Medicaid  

Rates Updated through 12/31/2003

Income and Resource Standards
Scroll down for Federal Poverty Levels (FPL)

Household Size

Resources
($)

Medicaid Income Level
($)

100% FPL
($)

120%FPL
($)

133%FPL
($)

185% FPL
($)

200%FPL
($)

Year

Mon.

Year

Mon.

Year

Mon.

Year

Mon.

Year

Mon.

Year

Mon.

1

3,850

7,600

642

9036

753

10,843

903

12,012

982

16,717

1,393

18,060

1,505

2

5,600

11,208

934

12,180

1015

14,616

1,218

16,188

1,324

22,533

1,878

24,348

2,029

3

5,650

11,304

942

15,312

1,276

18,374

1,531

20,364

1,697

28,327

2,361

30,624

2,552

4

5,700

11,400

950

18,456

1,538

22,147

1,846

24,540

2,045

34,143

2,845

36,900

3,075

5

5,950

11,904

992

21,600

1,800

25,920

2,160

28,716

2,393

39,960

3,330

43,188

3,599

6

6,800

13,608

1,134

24,732

2,061

29,678

2,473

32,892

2,741

45,754

3,812

49,464

4,122

7

7,650

15,300

1,275

27,876

2,323

33,415

2,785

37,068

3,089

51,570

4,298

55,740

4,645

8

8,500

17,004

1,417

31,020

2,585

37,224

3,102

41,244

3,437

57,387

4,782

62,028

5,169

Each Add’l Person

+850

+1,700

+142

+3,144

+262

+3,696

+308

+4,188

+349

+5,816

+485

+6,288

+524

 

Federal Poverty Levels (FPL)

Spousal Impoverishment

Income ($)

Resources ($)
Community Spouse                                    $2,267 $90,660*
Institutionalized Spouse                                    $50** $3,850
Family Member Allowance $1,493 is used in the FMA, the maximum allowance is $498  

*In determining the community spouse resource allowance on and after January 1, 1997, the community spouse is permitted to retain resources in an amount equal to the greater of the following $74,820 or the amount of the spousal share up to $89,280.
The spousal share is the amount equal to one half of the total value of the countable resources of the couple as of the date of the first continuous period of institutionalization of the institutionalized spouse on or after September 30, 1989.

**Please note that there are new income levels for those married Medicaid recipients residing at home receiving certain services. Contact our offices for further information.