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Ten Person Household 47% Entrance Level: $97,458 67% Exit Level (at redetermination): $138,929 85% Exit Level (during eligibility period): $176,253 Gross income range Biweekly copayment From To $0 $48,862 $0 $48,863 $65,149 $2 $65,150 $65,710 $66 $65,711 $68,448 $77 $68,449 $71,185 $80 $71,186 $73,943 $83 $73,944 $76,659 $86 $76,660 $79,417 $98 $79,418 $82,154 $102 $82,155 $84,891 $105 $84,892 $87,628 $129 $87,629 $90,365 $133 $90,366 $93,102 $160 $93,103 $95,839 $175 $95,840 $98,577 $192 $98,578 $101,314 $220 $101,315 $104,051 $238 $104,052 $106,788 $256 $106,789 $109,525 $288 $109,526 $112,262 $327 $112,263 $114,999 $368 $115,000 $117,736 $417 $117,737 $120,473 $467 $120,474 $123,211 $518 $123,212 $125,948 $559 $125,949 $128,705 $602 $128,706 $131,443 $646 $131,444 $134,180 $690 $134,181 $138,929 $748

Eleven Person Household 47% Entrance Level: $99,488 67% Exit Level (at redetermination): $141,824 85% Exit Level (during eligibility period): $179,925 Gross income range Biweekly copayment From To $0 $52,987 $0 $52,988 $70,649 $2 $70,650 $72,668 $81 $72,669 $75,483 $84 $75,484 $78,256 $88 $78,257 $81,071 $100 $81,072 $83,865 $103 $83,866 $86,660 $107 $86,661 $89,454 $132 $89,455 $92,248 $136 $92,249 $95,042 $163 $95,043 $97,836 $179 $97,837 $100,630 $195 $100,631 $103,424 $225 $103,425 $106,219 $243 $106,220 $109,013 $262 $109,014 $111,807 $294 $111,808 $114,601 $334 $114,602 $117,395 $376 $117,396 $120,189 $425 $120,190 $122,983 $476 $122,984 $125,777 $529 $125,778 $128,572 $571 $128,573 $131,387 $614 $131,388 $134,181 $659 $134,182 $136,975 $705 $136,976 $141,824 $764