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West Virginia Income Maintenance Manual Chapter 4
West Virginia Income Maintenance Manual Page 239 Chapter 4 Income
APPENDIX A: INCOME LIMITS
Number of Persons Maximum Benefit Allotment Indigent Burial Program 133% SNAP Gross / Net Test MNIL QMB SLIMB QI-1 SSI Max EA LIEAP Gross 130% Cat El Gross 200% Net 100% E & D 165% 1 Mo. 6 Mos. 1 298 1769 1696 2610 1305 2152 200 1200 1330 1331-1596 1597-1796 994 861 2454 2 546 2399 2292 3526 1763 2909 275 1650 1804 1805-2164 2165-2435 1491 1281 3209 3 785 3028 2888 4442 2221 3665 290 1740 Nursing Homes
300% SSI = $2,982
Minimum SMS = $2,705.00 Maximum SMS = $4,066.50 Maximum FMA/each = $811.50
OLE = $175 1316 3965 4 994 3658 3483 5360 2680 4421 312 1872 1366 4720 5 1183 4288 4079 6276 3138 5177 360 2160 1416 5475 6 1421 4917 4675 7192 3596 5934 413 2478 1466 6230 7 1571 5547 5271 8110 4055 6690 461 2766 1516 6372 8 1789 6176 5867 9026 4513 7446 477 2862 1566 6769 9 2007 6806 6463 9944 4992 8203 527 3162 1616 7456 10 2225 7435 7059 10862 5431 8960 577 3462 1666 8144 Add. Person + 218 + 631 + 596 + 918 + 459 + 757
+ 50 + 688 Number of Persons 100% FPL 120% FPL 133% FPL 141% FPL 150% FPL 158% FPL 185% FPL 200% FPL 211% FPL 220% FPL 250% FPL 300% FPL 325% FPL P/C MEDICAID LIMIT WV WORKS PAYMENT 100 % SON 1 1330 1596 1769 1876 1995 2102 2461 2660 2807 2926 3325 3990 4323 187 417 581 2 1804 2164 2399 2543 2750 2850 3337 3607 3806 3968 4509 5410 5861 252 480 786 3 2277
3028 3211 3415 3598 4212 4554 4804 5009 5692 6830 7400 317 542 991 4 2750
3658 3878 4125 4345 5088 5500 5803 6050 6875 8250 8938 389 612 1196 5 3224
4288 4545 4835 5093 5964 6447 6802 7092 8059 9670 10476 450 670 1401 6 3697
4917 5213 5545 5841 6839 7394 7800 8133 9242 11090 12015 516 734 1606 7 4170
5547 5880 6255 6589 7715 8340 8799 9174 10425 12510 13553 578 793 1811 8 4644
6176 6548 6965 7337 8591 9287 9798 10216 11609 13930 15091 606 811 2016 9 5117
6806 7215 7675 8085 9466 10234 10797 11257 12792 15350 16630 606 811 2221 10 5590
7435 7882 8385 8833 10342 11180 11795 12298 13975 16770 18168 606 811 2426 Each Add. Person +474*
+631* +669* +711* +749* +877* +948* +1001* +1043* +1185* +1422* +1541*
*Actual monthly amount may vary. Monthly amount in the eligibility system must be used for eligibility determination.