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Page 7 of 8 Appendix C-1 7/1/2023 Schedule XV - Title IV-E eligibility for children in custody of DHS or a federally recognized Indian tribe Monthly countable income must be less than the NEED standard for size of the household from which the child(ren) was removed. Monthly countable income is defined as the gross unearned income added to the earned income less income exemptions. Earned income exemptions include $90 work related expenses, $30 and 1/3 of the balance. Rules are based on AFDC policy in effect on July 1, 1996. A. Child(ren) and one or two adults included in the assistance payment. Number of persons 1 2 3 4 5 6 7 8 9 or more Need standard $398 $499 $645 $798 $933 $1,068 $1,203 $1,323 $1,436 Gross income maximum cannot exceed $736 $923 $1,193 $1,476 $1,726 $1,975 $2,225 $2,447 $2,656 B. Children only (no adults) included in the assistance payment. Number of children 1 2 3 4 5 6 7 8 9 or more Need standard $193 $380 $534 $687 $823 $967 $1,092 $1,211 $1,324 Gross income maximum cannot exceed $357 $703 $987 $1,270 $1,522 $1,788 $2,020 $2,240 $2,449 C. Maximum reserve: The countable reserve must be equal to or less than $10,000 per child. Schedule XVI - TANF Diversion Assistance (DA) When funds are available, monthly maximum gross income must be equal to or less than the following standards per family size (200 percent of Federal Poverty Guidelines). Child(ren) and one or two adults included in the assistance payment. Number of persons 1 2 3 4 5 6 7 8 9 or more Monthly maximum gross income cannot exceed $2,147 $2,903 $3,660 $4,417 $5,173 $5,930 $6,687 $7,443 $8,200 Payment standard $180 $225 $292 $361 $422 $483 $544 $598 $650 Maximum reserve: The countable reserve must be equal to or less than $2,250 per Diversion Assistance case. Non-liquid resources, excluding the home and $5,000 equity in one automobile, must not exceed $2,250.