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.
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 |
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 |
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 |
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 |
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 |
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 |
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 |
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.
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.
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.
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.
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 |
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 |
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.