2005 2007 864 865 866 867 868 216 216 216 216 217 108 108 108 108 108 360 360 361 361 361 573 573 574 574 575 200 200 200 200 200 175 175 175 175 175 1086 1087 1088 1089 1090 2009 2010 2012 2014 2016 868 869 870 871 872 217 217 217 217 218 108 108 108 108 109 362 362 362 363 363 575 576 576 577 577 200 200 200 200 200 175 175 175 175 175 1091 1092 1093 1094 1095 2018 2020 2022 2023 2025 875 873 874 875 876 218 218 218 218 219 109 109 109 109 109 363 364 364 364 365 578 578 579 579 580 200 200 200 200 200 175 175 175 175 175 1096 1097 1098 1099 1100 2027 2029 2031 2033 2035 876 877 878 879 880 219 219 219 219 220 109 109 109 109 110 365 365 366 366 366 580 581 581 582 582 200 200 200 200 200 175 175 175 175 175 1101 1102 1103 1104 1105 2036 2038 2040 2042 2044 880 881 882 883 884 220 220 220 220 221 110 110 110 110 110 367 367 367 368 368 583 583 584 584 585 200 200 200 200 200 175 175 175 175 175 1106 1107 1108 1109 1110 2046 2047 2049 2051 2053 884 885 886 887 888 221 221 221 221 222 110 110 110 110 111 368 369 369 369 370 585 586 586 587 587 200 200 200 200 200 175 175 175 175 175

(295)(page-33)Page 33#

RFT 295 33 of 58 COMBINED BUDGET TABLES RFB 2013-009 12-1-2013

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

DEPENDENT CARE DOLLAR AMOUNT 185% 80% 20% 10% 1/3 65+1/2 UNDER AGE 2 AGE 2 & OVER 1111 1112 1113 1114 1115 2055 2057 2059 2060 2062 888 889 890 891 892 222 222 222 222 223 111 111 111 111 111 370 370 371 371 371 588 588 589 589 590 200 200 200 200 200 175 175 175 175 175 1116 1117 1118 1119 1120 2064 2066 2068 2070 2072 892 893 894 895 896 223 223 223 223 224 111 111 111 111 112 372 372 372 373 373 590 591 591 592 592 200 200 200 200 200 175 175 175 175 175 1121 1122 1123 1124 1125 2073 2075 2077 2079 2081 896 897 898 899 900 224 224 224 224 225 112 112 112 112 112 373 374 374 374 375 593 593 594 594 595 200 200 200 200 200 175 175 175 175 175 1126 1127 1128 1129 1130 2083 2084 2086 2088 2090 900 901 902 903 904 225 225 225 225 226 112 112 112 112 113 375 375 376 376 376 595 596 596 597 597 200 200 200 200 200 175 175 175 175 175 1131 1132 1133 1134 1135 2092 2094 2096 2097 2099 904 905 906 907 908 226 226 226 226 227 113 113 113 113 113 377 377 377 378 378 598 598 599 599 600 200 200 200 200 200 175 175 175 175 175 1136 1137 1138 1139 1140 2101 2103 2105 2107 2109 908 909 910 911 912 227 227 227 227 228 113 113 113 113 114 378 379 379 379 380 600 601 601 602 602 200 200 200 200 200 175 175 175 175 175 1141 1142 1143 1144 1145 2110 2112 2114 2116 2118 912 913 914 915 916 228 228 228 228 229 114 114 114 114 114 380 380 381 381 381 603 603 604 604 605 200 200 200 200 200 175 175 175 175 175

(295)(page-34)Page 34#

RFT 295 34 of 58 COMBINED BUDGET TABLES RFB 2013-009 12-1-2013

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

DEPENDENT CARE DOLLAR AMOUNT 185% 80% 20% 10% 1/3 65+1/2 UNDER AGE 2 AGE 2 & OVER 1146 1147 1148 1149 1150 2120 2121 2123 2125 2127 916 917 918 919 920 229 229 229 229 230 114 114 114 114 115 382 382 382 383 383 605 606 606 607 607 200 200 200 200 200 175 175 175 175 175 1151 1152 1153 1154 1155 2129 2131 2133 2134 2136 920 921 922 923 924 230 230 230 230 231 115 115 115 115 115 383 384 384 384 385 608 608 609 609 610 200 200 200 200 200 175 175 175 175 175 1156 1157 1158 1159 1160 2138 2140 2142 2144 2146 924 925 926 927 928 231 231 231 231 232 115 115 115 115 116 385 385 386 386 386 610 611 611 612 612 200 200 200 200 200 175 175 175 175 175 1161 1162 1163 1164 1165 2147 2149 2151 2153 2155 928 929 930 931 932 232 232 232 232 233 116 116 116 116 116 387 387 387 388 388 613 613 614 614 615 200 200 200 200 200 175 175 175 175 175 1166 1167 1168 1169 1170 2157 2158 2160 2162 2164 932 933 934 935 936 233 233 233 233 234 116 116 116 116 117 388 389 389 389 390 615 616 616 617 617 200 200 200 200 200 175 175 175 175 175 1171 1172 1173 1174 1175 2166 2168 2170 2171 2173 936 937 938 939 940 234 234 234 234 235 117 117 117 117 117 390 390 391 391 391 618 618 619 619 620 200 200 200 200 200 175 175 175 175 175 1176 1177 1178 1179 1180 2175 2177 2179 2181 2183 940 941 942 943 944 235 235 235 235 236 117 117 117 117 118 392 392 392 393 393 620 621 621 622 622 200 200 200 200 200 175 175 175 175 175

(295)(page-35)Page 35#

RFT 295 35 of 58 COMBINED BUDGET TABLES RFB 2013-009 12-1-2013

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

DEPENDENT CARE DOLLAR AMOUNT 185% 80% 20% 10% 1/3 65+1/2 UNDER AGE 2 AGE 2 & OVER 1181 1182 1183 1184 1185 2184 2186 2188 2190 2192 944 945 946 947 948 236 236 236 236 237 118 118 118 118 118 393 394 394 394 395 623 623 624 624 625 200 200 200 200 200 175 175 175 175 175 1186 1187 1188 1189 1190 2194 2195 2197 2199 2201 948 949 950 951 952 237 237 237 237 238 118 118 118 118 119 395 395 396 396 396 625 626 626 627 627 200 200 200 200 200 175 175 175 175 175 1191 1192 1193 1194 1195 2203 2205 2207 208 2210 952 953 954 955 956 238 238 238 238 239 120 120 120 120 120 397 397 397 398 398 628 628 629 629 630 200 200 200 200 200 175 175 175 175 175 1196 1197 1198 1199 1200 2212 2214 2216 2218 2220 956 957 958 959 960 239 239 239 239 240 120 120 120 120 121 398 399 399 399 400 630 631 631 632 632 200 200 200 200 200 175 175 175 175 175 1201 1202 1203 1204 1205 2221 2223 2225 2227 2229 960 961 962 963 964 240 240 240 240 241 120 120 120 120 120 400 400 401 401 401 633 633 634 634 635 200 200 200 200 200 175 175 175 175 175 1206 1207 1208 1209 1210 2231 2232 2234 2236 2238 964 965 966 967 968 241 241 241 241 242 120 120 120 120 121 402 402 402 403 403 635 636 636 637 637 200 200 200 200 200 175 175 175 175 175 1211 1212 1213 1214 1215 2240 2242 2244 2245 2247 968 969 970 971 972 242 242 242 242 243 121 121 121 121 121 403 404 404 404 405 638 638 639 639 640 200 200 200 200 200 175 175 175 175 175

(295)(page-36)Page 36#

RFT 295 36 of 58 COMBINED BUDGET TABLES RFB 2013-009 12-1-2013

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

DEPENDENT CARE DOLLAR AMOUNT 185% 80% 20% 10% 1/3 65+1/2 UNDER AGE 2 AGE 2 & OVER 1216 1217 1218 1219 1220 2249 2251 2253 2255 2257 972 973 974 975 976 243 243 243 243 244 121 121 121 121 122 405 405 406 406 406 640 641 641 642 642 200 200 200 200 200 175 175 175 175 175 1221 1222 1223 1224 1225 2258 2260 2262 2264 2266 976 977 978 979 980 244 244 244 244 245 122 122 122 122 122 407 407 407 408 408 643 643 644 644 645 200 200 200 200 200 175 175 175 175 175 1226 1227 1228 1229 1230 2268 2269 2271 2273 2275 980 981 982 983 984 245 245 245 245 246 122 122 122 122 123 408 409 409 409 410 645 646 646 647 647 200 200 200 200 200 175 175 175 175 175 1231 1232 1233 1234 1235 2277 2279 2281 2282 2284 984 985 986 987 988 246 246 246 246 247 123 123 123 123 123 410 410 411 411 411 648 648 649 649 650 200 200 200 200 200 175 175 175 175 175 1236 1237 1238 1239 1240 2286 2288 2290 2292 2294 988 989 990 991 992 247 247 247 247 248 123 123 123 123 124 412 412 412 413 413 650 651 651 652 652 200 200 200 200 200 175 175 175 175 175 1241 1242 1243 1244 1245 2295 2297 2299 2301 2303 992 993 994 995 996 248 248 248 248 249 124 124 124 124 124 413 414 414 414 415 653 653 654 654 655 200 200 200 200 200 175 175 175 175 175 1246 1247 1248 1249 1250 2305 2306 2308 2310 2312 996 997 998 999 1000 249 249 249 249 250 124 124 124 124 125 415 415 416 416 416 655 656 656 657 657 200 200 200 200 200 175 175 175 175 175

(295)(page-37)Page 37#

RFT 295 37 of 58 COMBINED BUDGET TABLES RFB 2013-009 12-1-2013

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

DEPENDENT CARE DOLLAR AMOUNT 185% 80% 20% 10% 1/3 65+1/2 UNDER AGE 2 AGE 2 & OVER 1251 1252 1253 1254 1255 2314 2316 2318 2319 2321 1000 1001 1002 1003 1004 250 250 250 250 251 125 125 125 125 125 417 417 417 418 418 658 658 659 659 660 200 200 200 200 200 175 175 175 175 175 1256 1257 1258 1259 1260 2323 2325 2327 2329 2331 1004 1005 1006 1007 1008 251 251 251 251 252 125 125 125 125 126 418 419 419 419 420 660 661 661 662 662 200 200 200 200 200 175 175 175 175 175 1261 1262 1263 1264 1265 2332 2334 2336 2338 2340 1008 1009 1010 1011 1012 252 252 252 252 253 126 126 126 126 126 420 420 421 421 421 663 663 664 664 665 200 200 200 200 200 175 175 175 175 175 1266 1267 1268 1269 1270 2342 2343 2345 2347 2349 1012 1013 1014 1015 1016 253 253 253 253 254 126 126 126 126 127 422 422 422 423 423 665 666 666 667 667 200 200 200 200 200 175 175 175 175 175 1271 1272 1273 1274 1275 2351 2353 2355 2356 2358 1016 1017 1018 1019 1020 254 254 254 254 255 127 127 127 127 127 423 424 424 424 425 668 668 669 669 670 200 200 200 200 200 175 175 175 175 175 1276 1277 1278 1279 1280 2360 2362 2364 2366 2368 1020 1021 1022 1023 1024 255 255 255 255 256 127 127 127 127 128 425 425 426 426 426 670 671 671 672 672 200 200 200 200 200 175 175 175 175 175 1281 1282 1283 1284 1285 2369 2371 2373 2375 2377 1024 1025 1026 1027 1028 256 256 256 256 257 128 128 128 128 128 427 427 427 428 428 673 673 674 674 675 200 200 200 200 200 175 175 175 175 175

(295)(page-38)Page 38#

RFT 295 38 of 58 COMBINED BUDGET TABLES RFB 2013-009 12-1-2013

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

DEPENDENT CARE DOLLAR AMOUNT 185% 80% 20% 10% 1/3 65+1/2 UNDER AGE 2 AGE 2 & OVER 1286 1287 1288 1289 1290 2379 2380 2382 2384 2386 1028 1029 1030 1031 1032 257 257 257 257 258 128 128 128 128 129 428 429 429 429 430 675 676 676 677 677 200 200 200 200 200 175 175 175 175 175 1291 1292 1293 1294 1295 2388 2390 2392 2393 2395 1032 1033 1034 1035 1036 258 258 258 258 259 129 129 129 129 129 430 430 431 431 431 678 678 679 679 680 200 200 200 200 200 175 175 175 175 175 1296 1297 1298 1299 1300 2397 2399 2401 2403 2405 1036 1037 1038 1039 1040 259 259 259 259 260 129 129 129 129 130 432 432 432 433 433 680 681 681 682 682 200 200 200 200 200 175 175 175 175 175 1301 1302 1303 1304 1305 2406 2408 2410 2412 2414 1040 1041 1042 1043 1044 260 260 260 260 261 130 130 130 130 130 433 434 434 434 435 683 683 684 684 685 200 200 200 200 200 175 175 175 175 175 1306 1307 1308 1309 1310 2416 2417 2419 2421 2423 1044 1045 1046 1047 1048 261 261 261 261 262 130 130 130 130 131 435 435 536 436 436 685 686 686 687 687 200 200 200 200 200 175 175 175 175 175 1311 1312 1313 1314 1315 2425 2427 2429 2430 2432 1048 1049 1050 1051 1052 262 262 262 262 263 131 131 131 131 131 437 437 437 438 438 688 688 689 689 690 200 200 200 200 200 175 175 175 175 175 1316 1317 1318 1319 1320 2434 2436 2438 2440 2442 1052 1053 1054 1055 1056 263 263 263 263 264 131 131 131 131 132 438 439 439 439 440 690 691 691 692 692 200 200 200 200 200 175 175 175 175 175

(295)(page-39)Page 39#

RFT 295 39 of 58 COMBINED BUDGET TABLES RFB 2013-009 12-1-2013

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

DEPENDENT CARE DOLLAR AMOUNT 185% 80% 20% 10% 1/3 65+1/2 UNDER AGE 2 AGE 2 & OVER 1321 1322 1323 1324 1325 2443 2445 2447 2449 2451 1056 1057 1058 1059 1060 264 264 264 264 265 132 132 132 132 132 440 440 441 441 441 693 693 694 694 685 200 200 200 200 200 175 175 175 175 175 1326 1327 1328 1329 1330 2453 2454 2456 2458 2460 1060 1061 1062 1063 1064 265 265 265 265 266 132 132 132 132 133 442 442 442 443 443 695 696 696 697 697 200 200 200 200 200 175 175 175 175 175 1331 1332 1333 1334 1335 2462 2464 2466 2467 2469 1064 1065 1066 1067 1068 266 266 266 266 267 133 133 133 133 133 443 444 444 444 445 698 698 699 699 700 200 200 200 200 200 175 175 175 175 175 1336 1337 1338 1339 1340 2471 2473 2475 2477 2479 1068 1069 1070 1071 1072 267 267 267 267 268 133 133 133 133 134 445 445 446 446 446 700 701 701 702 702 200 200 200 200 200 175 175 175 175 175 1341 1342 1343 1344 1345 2480 2482 2484 2486 2488 1072 1073 1071 1075 1076 268 268 268 268 269 134 134 134 134 134 447 447 447 448 448 703 703 704 704 705 200 200 200 200 200 175 175 175 175 175 1346 1347 1348 1349 1350 2490 2491 2493 2495 2497 1076 1077 1078 1079 1080 269 269 269 269 270 134 134 134 134 135 448 449 449 449 450 705 706 706 707 707 200 200 200 200 200 175 175 175 175 175 1351 1352 1353 1354 1355 2499 2501 2503 2504 2506 1080 1081 1082 1083 1084 270 270 270 270 271 135 135 135 135 135 450 450 451 451 451 708 708 709 709 710 200 200 200 200 200 175 175 175 175 175

(295)(page-40)Page 40#

RFT 295 40 of 58 COMBINED BUDGET TABLES RFB 2013-009 12-1-2013

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

DEPENDENT CARE DOLLAR AMOUNT 185% 80% 20% 10% 1/3 65+1/2 UNDER AGE 2 AGE 2 & OVER 1356 1357 1358 1359 1360 2508 2510 2512 2514 2516 1084 1085 1086 1087 1088 271 271 271 271 272 135 135 135 135 136 452 452 452 453 453 710 711 711 712 712 200 200 200 200 200 175 175 175 175 175 1361 1362 1363 1364 1365 2517 2519 2521 2523 2525 1088 1089 1090 1091 1092 272 272 272 272 273 136 136 136 136 136 453 454 454 454 455 713 713 714 714 715 200 200 200 200 200 175 175 175 175 175 1366 1367 1368 1369 1370 2527 2528 2530 2532 2534 1092 1093 1094 1095 1096 273 273 273 273 274 136 136 136 136 137 455 455 456 456 456 715 716 716 717 717 200 200 200 200 200 175 175 175 175 175 1371 1372 1373 1374 1375 2536 2538 2540 2541 2543 1096 1097 1098 1099 1100 274 274 274 274 275 137 137 137 137 137 457 457 457 458 458 718 718 719 719 720 200 200 200 200 200 175 175 175 175 175 1376 1377 1378 1379 1380 2545 2547 2549 2551 2553 1100 1101 1102 1103 1104 275 275 275 275 276 137 137 137 137 138 458 459 459 459 460 720 721 721 722 722 200 200 200 200 200 175 175 175 175 175 1381 1382 1383 1384 1385 2554 2556 2558 2560 2562 1104 1105 1106 1107 1108 276 276 276 276 277 138 138 138 138 138 460 460 461 461 461 723 723 724 724 725 200 200 200 200 200 175 175 175 175 175 1386 1387 1388 1389 1390 2564 2565 2567 2569 2571 1108 1109 1110 1111 1112 277 277 277 277 278 138 138 138 138 139 462 462 462 463 463 725 726 726 727 727 200 200 200 200 200 175 175 175 175 175

(295)(page-41)Page 41#

RFT 295 41 of 58 COMBINED BUDGET TABLES RFB 2013-009 12-1-2013

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

DEPENDENT CARE DOLLAR AMOUNT 185% 80% 20% 10% 1/3 65+1/2 UNDER AGE 2 AGE 2 & OVER 1391 1392 1393 1394 1395 2573 2575 2577 2578 2580 1112 1113 1114 1115 1116 278 278 278 278 279 139 139 139 139 139 463 464 464 464 465 728 728 729 729 730 200 200 200 200 200 175 175 175 175 175 1396 1397 1398 1399 1400 2582 2584 2586 2588 2590 1116 1117 1118 1119 1120 279 279 279 279 280 139 139 139 139 140 465 465 466 466 466 730 731 731 732 732 200 200 200 200 200 175 175 175 175 175 1401 1402 1403 1404 1405 2591 2593 2595 2597 2599 1120 1121 1122 1123 1124 280 280 280 280 281 140 140 140 140 140 467 467 467 468 468 733 733 734 734 735 200 200 200 200 200 175 175 175 175 175 1406 1407 1408 1409 1410 2601 2602 2604 2606 2608 1124 1125 1126 1127 1128 281 281 281 281 282 140 140 140 140 141 468 469 469 469 470 735 736 736 737 737 200 200 200 200 200 175 175 175 175 175 1411 1412 1413 1414 1415 2610 2612 2614 2615 2617 1128 1129 1130 1131 1132 282 282 282 282 283 141 141 141 141 141 470 470 471 471 471 738 738 739 739 740 200 200 200 200 200 175 175 175 175 175 1416 1417 1418 1419 1420 2619 2621 2623 2625 2627 1132 1133 1134 1135 1136 283 283 283 283 284 141 141 141 141 142 472 472 472 473 473 740 741 741 742 742 200 200 200 200 200 175 175 175 175 175 1421 1422 1423 1424 1425 2628 2630 2632 2634 2636 1136 1137 1138 1139 1140 284 284 284 284 285 142 142 142 142 142 473 474 474 474 475 743 743 744 744 745 200 200 200 200 200 175 175 175 175 175

(295)(page-42)Page 42#

RFT 295 42 of 58 COMBINED BUDGET TABLES RFB 2013-009 12-1-2013

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

DEPENDENT CARE DOLLAR AMOUNT 185% 80% 20% 10% 1/3 65+1/2 UNDER AGE 2 AGE 2 & OVER 1426 1427 1428 1429 1430 2638 2639 2641 2643 2645 1140 1141 1142 1143 1144 285 285 285 285 286 142 142 142 142 143 475 475 476 476 476 745 746 746 747 747 200 200 200 200 200 175 175 175 175 175 1431 1432 1433 1434 1435 2647 2649 2651 2652 2654 1144 1145 1146 1147 1148 286 286 286 286 287 143 143 143 143 143 477 477 477 478 478 748 748 749 749 750 200 200 200 200 200 175 175 175 175 175 1436 1437 1438 1439 1440 2656 2658 2660 2662 2664 1148 1149 1150 1151 1152 287 287 287 287 288 143 143 143 143 144 478 479 479 479 480 750 751 751 752 752 200 200 200 200 200 175 175 175 175 175 1441 1442 1443 1444 1445 2665 2667 2669 2671 2673 1152 1153 1154 1155 1156 288 288 288 288 289 144 144 144 144 144 480 480 481 481 481 753 753 754 754 755 200 200 200 200 200 175 175 175 175 175 1446 1447 1448 1449 1450 2675 2676 2678 2680 2680 1156 1157 1158 1159 1160 289 289 289 289 290 144 144 144 144 145 482 482 482 483 483 755 756 756 757 757 200 200 200 200 200 175 175 175 175 175 1451 1452 1453 1454 1455 2684 2686 2688 2689 2691 1160 1161 1162 1163 1164 290 290 290 290 291 145 145 145 145 145 483 484 484 484 485 758 758 759 759 760 200 200 200 200 200 175 175 175 175 175 1456 1457 1458 1459 1460 2693 2695 2697 2699 2701 1164 1165 1166 1167 1168 291 291 291 291 292 145 145 145 145 146 485 485 486 486 486 760 761 761 762 762 200 200 200 200 200 175 175 175 175 175

(295)(page-43)Page 43#

RFT 295 43 of 58 COMBINED BUDGET TABLES RFB 2013-009 12-1-2013

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

DEPENDENT CARE DOLLAR AMOUNT 185% 80% 20% 10% 1/3 65+1/2 UNDER AGE 2 AGE 2 & OVER 1461 1462 1463 1464 1465 2702 2704 2706 2708 2710 1168 1169 1170 1171 1172 292 292 292 292 293 146 146 146 146 146 487 487 487 488 488 763 763 764 764 765 200 200 200 200 200 175 175 175 175 175 1466 1467 1468 1469 1470 2712 2713 2715 2717 2719 1172 1173 1174 1175 1176 293 293 293 293 294 146 146 146 146 147 488 489 489 489 490 765 766 766 767 767 200 200 200 200 200 175 175 175 175 175 1471 1472 1473 1474 1475 2721 2723 2725 2726 2728 1176 1177 1178 1179 1180 294 294 294 294 295 147 147 147 147 147 490 490 491 491 491 768 768 769 769 770 200 200 200 200 200 175 175 175 175 175 1476 1477 1478 1479 1480 2730 2732 2734 2736 2738 1180 1181 1182 1183 1184 295 295 295 295 296 147 147 147 147 148 492 492 492 493 493 770 771 771 772 772 200 200 200 200 200 175 175 175 175 175 1481 1482 1483 1484 1485 2739 2741 2743 2745 2747 1184 1185 1186 1187 1188 296 296 296 296 297 148 148 148 148 148 493 494 494 494 495 773 773 774 774 775 200 200 200 200 200 175 175 175 175 175 1486 1487 1488 1489 1490 2749 2750 2752 2754 2756 1188 1189 1190 1191 1192 297 297 297 297 298 148 148 148 148 149 495 495 496 496 496 775 776 776 777 777 200 200 200 200 200 175 175 175 175 175 1491 1492 1493 1494 1495 2758 2760 2762 2763 2765 1192 1193 1194 1195 1196 298 298 298 298 299 149 149 149 149 149 497 497 497 498 498 778 778 779 779 780 200 200 200 200 200 175 175 175 175 175

(295)(page-44)Page 44#

RFT 295 44 of 58 COMBINED BUDGET TABLES RFB 2013-009 12-1-2013

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

DEPENDENT CARE DOLLAR AMOUNT 185% 80% 20% 10% 1/3 65+1/2 UNDER AGE 2 AGE 2 & OVER 1496 1497 1498 1499 1500 2767 2769 2771 2773 2775 1196 1197 1198 1199 1200 299 299 299 299 300 149 149 149 149 150 498 499 499 499 500 780 781 781 782 782 200 200 200 200 200 175 175 175 175 175 1501 1502 1503 1504 1505 2776 2778 2780 2782 2784 1200 1201 1202 1203 1204 300 300 300 300 301 150 150 150 150 150 500 500 501 501 501 783 783 784 784 785 200 200 200 200 200 175 175 175 175 175 1506 1507 1508 1509 1510 2786 2787 2789 2791 2793 1204 1205 1206 1207 1208 301 301 301 301 302 150 150 150 150 151 502 502 502 503 503 785 786 786 787 787 200 200 200 200 200 175 175 175 175 175 1511 1512 1513 1514 1515 2795 2797 2799 2800 2802 1208 1209 1210 1211 1212 302 302 302 302 303 151 151 151 151 151 503 504 504 504 505 788 788 789 789 790 200 200 200 200 200 175 175 175 175 175 1516 1517 1518 1519 1520 2804 2806 2808 2810 2812 1212 1213 1214 1215 1216 303 303 303 303 304 151 151 151 151 152 505 505 506 506 506 790 791 791 792 792 200 200 200 200 200 175 175 175 175 175 1521 1522 1523 1524 1525 2813 2815 2817 2819 2821 1216 1217 1218 1219 1220 304 304 304 304 305 152 152 152 152 152 507 507 507 508 508 793 793 794 794 795 200 200 200 200 200 175 175 175 175 175 1526 1527 1528 1529 1530 2823 2824 2826 2828 2830 1220 1221 1222 1223 1224 305 305 305 305 306 152 152 152 152 153 508 509 509 509 510 795 796 796 797 797 200 200 200 200 200 175 175 175 175 175

(295)(page-45)Page 45#

RFT 295 45 of 58 COMBINED BUDGET TABLES RFB 2013-009 12-1-2013

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

DEPENDENT CARE DOLLAR AMOUNT 185% 80% 20% 10% 1/3 65+1/2 UNDER AGE 2 AGE 2 & OVER 1531 1532 1533 1534 1535 2832 2834 2836 2837 2839 1224 1225 1226 1227 1228 306 306 306 306 307 153 153 153 153 153 510 510 511 511 511 798 798 799 799 800 200 200 200 200 200 175 175 175 175 175 1536 1537 1538 1539 1540 2841 2843 2845 2847 2849 1228 1229 1230 1231 1232 307 307 307 307 308 153 153 153 153 154 512 512 512 513 513 800 801 801 802 802 200 200 200 200 200 175 175 175 175 175 1541 1542 1543 1544 1545 2850 2852 2854 2856 2858 1232 1233 1234 1235 1236 308 308 308 308 309 154 154 154 154 154 513 514 514 514 515 803 803 804 804 805 200 200 200 200 200 175 175 175 175 175 1546 1547 1548 1549 1550 2860 2861 2863 2865 2867 1236 1237 1238 1239 1240 309 309 309 309 310 154 154 154 154 155 515 515 516 516 516 805 806 806 807 807 200 200 200 200 200 175 175 175 175 175 1551 1552 1553 1554 1555 2869 2871 2873 2874 2876 1240 1241 1242 1243 1244 310 310 310 310 311 155 155 155 155 155 517 517 517 518 518 808 808 809 809 810 200 200 200 200 200 175 175 175 175 175 1556 1557 1558 1559 1560 2878 2880 2882 2884 2886 1244 1245 1246 1247 1248 311 311 311 311 312 155 155 155 155 156 518 519 519 519 520 810 811 811 812 812 200 200 200 200 200 175 175 175 175 175 1561 1562 1563 1564 1565 2887 2889 2891 2893 2895 1248 1249 1250 1251 1252 312 312 312 312 313 156 156 156 156 156 520 520 521 521 521 813 813 814 814 815 200 200 200 200 200 175 175 175 175 175

(295)(page-46)Page 46#

RFT 295 46 of 58 COMBINED BUDGET TABLES RFB 2013-009 12-1-2013

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

DEPENDENT CARE DOLLAR AMOUNT 185% 80% 20% 10% 1/3 65+1/2 UNDER AGE 2 AGE 2 & OVER 1566 1567 1568 1569 1570 2897 2898 2900 2902 2904 1252 1253 1254 1255 1256 313 313 313 313 314 156 156 156 156 157 522 522 522 523 523 815 816 816 817 817 200 200 200 200 200 175 175 175 175 175 1571 1572 1573 1574 1575 2906 2908 2910 2911 2913 1256 1257 1258 1259 1260 314 314 314 314 315 157 157 157 157 157 523 524 524 524 525 818 818 819 819 820 200 200 200 200 200 175 175 175 175 175 1576 1577 1578 1579 1580 2915 2917 2919 2921 2923 1260 1261 1262 1263 1264 315 315 315 315 316 157 157 157 157 158 525 525 526 526 526 820 821 821 822 822 200 200 200 200 200 175 175 175 175 175 1581 1582 1583 1584 1585 2924 2926 2928 2930 2932 1264 1265 1266 1267 1268 316 316 316 316 317 158 158 158 158 158 527 527 527 528 528 823 823 824 824 825 200 200 200 200 200 175 175 175 175 175 1586 1587 1588 1589 1590 2934 2935 2937 2939 2941 1268 1269 1270 1271 1272 317 317 317 317 318 158 158 158 158 159 528 529 529 529 530 825 826 826 827 827 200 200 200 200 200 175 175 175 175 175 1591 1592 1593 1594 1595 2943 2945 2947 2948 2950 1272 1273 1274 1275 1276 318 318 318 318 319 159 159 159 159 159 530 530 531 531 531 828 828 829 829 830 200 200 200 200 200 175 175 175 175 175 1596 1597 1598 1599 1600 2952 2954 2956 2958 2960 1276 1277 1278 1279 1280 319 319 319 319 320 159 159 159 159 160 532 532 532 533 533 830 831 831 832 832 200 200 200 200 200 175 175 175 175 175

(295)(page-47)Page 47#

RFT 295 47 of 58 COMBINED BUDGET TABLES RFB 2013-009 12-1-2013

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

DEPENDENT CARE DOLLAR AMOUNT 185% 80% 20% 10% 1/3 65+1/2 UNDER AGE 2 AGE 2 & OVER 1601 1602 1603 1604 1605 2961 2963 2965 2967 2969 1280 1281 1282 1283 1284 320 320 320 320 321 160 160 160 160 160 533 534 534 534 535 833 833 834 834 835 200 200 200 200 200 175 175 175 175 175 1606 1607 1608 1609 1610 2971 2972 2974 2976 2978 1284 1285 1286 1287 1288 321 321 321 321 322 160 160 160 160 161 535 535 536 536 536 835 836 836 837 837 200 200 200 200 200 175 175 175 175 175 1611 1612 1613 1614 1615 2980 2982 2984 2985 2987 1288 1289 1290 1291 1292 322 322 322 322 323 161 161 161 161 161 537 537 537 538 538 838 838 839 839 840 200 200 200 200 200 175 175 175 175 175 1616 1617 1618 1619 1620 2989 2991 2993 2995 2997 1292 1293 1294 1295 1296 323 323 323 323 324 161 161 161 161 162 538 539 539 539 540 840 841 841 842 842 200 200 200 200 200 175 175 175 175 175 1621 1622 1623 1624 1625 2998 3000 3002 3004 3006 1296 1297 1298 1299 1300 324 324 324 324 325 162 162 162 162 162 540 540 541 541 541 843 843 844 844 845 200 200 200 200 200 175 175 175 175 175 1626 1627 1628 1629 1630 3008 3009 3011 3013 3015 1300 1301 1302 1303 1304 325 325 325 325 326 162 162 162 162 163 542 542 542 543 543 845 846 846 847 847 200 200 200 200 200 175 175 175 175 175 1631 1632 1633 1634 1635 3017 3019 3021 3022 3024 1304 1305 1306 1307 1308 326 326 326 326 327 163 163 163 163 163 543 544 544 544 545 848 848 849 849 850 200 200 200 200 200 175 175 175 175 175

(295)(page-48)Page 48#

RFT 295 48 of 58 COMBINED BUDGET TABLES RFB 2013-009 12-1-2013

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

DEPENDENT CARE DOLLAR AMOUNT 185% 80% 20% 10% 1/3 65+1/2 UNDER AGE 2 AGE 2 & OVER 1636 1637 1638 1639 1640 3026 3028 3030 3032 3034 1308 1309 1310 1311 1312 327 327 327 327 328 163 163 163 163 164 545 545 546 546 546 850 851 851 852 852 200 200 200 200 200 175 175 175 175 175 1641 1642 1643 1644 1645 3035 3037 3039 3041 3043 1312 1313 1314 1315 1316 328 328 328 328 329 164 164 164 164 164 547 547 547 548 548 853 853 854 854 855 200 200 200 200 200 175 175 175 175 175 1646 1647 1648 1649 1650 3045 3046 3048 3050 3052 1316 1317 1318 1319 1320 329 329 329 329 330 164 164 164 164 165 548 549 549 549 550 855 856 856 857 857 200 200 200 200 200 175 175 175 175 175 1651 1652 1653 1654 1655 3054 3056 3058 3059 3061 1320 1321 1322 1323 1324 330 330 330 330 331 165 165 165 165 165 550 550 551 551 551 858 858 859 859 860 200 200 200 200 200 175 175 175 175 175 1656 1657 1658 1659 1660 3063 3065 3067 3069 3071 1324 1325 1326 1327 1328 331 331 331 331 332 165 165 165 165 166 552 552 552 553 553 860 861 861 862 862 200 200 200 200 200 175 175 175 175 175 1661 1662 1663 1664 1665 3072 3074 3076 3078 3080 1328 1329 1330 1331 1332 332 332 332 332 333 166 166 166 166 166 553 554 554 554 555 863 863 864 864 865 200 200 200 200 200 175 175 175 175 175 1666 1667 1668 1669 1670 3082 3083 3085 3087 3089 1332 1333 1334 1335 1336 333 333 333 333 334 166 166 166 166 167 555 555 556 556 556 865 866 866 867 867 200 200 200 200 200 175 175 175 175 175

(295)(page-49)Page 49#

RFT 295 49 of 58 COMBINED BUDGET TABLES RFB 2013-009 12-1-2013

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

DEPENDENT CARE DOLLAR AMOUNT 185% 80% 20% 10% 1/3 65+1/2 UNDER AGE 2 AGE 2 & OVER 1671 1672 1673 1674 1675 3091 3093 3995 3096 3098 1336 1337 1338 1339 1340 334 334 334 334 335 167 167 167 167 167 557 557 557 558 558 868 868 869 869 870 200 200 200 200 200 175 175 175 175 175 1676 1677 1678 1679 1680 3100 3102 3104 3106 3108 1340 1341 1342 1343 1344 335 335 335 335 336 167 167 167 167 168 558 559 559 559 560 870 871 871 872 872 200 200 200 200 200 175 175 175 175 175 1681 1682 1683 1684 1685 3109 3111 3113 3115 3117 1344 1345 1346 1347 1348 336 336 336 336 337 168 168 168 168 168 560 560 561 561 561 873 873 874 874 875 200 200 200 200 200 175 175 175 175 175 1686 1687 1688 1689 1690 3119 3120 3122 3124 3126 1348 1349 1350 1351 1352 337 337 337 337 338 168 168 168 168 169 562 562 562 563 563 875 876 876 877 877 200 200 200 200 200 175 175 175 175 175 1691 1692 1693 1694 1695 3128 3130 3132 3133 3135 1352 1353 1354 1355 1356 338 338 338 338 339 169 169 169 169 169 563 564 564 564 565 878 878 879 879 880 200 200 200 200 200 175 175 175 175 175 1696 1697 1698 1699 1700 3137 3139 3141 3143 3145 1,35 1357 1358 1359 1360 339 339 339 339 340 169 169 169 169 170 565 565 566 566 566 880 881 881 882 882 200 200 200 200 200 175 175 175 175 175 1701 1702 1703 1704 1705 3146 3148 3150 3152 3154 1360 1361 1362 1363 1364 340 340 340 340 341 170 170 170 170 170 567 567 567 568 568 883 883 884 884 885 200 200 200 200 200 175 175 175 175 175

(295)(page-50)Page 50#

RFT 295 50 of 58 COMBINED BUDGET TABLES RFB 2013-009 12-1-2013

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

DEPENDENT CARE DOLLAR AMOUNT 185% 80% 20% 10% 1/3 65+1/2 UNDER AGE 2 AGE 2 & OVER 1706 1707 1708 1709 1710 3156 3157 3159 3161 3163 1364 1365 1366 1367 1368 341 341 341 341 342 170 170 170 171 171 568 569 569 569 570 885 886 886 887 887 200 200 200 200 200 175 175 175 175 175 1711 1712 1713 1714 1715 3165 3167 3169 3170 3172 1368 1369 1370 1371 1372 342 342 342 342 343 171 171 171 171 171 570 570 571 571 571 888 888 889 889 890 200 200 200 200 200 175 175 175 175 175 1716 1717 1718 1719 1720 3174 3176 3178 3180 3182 1372 1373 1374 1375 1376 343 343 343 343 344 171 171 171 171 172 572 572 572 573 573 890 891 891 892 892 200 200 200 200 200 175 175 175 175 175 1721 1722 1723 1724 1725 3183 3185 3187 3189 3191 1376 1377 1378 1379 1380 344 344 344 344 345 172 172 172 172 172 573 574 574 574 575 893 893 894 894 895 200 200 200 200 200 175 175 175 175 175 1726 1727 1728 1729 1730 3193 3194 3196 3198 3200 1380 1381 1382 1383 1384 345 345 345 345 346 172 172 172 172 173 575 575 576 576 576 895 896 896 897 897 200 200 200 200 200 175 175 175 175 175 1731 1732 1733 1734 1735 3202 3204 3206 3207 3209 1384 1385 1386 1387 1388 346 346 346 346 347 173 173 173 173 173 577 577 577 578 578 898 898 899 899 900 200 200 200 200 200 175 175 175 175 175 1736 1737 1738 1739 1740 3211 3213 3215 3217 3219 1388 1389 1390 1391 1392 347 347 347 347 348 173 173 173 173 174 578 579 579 579 580 900 901 901 905 902 200 200 200 200 200 175 175 175 175 175

(295)(page-51)Page 51#

RFT 295 51 of 58 COMBINED BUDGET TABLES RFB 2013-009 12-1-2013

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

DEPENDENT CARE DOLLAR AMOUNT 185% 80% 20% 10% 1/3 65+1/2 UNDER AGE 2 AGE 2 & OVER 1741 1742 1743 1744 1745 3220 3222 3224 3226 3228 1392 1393 1394 1395 1396 348 348 348 348 349 174 174 174 174 174 580 580 581 581 581 903 903 904 904 905 200 200 200 200 200 175 175 175 175 175 1746 1747 1748 1749 1750 3230 3231 3233 3235 3237 1396 1397 1398 1399 1400 349 349 349 348 350 174 174 174 174 175 582 582 582 583 583 905 906 906 907 907 200 200 200 200 200 175 175 175 175 175 1751 1752 1753 1754 1755 3239 3241 3243 3244 3246 1400 1401 1402 1403 1404 350 350 350 350 351 175 175 175 175 175 583 584 584 584 585 908 908 909 909 910 200 200 200 200 200 175 175 175 175 175 1756 1757 1758 1759 1760 3248 3250 3252 3254 3256 1404 1405 1406 1407 1408 351 351 351 351 352 175 175 175 175 176 585 585 586 586 586 910 911 911 912 912 200 200 200 200 200 175 175 175 175 175 1761 1762 1763 1764 1765 3257 3259 3261 3263 3265 1408 1409 1410 1411 1412 352 352 352 352 353 176 176 176 176 176 587 587 587 588 588 913 913 914 914 915 200 200 200 200 200 175 175 175 175 175 1766 1767 1768 1769 1770 3267 3268 3270 3272 3274 1412 1413 1414 1415 1416 353 353 353 353 354 176 176 176 176 177 588 589 589 589 590 915 916 916 917 917 200 200 200 200 200 175 175 175 175 175 1771 1772 1773 1774 1775 3276 3278 3280 3281 3283 1416 1417 1418 1419 1420 354 354 354 354 355 177 177 177 177 177 590 590 591 591 591 918 918 919 919 920 200 200 200 200 200 175 175 175 175 175

(295)(page-52)Page 52#

RFT 295 52 of 58 COMBINED BUDGET TABLES RFB 2013-009 12-1-2013

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

DEPENDENT CARE DOLLAR AMOUNT 185% 80% 20% 10% 1/3 65+1/2 UNDER AGE 2 AGE 2 & OVER 1776 1777 1778 1779 1780 3285 3287 3289 3291 3293 1420 1421 1422 1423 1424 355 355 355 355 356 177 177 177 177 178 592 592 592 593 593 920 921 921 922 922 200 200 200 200 200 175 175 175 175 175 1781 1782 1783 1784 1785 3294 3296 3298 3300 3302 1424 1425 1426 1427 1428 356 356 356 356 357 178 178 178 178 178 593 594 594 594 595 923 923 924 924 925 200 200 200 200 200 175 175 175 175 175 1786 1787 1788 1789 1790 3304 3305 3307 3309 3311 1428 1429 1430 1431 1432 357 357 357 357 358 178 178 178 178 179 595 595 596 596 596 925 926 926 927 927 200 200 200 200 200 175 175 175 175 175 1791 1792 1793 1794 1795 3313 3315 3317 3318 3320 1432 1433 1434 1435 1436 358 358 358 358 359 179 179 179 179 179 597 597 597 598 598 928 928 929 929 930 200 200 200 200 200 175 175 175 175 175 1796 1797 1798 1799 1800 3322 3324 3326 3328 3330 1436 1437 1438 1439 1440 359 359 359 359 360 179 179 179 179 180 598 599 599 599 600 930 931 931 932 932 200 200 200 200 200 175 175 175 175 175 1801 1802 1803 1804 1805 3331 3333 3335 3337 3339 1440 1441 1442 1443 1444 360 360 360 360 361 180 180 180 180 180 600 600 601 601 601 933 933 934 934 935 200 200 200 200 200 175 175 175 175 175 1806 1807 1808 1809 1810 3341 3342 3344 3346 3348 1444 1445 1446 1447 1448 361 361 361 361 362 180 180 180 180 181 602 602 602 603 603 935 936 936 937 937 200 200 200 200 200 175 175 175 175 175

(295)(page-53)Page 53#

RFT 295 53 of 58 COMBINED BUDGET TABLES RFB 2013-009 12-1-2013

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

DEPENDENT CARE DOLLAR AMOUNT 185% 80% 20% 10% 1/3 65+1/2 UNDER AGE 2 AGE 2 & OVER 1811 1812 1813 1814 1815 3350 3352 3354 3355 3357 1448 1449 1450 1451 1452 362 362 362 362 363 181 181 181 181 181 603 604 604 604 605 938 938 939 939 940 200 200 200 200 200 175 175 175 175 175 1816 1817 1818 1819 1820 3359 3361 3363 3365 3367 1452 1453 1454 1455 1456 363 363 363 363 364 181 181 181 181 182 605 605 606 606 606 940 941 941 942 942 200 200 200 200 200 175 175 175 175 175 1821 1822 1823 1824 1825 3368 3370 3372 3374 3376 1456 1457 1458 1459 1460 364 364 364 364 365 182 182 182 182 182 607 607 607 608 608 943 943 944 944 945 200 200 200 200 200 175 175 175 175 175 1826 1827 1828 1829 1830 3378 3379 3381 3383 3385 1460 1461 1462 1463 1464 365 365 365 365 366 182 182 182 182 183 608 609 609 609 610 945 946 946 947 947 200 200 200 200 200 175 175 175 175 175 1831 1832 1833 1834 1835 3387 3389 3391 3392 3394 1464 1465 1466 1467 1468 366 366 366 366 367 183 183 183 183 183 610 610 611 611 611 948 948 949 949 950 200 200 200 200 200 175 175 175 175 175 1836 1837 1838 1839 1840 3396 3395 3400 3402 3404 1468 1469 1470 1471 1472 367 367 367 367 368 183 183 183 183 184 612 612 612 613 613 950 951 951 952 952 200 200 200 200 200 175 175 175 175 175 1841 1842 1843 1844 1845 3405 3407 3409 3411 3413 1472 1473 1474 1475 1476 368 368 368 368 369 184 184 184 184 184 613 614 614 614 615 953 953 954 954 955 200 200 200 200 200 175 175 175 175 175

(295)(page-54)Page 54#

RFT 295 54 of 58 COMBINED BUDGET TABLES RFB 2013-009 12-1-2013

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

DEPENDENT CARE DOLLAR AMOUNT 185% 80% 20% 10% 1/3 65+1/2 UNDER AGE 2 AGE 2 & OVER 1846 1847 1848 1849 1850 3415 3416 3418 3420 3422 1476 1477 1478 1479 1480 369 369 369 369 370 184 184 184 184 185 615 615 616 616 616 955 956 956 957 957 200 200 200 200 200 175 175 175 175 175 1851 1852 1853 1854 1855 3424 3426 3428 3429 3431 1480 1481 1482 1483 1484 370 370 370 370 371 185 185 185 185 185 617 617 617 618 618 958 958 959 959 960 200 200 200 200 200 175 175 175 175 175 1856 1857 1858 1859 1860 3433 3435 3437 3439 3441 1484 1485 1486 1487 1488 371 371 371 371 372 185 185 185 185 186 618 619 619 619 620 960 961 961 962 962 200 200 200 200 200 175 175 175 175 175 1861 1862 1863 1864 1865 3442 3444 3446 3448 3450 1488 1489 1490 1491 1492 372 372 372 372 373 186 186 186 186 186 620 620 621 621 621 963 963 964 964 965 200 200 200 200 200 175 175 175 175 175 1866 1867 1868 1869 1870 3452 3453 3455 3457 3459 1492 1493 1494 1495 1496 373 373 373 373 374 186 186 186 186 187 622 622 622 623 623 965 966 966 967 967 200 200 200 200 200 175 175 175 175 175 1871 1872 1873 1874 1875 3491 3463 3465 3466 3468 1496 1497 1498 1499 1500 374 374 374 374 375 187 187 187 187 187 623 624 624 624 625 968 968 969 969 970 200 200 200 200 200 175 175 175 175 175 1876 1877 1878 1879 1880 3470 3472 3474 3476 3478 1500 1501 1502 1503 1504 375 375 375 375 376 187 187 187 187 188 625 625 626 626 626 970 971 971 972 972 200 200 200 200 200 175 175 175 175 175

(295)(page-55)Page 55#

RFT 295 55 of 58 COMBINED BUDGET TABLES RFB 2013-009 12-1-2013

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

DEPENDENT CARE DOLLAR AMOUNT 185% 80% 20% 10% 1/3 65+1/2 UNDER AGE 2 AGE 2 & OVER 1881 1882 1883 1884 1885 3479 3481 3483 3485 3487 1504 1505 1506 1507 1508 376 376 376 376 377 188 188 188 188 188 627 627 627 628 628 973 973 974 974 975 200 200 200 200 200 175 175 175 175 175 1886 1887 1888 1889 1890 3489 3490 3492 3494 3496 1508 1509 1510 1511 1512 377 377 377 377 378 188 188 188 188 189 628 629 629 629 630 975 976 976 977 977 200 200 200 200 200 175 175 175 175 175 1891 1892 1893 1894 1895 3498 3500 3502 3503 3505 1512 1513 1514 1515 1516 378 378 378 378 379 189 189 189 189 189 630 630 631 631 631 978 978 979 979 980 200 200 200 200 200 175 175 175 175 175 1896 1897 1898 1899 1900 3507 3509 3511 3513 3515 1516 1517 1518 1519 1520 379 379 379 379 380 189 189 189 189 190 632 632 632 633 633 980 981 981 982 982 200 200 200 200 200 175 175 175 175 175 1901 1902 1903 1904 1905 3516 3518 3520 3522 3524 1520 1521 1522 1523 1524 380 380 380 380 381 190 190 190 190 190 633 634 634 634 635 983 983 984 984 985 200 200 200 200 200 175 175 175 175 175 1906 1907 1908 1909 1910 3526 3527 3529 3531 3533 1524 1525 1526 1527 1528 381 381 381 381 382 190 190 190 190 191 635 635 636 636 636 985 986 986 987 987 200 200 200 200 200 175 175 175 175 175 1911 1912 1913 1914 1915 3535 3537 3539 3540 3542 1528 1529 1530 1531 1532 382 382 382 382 383 191 191 191 191 191 637 637 637 638 638 988 988 989 989 990 200 200 200 200 200 175 175 175 175 175

(295)(page-56)Page 56#

RFT 295 56 of 58 COMBINED BUDGET TABLES RFB 2013-009 12-1-2013

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

DEPENDENT CARE DOLLAR AMOUNT 185% 80% 20% 10% 1/3 65+1/2 UNDER AGE 2 AGE 2 & OVER 1916 1917 1918 1919 1920 3544 3546 3548 3550 3552 1532 1533 1534 1535 1536 383 383 383 383 384 191 191 191 191 192 638 639 639 639 640 990 991 991 992 992 200 200 200 200 200 175 175 175 175 175 1921 1922 1923 1924 1925 3553 3555 3557 3559 3561 1536 1537 1538 1539 1540 384 384 384 384 385 192 192 192 192 192 640 640 641 641 641 993 993 994 994 995 200 200 200 200 200 175 175 175 175 175 1926 1927 1928 1929 1930 3563 3564 3566 3568 3570 1540 1541 1542 1543 1544 385 385 385 385 386 192 192 192 192 193 642 642 642 643 643 995 996 996 997 997 200 200 200 200 200 175 175 175 175 175 1931 1932 1933 1934 1935 3572 3574 3576 3577 3579 1544 1545 1546 1547 1548 386 386 386 386 387 193 193 193 193 193 643 644 644 644 645 998 998 999 999 1000 200 200 200 200 200 175 175 175 175 175 1936 1937 1938 1939 1940 3581 3583 3585 3587 3589 1548 1549 1550 1551 1552 387 387 387 387 388 193 193 193 193 194 645 645 646 646 646 1000 1001 1001 1002 1002 200 200 200 200 200 175 175 175 175 175 1941 1942 1943 1944 1945 3590 3592 3594 3596 3598 1552 1553 1554 1555 1556 388 388 388 388 389 194 194 194 194 194 647 647 647 648 648 1003 1003 1004 1004 1005 200 200 200 200 200 175 175 175 175 175 1946 1947 1948 1949 1950 3600 3601 3603 3605 3607 1556 1557 1558 1559 1560 389 389 389 389 390 194 194 194 194 195 648 649 649 649 650 1005 1006 1006 1007 1007 200 200 200 200 200 175 175 175 175 175

(295)(page-57)Page 57#

RFT 295 57 of 58 COMBINED BUDGET TABLES RFB 2013-009 12-1-2013

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

DEPENDENT CARE DOLLAR AMOUNT 185% 80% 20% 10% 1/3 65+1/2 UNDER AGE 2 AGE 2 & OVER 1951 1952 1953 1954 1955 3609 3611 3613 3614 3616 1560 1561 1562 1563 1564 390 390 390 390 391 195 195 195 195 195 650 650 651 651 651 1008 108 1009 1009 1010 200 200 200 200 200 175 175 175 175 175 1956 1957 1958 1959 1960 3618 3620 3622 3624 3626 1564 1565 1566 1567 1568 391 391 391 391 392 195 195 195 195 196 652 652 652 653 653 1010 1011 1011 1012 1012 200 200 200 200 200 175 175 175 175 175 1961 1962 1963 1964 1965 3627 3629 3631 3633 3635 1568 1569 1570 1571 1572 392 392 392 392 393 196 196 196 196 196 653 654 654 654 655 1013 1013 1014 1014 1015 200 200 200 200 200 175 175 175 175 175 1966 1967 1968 1969 1970 3637 3638 3640 3642 3644 1572 1573 1574 1575 1576 393 393 393 393 394 196 196 196 196 197 655 655 656 656 656 1015 1016 1016 1017 1017 200 200 200 200 200 175 175 175 175 175 1971 1972 1973 1974 1975 3646 3648 3650 3651 3653 1576 1577 1578 1579 1580 394 394 394 394 395 197 197 197 197 197 657 657 657 658 658 1018 1018 1019 1019 1020 200 200 200 200 200 175 175 175 175 175 1976 1977 1978 1979 1980 3655 3657 3659 3661 3663 1580 1581 1582 1583 1584 395 395 395 395 396 197 197 197 197 198 658 659 659 659 660 1020 1021 1021 1022 1022 200 200 200 200 200 175 175 175 175 175 1981 1982 1983 1984 1985 3664 3666 3668 3670 3672 1584 1585 1586 1587 1588 396 396 396 396 397 198 198 198 198 198 660 660 661 661 661 1023 1023 1024 1024 1025 200 200 200 200 200 175 175 175 175 175

(295)(page-58)Page 58#

RFT 295 58 of 58 COMBINED BUDGET TABLES RFB 2013-009 12-1-2013

REFERENCE TABLES MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

DEPENDENT CARE DOLLAR AMOUNT 185% 80% 20% 10% 1/3 65+1/2 UNDER AGE 2 AGE 2 & OVER 1986 1987 1988 1989 1990 3674 3675 3677 3679 3681 1588 1589 1590 1591 1592 397 397 397 397 398 198 198 198 198 199 662 662 662 663 663 1025 1026 1026 1027 1027 200 200 200 200 200 175 175 175 175 175 1991 1992 1993 1994 1995 3683 3685 3687 3688 3690 1592 1593 1594 1595 1596 398 398 398 398 399 199 199 199 199 199 663 664 664 664 665 1028 1028 1029 1029 1030 200 200 200 200 200 175 175 175 175 175 1996 1997 1998 1999 2000 3692 3694 3696 3698 3700 1596 1597 1598 1599 1600 399 399 399 399 400 199 199 199 199 200 665 665 666 666 666 1030 1031 1031 1032 1032 200 200 200 200 200 175 175 175 175 175

(248)Michigan Reference Tables Manual: RFT 248 STATE SSI PAYMENT LEVELS#

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(248)Michigan Reference Tables Manual: RFT 248 STATE SSI PAYMENT LEVELS#

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(250)Michigan Reference Tables Manual: RFT 250 FAP INCOME LIMITS#

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(255)Michigan Reference Tables Manual: RFT 255 FOOD ASSISTANCE STANDARDS#

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(260)Michigan Reference Tables Manual: RFT 260 FOOD ASSISTANCE ISSUANCE TABLE#

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