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Effective: June 1, 2009 |
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22.05.25ar4 - 150% FPG (Archive) |
Archived: June 1, 2010 |
FPG Chart - July 1, 2009, through June 30, 2010.
FPG Chart - July 1, 2008, through June 30, 2009.
150% FPG is the maximum income allowed for the following:
l 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.
l MinnesotaCare major programs LL and KK, eligibility type 1 - infants to age 2.
l MinnesotaCare major programs LL and KK, eligibility type C1 - children ages 2 to 21.
l MinnesotaCare major programs LL and KK, eligibility type P1 - pregnant women.
Income for the following must be greater than 150% FPG:
l MinnesotaCare major programs LL and KK, eligibility type I2 - infants to age 2.
l MinnesotaCare major programs LL and KK, eligibility type C2 - children ages 2 to 21.
l MinnesotaCare major programs LL and KK, eligibility type P2 - pregnant women.
Note: Pregnant women ages 21 or over with income at or below 275% FPG may also be LL and KK, eligibility type P2.
FPG Chart - July 1, 2009, through June 30, 2010
The figures in this chart are effective July 1, 2009, through June 30, 2010.
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150% FPG Income Standards |
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Household Size |
Monthly Standard |
6-Month Standard |
Annual Standard |
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1 |
$1,354 |
$8,124 |
$16,248 |
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2 |
$1,822 |
$10,932 |
$21,864 |
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3 |
$2,290 |
$13,740 |
$27,480 |
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4 |
$2,758 |
$16,548 |
$33,096 |
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5 |
$3,226 |
$19,356 |
$38,712 |
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6 |
$3,694 |
$22,164 |
$44,328 |
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7 |
$4,162 |
$24,972 |
$49,944 |
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8 |
$4,630 |
$27,780 |
$55,560 |
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9 |
$5,098 |
$30,588 |
$61,176 |
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10 |
$5,566 |
$33,396 |
$66,792 |
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Add'l |
$468 |
$2,808 |
$5,616 |
FPG Chart - July 1, 2008, through June 30, 2009
The figures in this chart are effective July 1, 2008, through June 30, 2009.
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150% FPG Income Standards |
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Household Size |
Monthly Standard |
6-Month Standard |
Annual Standard |
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1 |
$1,300 |
$7,800 |
$15,600 |
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2 |
$1,750 |
$10,500 |
$21,000 |
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3 |
$2,200 |
$13,200 |
$26,400 |
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4 |
$2,650 |
$15,900 |
$31,800 |
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5 |
$3,100 |
$18,600 |
$37,200 |
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6 |
$3,550 |
$21,300 |
$42,600 |
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7 |
$4,000 |
$24,000 |
$48,000 |
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8 |
$4,450 |
$26,700 |
$53,400 |
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9 |
$4,900 |
$29,400 |
$58,800 |
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10 |
$5,350 |
$32,100 |
$64,200 |
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Add'l |
$450 |
$2,700 |
$5,400 |