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Eight Person Household 47% Entrance Level: $93,397 67% Exit Level (at redetermination): $133,140 85% Exit Level (during eligibility period): $168,909 Gross income range Biweekly copayment From To $0 $40,612 $0 $40,613 $54,149 $2 $54,150 $55,103 $55 $55,104 $57,726 $58 $57,727 $60,349 $60 $60,350 $62,972 $63 $62,973 $65,595 $73 $65,596 $68,219 $76 $68,220 $70,861 $79 $70,862 $73,465 $82 $73,466 $76,108 $94 $76,109 $78,731 $97 $78,732 $81,354 $101 $81,355 $83,977 $124 $83,978 $86,600 $128 $86,601 $89,223 $153 $89,224 $91,846 $168 $91,847 $94,469 $184 $94,470 $97,092 $211 $97,093 $99,715 $228 $99,716 $102,338 $246 $102,339 $104,961 $276 $104,962 $107,584 $314 $107,585 $110,207 $353 $110,208 $112,831 $399 $112,832 $115,454 $447 $115,455 $118,077 $497 $118,078 $120,700 $536 $120,701 $123,343 $577 $123,344 $125,966 $618 $125,967 $128,589 $662 $128,590 $133,140 $717

Nine Person Household 47% Entrance Level: $95,427 67% Exit Level (at redetermination): $136,035 85% Exit Level (during eligibility period): $172,581 Gross income range Biweekly copayment From To $0 $44,737 $0 $44,738 $59,649 $2 $59,650 $61,661 $62 $61,662 $64,341 $65 $64,342 $67,022 $75 $67,023 $69,702 $78 $69,703 $72,402 $81 $72,403 $75,062 $84 $75,063 $77,762 $96 $77,763 $80,442 $99 $80,443 $83,122 $102 $83,123 $85,802 $127 $85,803 $88,483 $131 $88,484 $91,163 $156 $91,164 $93,843 $172 $93,844 $96,523 $187 $96,524 $99,203 $216 $99,204 $101,883 $233 $101,884 $104,563 $251 $104,564 $107,243 $282 $107,244 $109,923 $320 $109,924 $112,603 $361 $112,604 $115,283 $408 $115,284 $117,963 $457 $117,964 $120,644 $508 $120,645 $123,324 $548 $123,325 $126,024 $589 $126,025 $128,704 $632 $128,705 $131,384 $676 $131,385 $136,035 $732