621.00 Income Standards

 

A. Introduction

 

This manual section provides the Federal standards that are used for the eligibility determinations.

 

Note: Generally, the Federal Benefit Rate (FBR) standards change in January each year and the Federal Poverty Level (FPL) standards change in April each year.

 


 

B. FBR

 

The table below provides the FBR amounts for 2011, 2012, 2013.

 

 

Effective 1/1/11 to 12/31/11

Effective 1/1/12 to 12/31/12

Effective 1/1/13 to 12/31/13

Individual/Single Parent Allocation (100% FBR)

$674.00

$698.00

$710.00

Couple/2 Parent Allocation

$1,011.00

$1,048.00

$1,066.00

Child Allocation

$338.00

$350.00

$356.00

300% of the individual FBR

$2,022.00

$2,094.00

$2,130.00

 


 

C. SSI Non Cash Standards

 

Income eligibility for SSI Non-cash can be determined either under FBR or FPL income limits. An individual’s monthly income must not exceed the appropriate income limits as set below.

 

100% of FBR
 

Effective 1/1/11 to 12/31/11

Effective 1/1/12 to 12/31/12

Effective 1/1/13 to 12/31/13

Individual

$674.00

$698.00

$710.00

Couple

$1,011.00

$1,048.00

$1,066.00

 

100% of FPL
 

Effective 4/1/11 to 3/31/12

Effective 4/1/12 to 3/31/13

Effective 4/1/13 to 3/31/14

Individual

$908.00

$931.00

$958.00

Couple

$1,226.00

$1,261.00

$1,293.00

 


 

D. QMB Income Standards

 

An individual’s monthly income must not exceed the appropriate percentage of the Federal Poverty Level (FPL), as specified below.

 

100% of FPL
 

Effective 4/1/11 to 3/31/12

Effective 4/1/12 to 3/31/13

Effective 4/1/13 to 3/31/14

Individual

$908.00

$931.00

$958.00

Couple

$1,226.00

$1,261.00

$1,293.00

 


 

E. SLMB Income Standards

 

An individual’s monthly income must not exceed the appropriate percentage of the Federal Poverty Level (FPL), as specified below.

 

Greater than 100%, Equal to or Less than 120% of FPL
 

Effective 4/1/11 to 03/31/12

Effective 4/1/12 to 3/31/13

Effective 4/1/13 to 3/31/14

Individual

$908.01 - $1,089.00

$931.01 - $1,117.00

$958.01 - $1,149.00

Couple

$1,226.01 - $1,471.00

$1,261.01 - $1,513.00

$1,293.01 - $1,551.00

 


 

F. QI-1 Income Standards

 

An individual’s monthly income must not exceed the appropriate percentage of the Federal Poverty Level (FPL), as specified below.

 

Greater than 120%, Equal to or Less than 135% of the FPL
 

Effective 4/1/11 to 3/31/12

Effective 4/1/12 to 3/31/13

Effective 4/1/13 to 3/31/14

Individual

$1,089.01 - $1,226.00

$1,117.01 - $1,257.00

$1,149.01 - $1,293.00

Couple

$1,471.01 - $1,655.00

$1,513.01 - $1,703.00

$1,551.01 - $1,745.00

 


 

G. QDWI Income Standards

 

An individual’s monthly income must not exceed the appropriate percentage of the Federal Poverty Level (FPL), as specified below.

 

200% of FPL

 

Effective 4/1/11 to 3/31/12

Effective 4/1/12 to 3/31/13

Effective 4/1/13 to 3/31/14

Individual

$1,815.00

$1,862.00

$1,915.00

Couple

$2,452.00

$2,522.00

$2,585.00

 


 

H. AHCCCS FTW Income Standards

 

An individual’s monthly income must not exceed the appropriate percentage of the Federal Poverty Level (FPL), as specified below.

 

250% of FPL

Number of People in Household

Effective 4/1/11 to 3/31/12

Effective 4/1/12 to 3/31/13

Effective 4/1/13 to 3/31/14

1

$2,269.00

$2,328.00

$2,394.00

 


 

I. S.O.B.R.A. Income limits (Not Pregnant)

 

The following are the S.O.B.R.A. income limits for a customer who is not pregnant. The limits are effective as of April 1, 2013.

 

If the customer is...

And lives with...* Then the income limit is...
Under Age 1
(140% FPL)
No parents, no spouse

$1,341.00

1 parent, or the child’s spouse

$905.00

2 parents

$760.00

Age 1 through 5
(133% FPL)

No parents, no spouse

$1,274.00

1 parent, or the child’s spouse

$860.00

2 parents

$722.00

Age 6 through 17
(100% FPL)

No parents, no spouse

$958.00

The applicant’s spouse

$647.00

1 parent or the child’s spouse

$647.00

2 parents

$543.00

Age 18**
(100% FPL)

No spouse

$958.00

The applicant’s spouse

$647.00

 

Note:

* If the customer’s parent or spouse is an SSI cash recipient, for this determination the applicant does not live with the SSI cash recipient.

 

** If the customer is 18 years old, do not include the parents’ income.

 


 

J. S.O.B.R.A. Income limits (Pregnant)

 

The following are the S.O.B.R.A. income limits for a customer who is pregnant. The limits are effective as of April 1, 2013.

 

If the customer is... And is pregnant with... And lives with...* Then the income limit is...
Under age 18
(150% FPL)
Single

No parents, no spouse

$1,939.00

The applicant’s spouse

$1,628.00

1 parent or the child’s spouse

$1,628.00

2 parents

$1,472.00

Twins

No parents, no spouse

$2,442.00

The applicant’s spouse

$2,208.00

1 parent or the child’s spouse

$2,208.00

2 parents

$2,068.00

Triplets

No parents, no spouse

$2,944.00

The applicant’s spouse

$2,757.00

1 parent

$2,757.00

2 parents

$2,633.00

Age 18 or older**
(150% FPL )

Single

No spouse

$1,939.00

The applicant’s spouse

$1,628.00

Twins

No spouse

$2,442.00

The applicant’s spouse

$2,208.00

Triplets

No spouse

$2,944.00

The applicant’s spouse

$2,757.00

 

Note:

* If the customer’s parent or spouse is an SSI cash recipient, for this determination the applicant does not live with the SSI cash recipient.

 

** If the customer is 18 years old, do not include the parents’ income.

 


 

K. 1931 Standard

 

The following are the income limits for AHCCCS for Families with Children (1931). For 1931 Expanded see subsection L below.

 

Family Budgeting

Number of People

in Household

Income Limit

1

$204.00

2

$275.00

3

$347.00

4

$418.00

5

$489.00

6

$561.00

7

$632.00

8

$703.00

For each add’l member add

$72.00

 

Individual Budgeting

If the customer is...

And lives with...*

Then the income limit is...

Under age 18

No parents, no spouse

$204.00

1 parent or the child’s spouse*

$137.50

2 parents

$115.66

Age 18+

No spouse

$204.00

The applicant’s spouse

$137.50

* When an individual under age 18 marries, only count the spouse’s income. The parent’s income is no longer counted.

 


 

L. 1931 Expanded and AHCCCS Care

 

The following are the income limits for AHCCCS for Families with Children (1931) Expanded.  These limits are effective 4/1/13.

 

These limits are based on 100% FPL and are also used for Sponsor Deeming.

 

Family Budgeting

Number of People in Household

100% of FPL

1

$958.00

2

$1,293.00

3

$1,628.00

4

$1,963.00

5

$2,298.00

6

$2,633.00

7

$2,968.00

8

$3,303.00

9

$3,638.00

10

$3,973.00

11

$4,308.00

12

$4,643.00

For each add’l member add

$335.00

 

Individual Budgeting

If the customer is... And lives with...* Then the income limit is...
Under age 18

No parents, no spouse

$958.00

The applicant’s spouse

$647.00

1 parent or the child’s spouse*

$647.00

2 parents

$543.00

Age 18+

No spouse

$958.00

The applicant’s spouse

$647.00

* When an individual under age 18 marries, only count the spouse’s income. The parent’s income is no longer counted.

 


 

M. TMA Income Limit

 

The following are the Transitional Medical Assistance income limits for the second six months of TMA eligibility (T2):

 

185% FPL

Number of People in Household

Effective 4/1/13

1

$1,772.00

2

$2,392.00

3

$3,011.00

4

$3,631.00

5

$4,251.00

6

$4,871.00

7

$5,490.00

8

$6,110.00

9

$6,730.00

10

$7,350.00

For each add’l member add

$620.00

 


 

N. KidsCare Income Limits

 

The following are the KidsCare income limits.

 

200% of FPL

Number of People in Household

Effective 4/1/13

1

$1,915

2

$2,585

3

$3,255

4

$3,925

5

$4,595

6

$5,265

7

$5,935

8

$6,605

9

$7,275

10

$7,945

For each add’l member add

$670

 


 

O. Family Planning Income Limits

The following are the Family Planning income limits.  The limits are effective as of April 1, 2013.

 

If the customer is... And lives with...* Then the income limit is...
Under age 18

No parents, no spouse

$1,939.00

1 parent or the child’s spouse*

$1,628.00

2 parents

$1,472.00

Age 18+

No spouse

$1,939.00

The applicant’s spouse

$1,628.00

* When an individual under age 18 marries, only count the spouse’s income. The parent’s income is no longer counted.