| 
 Effective: May 1, 2013  | 
|
| 
 22.05.25ar9 - 150% FPG (Archive)  | 
 Archived: June 1, 2014  | 
FPG Chart - July 1, 2013, through June 30, 2014.
FPG Chart - July 1, 2012, through June 30, 2013.
150% FPG is the maximum income allowed for MA Method A children ages two through 18 who do not have a spenddown.
Note: Use 100% FPG to determine the medical spenddown if these children have income greater than 150% FPG.
FPG Chart - July 1, 2013, through June 30, 2014
The figures in this chart are effective July 1, 2013, through June 30, 2014.
| 
 150% FPG Income Standards  | 
|||
| 
 Household Size  | 
 Monthly Standard  | 
 6-Month Standard  | 
 Annual Standard  | 
| 
 1  | 
 $1,437  | 
 $8,622  | 
 $17,244  | 
| 
 2  | 
 $1,940  | 
 $11,640  | 
 $23,280  | 
| 
 3  | 
 $2,443  | 
 $14,658  | 
 $29,316  | 
| 
 4  | 
 $2,946  | 
 $17,676  | 
 $35,352  | 
| 
 5  | 
 $3,449  | 
 $20,694  | 
 $41,388  | 
| 
 6  | 
 $3,952  | 
 $23,712  | 
 $47,424  | 
| 
 7  | 
 $4,455  | 
 $26,730  | 
 $53,460  | 
| 
 8  | 
 $4,958  | 
 $29,748  | 
 $59,496  | 
| 
 9  | 
 $5,461  | 
 $32,766  | 
 $65,532  | 
| 
 10  | 
 $5,964  | 
 $35,784  | 
 $71,568  | 
| 
 Add'l  | 
 $503  | 
 $3,018  | 
 $6,036  | 
FPG Chart - July 1, 2012, through June 30, 2013
The figures in this chart are effective July 1, 2012, through June 30, 2013.
| 
 150% FPG Income Standards  | 
|||
| 
 Household Size  | 
 Monthly Standard  | 
 6-Month Standard  | 
 Annual Standard  | 
| 
 1  | 
 $1,397  | 
 $8,382  | 
 $16,764  | 
| 
 2  | 
 $1,892  | 
 $11,352  | 
 $22,704  | 
| 
 3  | 
 $2,387  | 
 $14,322  | 
 $28,644  | 
| 
 4  | 
 $2,882  | 
 $17,292  | 
 $34,584  | 
| 
 5  | 
 $3,377  | 
 $20,262  | 
 $40,524  | 
| 
 6  | 
 $3,872  | 
 $23,232  | 
 $46,464  | 
| 
 7  | 
 $4,367  | 
 $26,202  | 
 $52,404  | 
| 
 8  | 
 $4,862  | 
 $29,172  | 
 $58,344  | 
| 
 9  | 
 $5,357  | 
 $32,142  | 
 $64,284  | 
| 
 10  | 
 $5,852  | 
 $35,112  | 
 $70,224  | 
| 
 Add'l  | 
 $495  | 
 $2,970  | 
 $5,940  |