Aged Blind Or Disabled (ABD)
FAMILY SIZE | MONTHLY INCOME (Eff. 03/01/2022) | ANNUAL INCOME (Eff. 03/01/2022) | Resources (Eff. (01/01/2022) |
1 2 | $1,133 $1,526 | $ 13,590 $ 18,310 | $ 8,400 $ 12,600 |
Breast & Cervical Cancer Program
FAMILY SIZE | MONTHLY INCOME (Eff. 03/01/2022) | ANNUAL INCOME (Eff. 03/01/2022) |
1 | 2,265.00 | 27,180.00 |
2 | 3,052.00 | 36,620.00 |
3 | 3,839.00 | 46,060.00 |
4 | 4,625.00 | 55,500.00 |
5 | 5,412.00 | 64,940.00 |
6 | 6,199.00 | 74,380.00 |
7 | 6,985.00 | 83,820.00 |
8 | 7,772.00 | 93,260.00 |
Each Additional Member | 787.00 | 9,440.00 |
Disabled Children
(300% of the Federal Benefit Rate-FBR)
January 1, 2022
Family Size | Monthly Income Limit |
Individual | $2,523 |
Family Planning
Family Size | Eff. 03/01/2022 | |
Monthly Income | Annual Income | |
1 | 2,197.05 | 26,364.60 |
2 | 2,960.11 | 35,521.40 |
3 | 3,723.18 | 44,678.20 |
4 | 4,486.25 | 53,835.00 |
5 | 5,249.31 | 62,991.80 |
6 | 6,012.38 | 72,148.60 |
7 | 6,775.45 | 81,305.40 |
8 | 7,538.51 | 90,462.20 |
Each Additional Member | 763.06 | 9,156.80 |
Medically Indigent Assistance Program (MIAP)
Family income cannot exceed 200% of the Federal Poverty Level
Additionally, an applicant’s resources and assets cannot exceed the following thresholds:
Primary Residence (the home you live in)
- $35,000 limit on equity value
- A family farm of 50 acres or less on which the applicant or his family has lived for at least 25 years is excluded from resources.
Personal Property
- Equity interest in real property and taxable personal property (such as motor vehicles) cannot exceed a combined total value of $6,000
Liquid Assets
- Assets in cash cannot exceed $500
An applicant with excess liquid assets may establish eligibility by spending the family's excess liquid assets on valid debts such as rent/mortgage, utilities and medical expenses.
Partners for Healthy Children (PHC)
1 | 2,355.60 |
2 | 3,173.73 |
3 | 3,991.86 |
4 | 4,810.00 |
5 | 5,628.13 |
6 | 6,446.26 |
7 | 7,264.40 |
8 | 8,082.53 |
Each Additional Member | 818.13 |
Pregnant Women and Infants
Family Size | Eff. 03/01/2022 | |
Monthly Income | Annual Income | |
1 | 2,197.05 | 26,364.60 |
2 | 2,960.11 | 35,521.40 |
3 | 3,723.18 | 44,678.20 |
4 | 4,486.25 | 53,835.00 |
5 | 5,249.31 | 62,991.80 |
6 | 6,012.38 | 72,148.60 |
7 | 6,775.45 | 81,305.40 |
8 | 7,538.51 | 90,462.20 |
Each Additional Member | 763.06 | 9,156.80 |
Qualified Medicare Beneficiaries (QMB)
FAMILY SIZE | MONTHLY INCOME (Eff. 03/01/2022) | ANNUAL INCOME (Eff. 03/01/2022) | Resources (Eff. 01/01/2022) |
1 2 | $1,133 $1,526 | $ 13,590 $ 18,310 | $ 8,400 $ 12,600 |
Working Disabled
Family Size | Monthly Income (Eff. 03/01/2022) | Annual Income (Eff. 03/01/2022) |
1 | 2,832.00 | 33,975.00 |
2 | 3,815.00 | 45,775.00 |
3 | 4,798.00 | 57,575.00 |
4 | 5,782.00 | 69,375.00 |
5 | 6,765.00 | 81,175.00 |
6 | 7,748.00 | 92,975.00 |
7 | 8,732.00 | 104,775.00 |
8 | 9,715.00 | 116,575.00 |
Each Additional Member | 984.00 | 11,800.00 |
For family sizes over 8, add the amount shown for each additional person to income limit for 8.
If applicant's household meets income requirement of 250% FPL, it must also be determined whether the applicant has unearned income equal to or less than 100% FPL.
Applicant’s Unearned Income (Eff. 03/01/2022) | |
Monthly Income | Annual Income |
$1,133 | $13,590 |