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Page | 10 FAMILIES & CHILDREN INCOME Income Chart Name: Families & Children Medically Needy Income Limits Effective Date: July 1 2026 NOTE: The income charts in this section are associated with Chapter M07 – Families and Children Income of the Medical Assistance Eligibility Manual. Refer to the Reference Information – Grouping of Localities section in this document for a list of Group I, II and III localities and cities. Group I Income Chart # of Persons in Family/Budget Unit Semi-Annual Income Monthly Income 1 $2,531.64 $421.94 2 $3,214.38 $535.73 3 $3,787.59 $631.26 4 $4,273.21 $712.20 5 $4,758.81 $793.13 6 $5,244.40 $874.06 7 $5,729.99 $954.99 8 $6,312.71 $1,052.11 Each additional person $652.56 $108.76

Group II Income Chart # of Persons in Family/Budget Unit Semi-Annual Income Monthly Income 1 $2,913.53 $485.58 2 $3,587.26 $597.87 3 $4,176.10 $696.01 4 $4,661.70 $776.95 5 $5,147.29 $857.88 6 $5,632.89 $938.81 7 $6,118.49 $1,019.74 8 $6,701.20 $1,116.86 Each additional person $652.56 $108.76

Group III Income Chart # of Persons in Family/Budget Unit Semi-Annual Income Monthly Income 1 $3,787.59 $631.26 2 $4,566.19 $761.03 3 $5,147.29 $857.88 4 $5,632.89 $938.81 5 $6,118.49 $1,019.74 6 $6,604.08 $1,100.68 7 $7,089.68 $1,181.61 8 $7,575.30 $1,262.55 Each additional person $652.56 $108.76