UPDATED: JUNE 2010
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
2010
MA INCOME
2006
2007
2008
1/1-3/31
2008
4/1-12/31/08
2009
2010
100% FPL
2006
2007
2008
1/1-3/31
2008
4/1-12/31/08
2009
2010
EACH ADD’L
PERSON
1,131
95
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
8,462
706
8,479
707
10,563
881
10,584
883
12,568
1,048
12,593
1,050
14,593
1,217
14,622
1,219
16,686
1,391
16,719
1,394
18,217
1,519
18,253
1,522
19,829
1,653
19,869
1,656
21,899
1,825
21,943
1,829
8,300
692
8,400
700
8,700
725
8,700
725
9,200
767
9,200
767
10,800
900
10,800
900
12,800
1,067
12,800
1,067
13,400
1,117
13,400
1,117
12,200
1,017
13,200
1,100
13,200
1,100
14,800
1,234
15,410
1,285
15,410
1,285
12,300
1,025
13,300
1,109
13,300
1,109
16,700
1,392
17,420
1,452
17,420
1,452
12,400
1,034
13,400
1,117
13,400
1,117
18,600
1,550
19,430
1,620
19,430
1,620
13,600
1,134
13,600
1,134
13,600
1,134
20,500
1,709
21,440
1,787
21,440
1,787
15,300
1,275
15,300
1,275
15,300
1,275
22,400
1,867
23,450
1,955
23,450
1,955
17,000
1,417
17,000
1,417
17,000
1,417
24,400
2.034
25,460
2,122
25,460
2,122
1,700
142
1,700
142
1,700
142
1,900
159
2,010
168
2,010
168
9,800
817
10,110
843
10,400
867
10,400
867
10,830
903
10,830
903
13,200
1,100
13,590
1,133
14,000
1,167
14,000
1,167
14,570
1,215
14,570
1,215
16,600
1,384
17,070
1,423
17,600
1,467
17,600
1,467
18,310
1,526
18,310
1,526
20,000
1,667
20,550
1,713
21,200
1,767
21,200
1,767
22,050
1,838
22,050
1,838
23,400
1,950
24,030
2,003
24,800
2,067
24,800
2,067
25,790
2,150
25,790
2,150
26,800
2,324
27,510
2,293
28,400
2,367
28,400
2,367
29,530
2,461
29,530
2,461
30,200
2,517
30,990
2,583
32,000
2,667
32,000
2,667
33,270
2,773
33,270
2,773
33,600
2,800
34,470
2,873
35,600
2,967
35,600
2,967
37,010
3,085
37,010
3,085
3,400
284
3,480
290
3,600
300
3,600
300
3,740
312
3,740
312
MRG
99
99
UPDATED: JUNE 2010
PAGE 535
REFERENCE
INCOME
MEDICALLY NEEDY INCOME LEVELS AND FEDERAL POVERTY LEVELS
(annual and monthly amounts)
HOUSEHOLD
SIZE
120% FPL
2006
2007
2008
1/1-3/31
2008
4/1-12/31/08
2009
2010
133% FPL
2006
2007
2008
1/1-3/31
2008
4/1-12/31/08
2009
2010
133% FPL
2006
2007
2008
1/1-3/31
2008
4/1-12/31/08
2009
2010
ONE
TWO
11,760
980
12,132
1,011
12,480
1,040
12,480
1,040
12,996
1,083
12,996
1,083
15,840
1,320
16,308
1,359
16,800
1,400
16,800
1,400
17,484
1,457
17,484
1,457
13,034
1,087
13,580
1,132
13,832
1,153
13,832
1,153
14,404
1,201
14,404
1,201
17,556
1,463
18,208
1,518
18,620
1,552
18,620
1,552
19,379
1,615
19,379
1,615
13,230
1,103
13,649
1,138
14,040
1,170
14,040
1,170
14,621
1,219
14,621
1,219
17,820
1,485
18,347
1,529
18,900
1,575
18,900
1,575
19,670
1,640
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
22,078
1,840
22,837
1,904
23,408
1,951
23,408
1,951
24,353
2,030
24,353
2,030
26,600
2,217
27,465
2,289
28,196
2,350
28,196
2,350
29,327
2,444
29,327
2,444
31,122
2,594
32,093
2,675
32,984
2,749
32,984
2,749
34,301
2,859
34,301
2,859
35,644
2,971
36,722
3,061
37,772
3,148
37,772
3,148
39,275
3,273
39,275
3,273
40,166
3,348
41,350
3,446
42,560
3,547
42,560,
3, 547
44,250
3,688
44,250
3,688
44,688
3,724
45,979
3,832
47,348
3,946
47,348
3,946
49,224
4,102
49,224
4,102
4,522
377
4,629
386
4,788
399
4,788
399
4,975
415
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: JUNE 2010
PAGE 536
REFERENCE
INCOME
MEDICALLY NEEDY INCOME LEVELS AND FEDERAL POVERTY LEVELS
(annual and monthly amounts)
HOUSEHOLD
SIZE
150% FPL
2006
2007
2008
1/1-3/31
2008
4/1-12/31/08
2009
2010
185% FPL
2006
2007
2008
1/1-3/31
2008
4/1-12/31/08
2009
2010
200% FPL
2006
2007
2008
1/1-3/31
2008
4/1-12/31/08
2009
2010
ONE
TWO
THREE
FOUR
FIVE
SIX
SEVEN
EIGHT
14,700
1,225
15,165
1,264
15,600
1,300
15,600
1,300
16,245
1,354
16,245
1,354
19,800
1,650
20,385
1,699
21,000
1,750
21,000
1,750
21,855
1,822
21,855
1,822
24,900
2,075
25,605
2,134
26,400
2,200
26,400
2,200
27,465
2,289
27,465
2,289
30,000
2,500
30,825
2,569
31,800
2,650
31,800
2,650
33,075
2,757
33,075
2,757
35,100
2,925
36,045
3,004
37,200
3,100
37,200
3,100
38,685
3,224
38,685
3,224
40,200
3,350
41,265
3,439
42,600
3,550
42,600
3,550
44,295
3,692
44,295
3,692
45,300
3,775
46,485
3,874
48,000
4,000
48,000
4,000
49,905
4,159
49,905
4,159
50,400
4,200
51,705
4,309
53,400
4,450
53,400
4,450
55,515
4,627
55,515
4,627
EACH
ADDITIONAL
PERSON
5,100
425
5,220
435
5,400
450
5,400
450
5,610
468
5,610
468
18,130
1,511
18,704
1,559
19,240
1,604
19,240
1,604
20,036
1,670
20,036
1,670
24,420
2,035
25,142
2,096
25,900
2,159
25,900
2,159
26,955
2,247
26,955
2,247
30,710
2,560
31,580
2,632
32,500
2,714
32,560
2,714
33,874
2,823
33,874
2,823
37,000
3,084
38,018
3,169
39,220
3,269
39,220
3,269
40,793
3,400
40,793
3,400
43,290
3,608
44,456
3,705
45,880
3,824
45,880
3,824
47,712
3,976
47,712
3,976
49,580
4,132
50,894
4,242
52,540
4,379
52,540
4,379
54,631
4,553
54,631
4,553
55,870
4,656
57,332
4,4778
59,200
4,934
59,200
4,934
61,550
5,130
61,550
5,130
62,160
5,180
63,770
5,315
65,860
5,489
65,860
5,489
68,469
5,706
68,469
5,706
6,290
525
6,436
537
6,600
555
6,660
555
6,919
577
6,919
577
19,600
1,634
20,200
1,685
20,800
1,734
20,800
1,734
21,660
1,805
21,660
1,805
26,400
2,200
27,180
2,265
28,000
2,334
28,000
2,334
29,140
2,429
29,140
2,429
33,200
2,767
34,140
2,845
35,200
2,934
35,200
2,934
36,620
3,052
36,620
3,052
40,000
3,334
41,100
3,425
42,400
3,534
42,400
3,534
44,100
3,675
44,100
3,675
46,800
3,900
48,060
4,005
49,600
4,134
49,600
4,134
51,580
4,299
51,580
4,299
53,600
4,467
55,020
4,585
56,800
4,734
56,800
4,734
59,060
4,922
59,060
4,922
60,400
5,034
61,980
5,165
64,000
5,334
64,000
5,334
66,540
5,545
66,540
5,545
67,200
5,600
68,940
5,745
71,200
5,934
71,200
5,934
74,020
6,169
74,020
6,169
6,800
567
6,960
580
7,200
600
7,200
600
7,480
624
7,480
624
MRG
UPDATED: JUNE 2010
PAGE 536.1
REFERENCE
INCOME
MEDICALLY NEEDY INCOME LEVELS AND FEDERAL POVERTY LEVELS
(annual and monthly amounts)
HOUSEHOLD
SIZE
250% FPL
2006
2007
2008
1/1-3/31
2008
4/1-12/31/08
2009
2010
ONE
TWO
THREE
FOUR
FIVE
SIX
SEVEN
EIGHT
24,500
2,042
25,275
2,107
26,000
2,167
26,000
2,167
27,075
2,257
27,075
2,257
33,000
2,750
33,975
2,832
35,000
2,917
35,000
2,917
36,425
3,036
36,425
3,036
41,500
3,459
50,000
4,167
58,500
4,875
67,000
5,584
75,500
6,292
84,000
7,000
EACH
ADDITIONAL
PERSON
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
N/A
N/A
N/A
N/A
N/A
N/A
N/A
MRG