100 Percent of FPG

Maximum Income Limit.

Minimum Income Limit.

FPG Chart - July 1, 2013, through June 30, 2014.

FPG Chart - July 1, 2012, through June 30, 2013.

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Maximum Income Limit

100% FPG is the maximum income allowed for the following:

l  MA Method A - Children ages 19-20.

l  MA Method A - Parents and relative caretakers.

l  MA Method A spenddown standard.

l  Refugee Medical Assistance (RMA).

Note:  See Refugee Medical Assistance - Income Guidelines for information about when to apply the income limit for RMA.

l  MA Method B clients who do not have a spenddown.

Note:  MA Method B clients with income greater than 100% FPG must use 75% FPG to determine the medical spenddown.

l  Qualified Medicare Beneficiary (QMB).

Minimum Income Limit

Income for the following must be greater than 100% FPG:

l  Service Limited Medicare Beneficiary (SLMB).

Exception:  People with incomes less than 100% FPG may receive SLMB for months before QMB is approved. See SLMB - Eligibility Begin Date.

Note:  The maximum income allowed for SLMB is 120% FPG.

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FPG Chart - July 1, 2013, through June 30, 2014

The figures in this chart are effective July 1, 2013, through June 30, 2014.

100% FPG Income Standards
(Standard E)

Household Size

Monthly Standard

6-Month Standard

Annual Standard

1

$958

$5,748

$11,496

2

$1,293

$7,758

$15,516

3

$1,628

$9,768

$19,536

4

$1,963

$11,778

$23,556

5

$2,298

$13,788

$27,576

6

$2,633

$15,798

$31,596

7

$2,968

$17,808

$35,616

8

$3,303

$19,818

$39,636

9

$3,638

$21,828

$43,656

10

$3,973

$23,838

$47,676

Add'l

$335

$2,010

$4,020

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FPG Chart - July 1, 2012, through June 30, 2013

The figures in this chart are effective July 1, 2012, through June 30, 2013.

100% FPG Income Standards
(Standard E)

Household Size

Monthly Standard

6-Month Standard

Annual Standard

1

$931

$5,586

$11,172

2

$1,261

$7,566

$15,132

3

$1,591

$9,546

$19,092

4

$1,921

$11,526

$23,052

5

$2,251

$13,506

$27,012

6

$2,581

$15,486

$30,972

7

$2,911

$17,466

$34,932

8

$3,241

$19,446

$38,892

9

$3,571

$21,426

$42,852

10

$3,901

$23,406

$46,812

Add'l

$330

$1,980

$3,960

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