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Page | 19 Income Chart Name: Aged, Blind, Disabled (ABD) Categorically Needy for 80% FPL Effective Date: January 13, 2026 for those without SSI; March 1, 2026 for those with SSI Family Unit Size 2025 Annual 2025 Monthly 2026 Annual 2026 Monthly 1 $12,520 $1,044 $12,768 $1,064 2 $16,920 $1,410 $17,312 $1,443

Income Chart Name: Aged, Blind, Disabled (ABD) Categorically Needy for QMB 100% FPL Effective Date: January 13, 2026 for those without SSI; March 1, 2026 for those with SSI Family Unit Size 2025 Annual 2025 Monthly 2026 Annual 2026 Monthly 1 $15,650 $1,305 $15,960 $1,330 2 $21,150 $1,763 $21,640 $1,804

Income Chart Name: Aged, Blind, Disabled (ABD) Categorically Needy for SLMB 120% of FPL Effective Date: January 13, 2026 for those without SSI; March 1, 2026 for those with SSI Family Unit Size 2025 Annual 2025 Monthly 2026 Annual 2026 Monthly 1 $18,780 $1,565 $19,152 $1,596 2 $25,380 $2,115 $25,968 $2,164

Income Chart Name: Aged, Blind, Disabled (ABD) Categorically Needy for QI 135% of FPL Effective Date: January 13, 2026 for those without SSI; March 1, 2026 for those with SSI Family Unit Size 2025 Annual 2025 Monthly 2026 Annual 2026 Monthly 1 $21,128 $1,761 $21,546 $1,796 2 $28,553 $2,380 $29,214 $2,435

Income Chart Name: Aged, Blind, Disabled (ABD) Categorically Needy for QDWI 200% of FPL Effective Date: January 13, 2026 Family Unit Size 2025 Annual 2025 Monthly 2026 Annual 2026 Monthly 1 $31,300 $2,609 $31,920 $2,660 2 $42,300 $3,525 $43,280 $3,607