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ACA/FMA MEDICAID 003 Table of Standards: ACA Parent Caretaker Relative Income

Supersedes: ACA/FMA 003 (04/01/2024) Reference: ARM 37.82.101; PL 104-193; 42 CFR 435.110, .601 Overview: Use the following Income Standards to determine income eligibility for an income standards after speciﬁed disregards. If countable monthly income exceeds the standard, these standards are not applied to determine medically needy eligibility for a parent/caretaker relative. (see CMA 002 Table of Standards-Medically Needy Income) COUNTABLE MONTHLY INCOME STANDARDS – Effective April 01, 2025 FAMILY SIZE INCOME PER MONTH 1 $313 2 $423 3 $533 4 $643 5 $753 6 $863 7 $973 8 $1,083 9 $1,193 10 $1,303 11 $1,413

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Official source

ACA/FMA MEDICAID 003 Table of Standards: ACA Parent Caretaker Relative Income

Supersedes: ACA/FMA 003 (04/01/2024) Reference: ARM 37.82.101; PL 104-193; 42 CFR 435.110, .601 Overview: Use the following Income Standards to determine income eligibility for an income standards after speciﬁed disregards. If countable monthly income exceeds the standard, these standards are not applied to determine medically needy eligibility for a parent/caretaker relative. (see CMA 002 Table of Standards-Medically Needy Income) COUNTABLE MONTHLY INCOME STANDARDS – Effective April 01, 2025 FAMILY SIZE INCOME PER MONTH 1 $313 2 $423 3 $533 4 $643 5 $753 6 $863 7 $973 8 $1,083 9 $1,193 10 $1,303 11 $1,413