UPDATED: NOVEMBER 2009
PAGE 534
REFERENCE
INCOME
MEDICALLY NEEDY INCOME LEVELS AND FEDERAL POVERTY LEVELS
(annual and monthly amounts)
HOUSEHOLD
SIZE
MA Standard
S/CC-LIF
4/1-12/31/08
2009
MA INCOME
2005
2006
2007
2008
1/1-3/31
2008
4/1-12/31/08
2009
100% FPL
2005
2006
2007
2008
1/1-3/31
2008
4/1-12/31/08
2009
ONE
8,067
673
TWO
10,070
840
THREE
11,981
999
FOUR
13,911
1,160
FIVE
15,907
1,326
SIX
17,366
1,448
SEVEN
18,903
1,576
EIGHT
20,876
1,740
EACH ADD’L
PERSON
1,131
95
8,462
706
8,000
667
8,300
692
8,400
700
8,700
725
8,700
725
9,200
767
10,563
881
11,700
975
10,800
900
10,800
900
12,800
1,067
12,800
1,067
13,400
1,117
12,568
1,048
11,800
984
12,200
1,017
13,200
1,100
13,200
1,100
14,800
1,234
15,410
1,285
14,593
1,217
11,900
992
12,300
1,025
13,300
1,109
13,300
1,109
16,700
1,392
17,420
1,452
16,686
1,391
12,000
1000
12,400
1,034
13,400
1,117
13,400
1,117
18,600
1,550
19,430
1,620
18,217
1,519
13,600
1,134
13,600
1,134
13,600
1,134
13,600
1,134
20,500
1,709
21,440
1,787
19,829
1,653
15,300
1,275
15,300
1,275
15,300
1,275
15,300
1,275
22,400
1,867
23,450
1,955
21,899
1,825
17,000
1,417
17,000
1,417
17,000
1,417
17,000
1,417
24,400
2.034
25,460
2,122
99
1,700
142
1,700
142
1,700
142
1,700
142
1,900
159
2,010
168
9,570
798
9,800
817
10,110
843
10,400
867
10,400
867
10,830
903
12,830
1,070
13,200
1,100
13,590
1,133
14,000
1,167
14,000
1,167
14,570
1,215
16,090
1,341
16,600
1,384
17,070
1,423
17,600
1,467
17,600
1,467
18,310
1,526
19,350
1,613
20,000
1,667
20,550
1,713
21,200
1,767
21,200
1,767
22,050
1,838
22,610
1,885
23,400
1,950
24,030
2,003
24,800
2,067
24,800
2,067
25,790
2,150
25,870
2,156
26,800
2,324
27,510
2,293
28,400
2,367
28,400
2,367
29,530
2,461
29,130
2,428
30,200
2,517
30,990
2,583
32,000
2,667
32,000
2,667
33,270
2,773
32,390
2,700
33,600
2,800
34,470
2,873
35,600
2,967
35,600
2,967
37,010
3,085
3,260
272
3,400
284
3,480
290
3,600
300
3,600
300
3,740
312
MRG
UPDATED: NOVEMBER 2009
PAGE 535
REFERENCE
INCOME
MEDICALLY NEEDY INCOME LEVELS AND FEDERAL POVERTY LEVELS
(annual and monthly amounts)
HOUSEHOLD
SIZE
120% FPL
2005
2006
2007
2008
1/1-3/31
2008
4/1-12/31/08
2009
133% FPL
2005
2006
2007
2008
1/1-3/31
2008
4/1-12/31/08
2009
135% FPL
2005
2006
2007
2008
1/1-3/31
2008
4/1-12/31/08
2009
ONE
TWO
11,484 15,396
957
1,283
11,760 15,840
980
1,320
12,132 16,308
1,011
1,359
12,480 16,800
1,040
1,400
12,480 16,800
1,040
1,400
12,996 17,484
1,083
1,457
12,729
1,061
13,034
1,087
13,580
1,132
13,832
1,153
13,832
1,153
14,404
1,201
17,064
1,422
17,556
1,463
18,208
1,518
18,620
1,552
18,620
1,552
19,379
1,615
12,920
1,077
13,230
1,103
13,649
1,138
14,040
1,170
14,040
1,170
14,621
1,219
17,321
1,444
17,820
1,485
18,347
1,529
18,900
1,575
18,900
1,575
19,670
1,640
THREE
FOUR
FIVE
SIX
SEVEN
EIGHT
EACH
ADDITIONAL
PERSON
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N.A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
21,400
1,784
22,078
1,840
22,837
1,904
23,408
1,951
23,408
1,951
24,353
2,030
25,736
2,145
26,600
2,217
27,465
2,289
28,196
2,350
28,196
2,350
29,327
2,444
30,072
2,506
31,122
2,594
32,093
2,675
32,984
2,749
32,984
2,749
34,301
2,859
34,408
2,868
35,644
2,971
36,722
3,061
37,772
3,148
37,772
3,148
39,275
3,273
38,743
3,229
40,166
3,348
41,350
3,446
42,560
3,547
42,560,
3, 547
44,250
3,688
43,079
3,590
44,688
3,724
45,979
3,832
47,348
3,946
47,348
3,946
49,224
4,102
4,336
362
4,522
377
4,629
386
4,788
399
4,788
399
4,975
415
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
MRG
UPDATED: NOVEMBER 2009
PAGE 536
REFERENCE
INCOME
MEDICALLY NEEDY INCOME LEVELS AND FEDERAL POVERTY LEVELS
(annual and monthly amounts)
HOUSEHOLD
SIZE
ONE
TWO
THREE
FOUR
FIVE
SIX
SEVEN
EIGHT
EACH
ADDITIONAL
PERSON
150% FPL
2005
2006
14,355
1,197
14,700
1,225
15,165
1,264
15,600
1,300
15,600
1,300
16,245
1,354
19,245
1,604
19,800
1,650
20,385
1,699
21,000
1,750
21,000
1,750
21,855
1,822
24,135
2,012
24,900
2,075
25,605
2,134
26,400
2,200
26,400
2,200
27,465
2,289
29,025
2,419
30,000
2,500
30,825
2,569
31,800
2,650
31,800
2,650
33,075
2,757
33,915
2,827
35,100
2,925
36,045
3,004
37,200
3,100
37,200
3,100
38,685
3,224
38,805
3,234
40,200
3,350
41,265
3,439
42,600
3,550
42,600
3,550
44,295
3,692
43,695
3,642
45,300
3,775
46,485
3,874
48,000
4,000
48,000
4,000
49,905
4,159
48,585
4,049
50,400
4,200
51,705
4,309
53,400
4,450
53,400
4,450
55,515
4,627
4,890
408
5,100
425
5,220
435
5,400
450
5,400
450
5,610
468
17,705
1,476
18,130
1,511
18,704
1,559
19,240
1,604
19,240
1,604
20,036
1,670
23,736
1,978
24,420
2,035
25,142
2,096
25,900
2,159
25,900
2,159
26,955
2,247
29,767
2,481
30,710
2,560
31,580
2,632
32,500
2,714
32,560
2,714
33,874
2,823
35,798
2,984
37,000
3,084
38,018
3,169
39,220
3,269
39,220
3,269
40,793
3,400
41,829
3,486
43,290
3,608
44,456
3,705
45,880
3,824
45,880
3,824
47,712
3,976
47,860
3,989
49,580
4,132
50,894
4,242
52,540
4,379
52,540
4,379
54,631
4,553
53,891
4,491
55,870
4,656
57,332
4,4778
59,200
4,934
59,200
4,934
61,550
5,130
59,922
4,994
62,160
5,180
63,770
5,315
65,860
5,489
65,860
5,489
68,469
5,706
6,031
503
6,290
525
6,436
537
6,600
555
6,660
555
6,919
577
19,140
1,595
19,600
1,634
20,200
1,685
20,800
1,734
20,800
1,734
21,660
1,805
25,660
2,139
26,400
2,200
27,180
2,265
28,000
2,334
28,000
2,334
29,140
2,429
32,180
2,682
33,200
2,767
34,140
2,845
35,200
2,934
35,200
2,934
36,620
3,052
38,700
3,225
40,000
3,334
41,100
3,425
42,400
3,534
42,400
3,534
44,100
3,675
45,220
3,769
46,800
3,900
48,060
4,005
49,600
4,134
49,600
4,134
51,580
4,299
51,740
4,312
53,600
4,467
55,020
4,585
56,800
4,734
56,800
4,734
59,060
4,922
58,260
4,855
60,400
5,034
61,980
5,165
64,000
5,334
64,000
5,334
66,540
5,545
64,780
5,399
67,200
5,600
68,940
5,745
71,200
5,934
71,200
5,934
74,020
6,169
6,520
544
6,800
567
6,960
580
7,200
600
7,200
600
7,480
624
2007
2008
1/1-3/31
2008
4/1-12/31/08
2009
185% FPL
2005
2006
2007
2008
1/1-3/31
2008
4/1-12/31/08
2009
200% FPL
2005
2006
2007
2008
1/1-3/31
2008
4/1-12/31/08
2009
MRG
UPDATED: NOVEMBER 2009
PAGE 536.1
REFERENCE
INCOME
MEDICALLY NEEDY INCOME LEVELS AND FEDERAL POVERTY LEVELS
(annual and monthly amounts)
HOUSEHOLD
SIZE
ONE
TWO
THREE
FOUR
FIVE
SIX
SEVEN
EIGHT
EACH
ADDITIONAL
PERSON
250% FPL
2005
2006
23,925
1,994
24,500
2,042
25,275
2,107
26,000
2,167
26,000
2,167
27,075
2,257
32,075
2,673
33,000
2,750
33,975
2,832
35,000
2,917
35,000
2,917
36,425
3,036
40,225
3,353
41,500
3,459
48,375
4,032
50,000
4,167
56,525
4,711
58,500
4,875
64,675
5,390
67,000
5,584
72,825
6,069
75,500
6,292
80,975
6,748
84,000
7,000
8,150
680
8,500
709
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
2007
2008
1/1-3/31
2008
4/1-12/31/08
2009
MRG