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UPDATED: JANUARY 2012

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INCOME FEDERAL POVERTY LEVELS

MEDICAID EXPANDED INCOME LEVELS

Policy: The expanded income levels represent 100%, 133% and 200% of the federal poverty level (FPL). They are used to determine eligibility as follows:

• pregnant women - 100% or 200% (See CATEGORICAL FACTORS PREGNANCY and OTHER ELIGIBLITY REQUIREMENTS PRESUMPTIVE ELIGIBILITY PREGNANT WOMEN); • infants under the age of one (1) - 200% • children between the age of one (1) and eighteen (18) - 133%

NOTE: See REFERENCE MEDICALLY NEEDY INCOME AND FEDERAL POVERTY LEVELS for a chart displaying the Medicaid Levels and Federal Poverty Levels.

References: SSL Sect.

366.4 (m), (n) and (o)

Dept. Reg.

360-4.1(b) 360-4.7(b) 360-4.8(a)

ADMs

06 OMM/ADM-4

05 OMM/ADM-2

98 OMM/ADM–6

90 ADM-42

90 ADM-9

GISs

11 MA/021

07 MA/005

06 MA/029

06 MA/006

05 MA/045

05 MA/013

05 MA/011

02 MA/008

Interpretation: When determining eligibility under the Medicaid expanded income levels, household size is determined by counting those applying, their legally responsible relatives and any siblings under age 21 residing with them, whether or not the siblings are applying (See OTHER ELIGIBILITY REQUIREMENTS HOUSEHOLD COMPOSITION, HOUSEHOLD SIZE FOR POVERTY LEVEL PROGRAMS (PREGNANT WOMEN AND CHILDREN).

(MRG)