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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 no later than April each year.
Monthly income must not exceed the appropriate percentage of the FBR below:
|
Effective 1/1/2021 to 12/31/2021 |
Effective 1/1/2022 to 12/31/2022 |
Effective 1/1/2023 to 12/31/2023 |
Individual (100% FBR) |
$794.00 |
$841.00 |
$914.00 |
Couple (100% FBR) |
$1,191.00 |
$1,261.00 |
$1,371.00 |
Individual (300% of the FBR) |
$2,382.00 |
$2,523.00 |
$2,742.00 |
Income eligibility for SSI-MAO can be determined either under FBR or FPL income limits. A person’s monthly income must not exceed the appropriate income limits as set below:
100% of FBR |
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|
Effective 1/1/2021 to 12/31/2021 |
Effective 1/1/2022 to 12/31/2022 |
Effective 1/1/2023 to 12/31/2023 |
Individual |
$794.00 |
$841.00 |
$914.00 |
Couple |
$1,191.00 |
$1,261.00 |
$1,371.00 |
100% of FPL |
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|
Effective 2/1/2021 |
Effective 2/1/2022 |
Effective 2/1/2023 |
Individual |
$1,074.00 |
$1,133.00 |
$1,215.00 |
Couple |
$1,452.00 |
$1,526.00 |
$1,644.00 |
Monthly income must not exceed the appropriate percentage of the FPL below:
100% of FPL |
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|
Effective 2/1/2021 |
Effective 2/1/2022 |
Effective 2/1/2023 |
Individual |
$1,074.00 |
$1,133.00 |
$1,215.00 |
Couple |
$1,452.00 |
$1,526.00 |
$1,644.00 |
Monthly income must not exceed the appropriate percentage of the FPL below:
Greater than 100%, Equal to or Less than 120% of FPL |
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|
Effective 2/1/2021 |
Effective 2/1/2022 |
Effective 2/1/2023 |
Individual |
$1,074.01-$1,288.00 |
$1,133.01-$1,359.00 |
$1,215.01-$1,458.00 |
Couple |
$1,452.01-$1,742.00 |
$1,526.01-$1,831.00 |
$1,644.01-$1,972.00 |
Monthly income must not exceed the appropriate percentage of the FPL below:
Greater than 120%, Equal to or Less than 135% of the FPL |
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|
Effective 2/1/2021 |
Effective 2/1/2022 |
Effective 2/1/2023 |
Individual |
$1,288.01-$1,449.00 |
$1,359.01-$1,529.00 |
$1,458.01-$1,641.00 |
Couple |
$1,742.01-$1,960.00 |
$1,831.01-$2,060.00 |
$1,972.01-$2,219.00 |
Monthly income must not exceed the appropriate percentage of the FPL below:
250% of FPL |
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Number of People in Household |
Effective 2/1/2021 |
Effective 2/1/2022 |
Effective 2/1/2023 |
1 |
$2,684.00 |
$2,832.00 |
$3,038.00 |
Monthly income must not exceed the appropriate percentage of the FPL below:
133% of the FPL |
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Number of People in Household |
Effective 2/1/2021 |
Effective 2/1/2022 |
Effective 2/1/2023 |
1 |
$1,428 |
$1,507 |
$1,616 |
2 |
$1,931 |
$2,030 |
$2,186 |
3 |
$2,434 |
$2,553 |
$2,756 |
4 |
$2,938 |
$3,076 |
$3,325 |
5 |
$3,441 |
$3,599 |
$3,895 |
6 |
$3,944 |
$4,122 |
$4,465 |
7 |
$4,447 |
$4,646 |
$5,035 |
*Each additional member add: |
$504 |
$524 |
$570 |
*“Each additional” approximate amounts only.
Monthly income must not exceed the appropriate percentage of the FPL below:
106% of the FPL |
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Number of People in Household |
Effective 2/1/2021 |
Effective 2/1/2022 |
Effective 2/1/2023 |
1 |
$1,138 |
$1,201 |
$1,288 |
2 |
$1,539 |
$1,618 |
$1,742 |
3 |
$1,940 |
$2,035 |
$2,196 |
4 |
$2,341 |
$2,452 |
$2,650 |
5 |
$2,742 |
$2,869 |
$3,105 |
6 |
$3,143 |
$3,286 |
$3,559 |
7 |
$3,544 |
$3,703 |
$4,013 |
*Each additional member add: |
$402 |
$417 |
$455 |
*“Each additional” approximate amounts only.
Monthly income must not exceed the appropriate percentage of the FPL below:
156% of the FPL |
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Number of People in Household |
Effective 2/1/2021 |
Effective 2/1/2022 |
Effective 2/1/2023 |
1 |
$1,675 |
$1,767 |
$1,896 |
2 |
$2,265 |
$2,381 |
$2,564 |
3 |
$2,855 |
$2,994 |
$3,232 |
4 |
$3,445 |
$3,608 |
$3,900 |
5 |
$4,036 |
$4,222 |
$4,569 |
6 |
$4,626 |
$4,835 |
$5,237 |
7 |
$5,216 |
$5,449 |
$5,905 |
*Each additional member add: |
$591 |
$614 |
$669 |
*“Each additional” approximate amounts only.
Monthly income must not exceed the appropriate percentage of the FPL below:
147% of the FPL |
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Number of People in Household |
Effective 2/1/2021 |
Effective 2/1/2022 |
Effective 2/1/2023 |
1 |
$1,578 |
$1,665 |
$1,787 |
2 |
$2,134 |
$2,243 |
$2,416 |
3 |
$2,691 |
$2,822 |
$3,046 |
4 |
$3,247 |
$3,400 |
$3,675 |
5 |
$3,803 |
$3,978 |
$4,305 |
6 |
$4,359 |
$4,556 |
$4,935 |
7 |
$4,915 |
$5,134 |
$5,564 |
*Each additional member add: |
$557 |
$579 |
$630 |
*“Each additional” approximate amounts only.
Monthly income must not exceed the appropriate percentage of the FPL below:
141% of the FPL |
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Number of People in Household |
Effective 2/1/2021 |
Effective 2/1/2022 |
Effective 2/1/2023 |
1 |
$1,514 |
$1,597 |
$1,714 |
2 |
$2,047 |
$2,152 |
$2,318 |
3 |
$2,581 |
$2,707 |
$2,922 |
4 |
$3,114 |
$3,261 |
$3,525 |
5 |
$3,648 |
$3,816 |
$4,129 |
6 |
$4,181 |
$4,370 |
$4,733 |
7 |
$4,715 |
$4,925 |
$5,337 |
*Each additional member add: |
$534 |
$555 |
$604 |
*“Each additional” approximate amounts only.
Monthly income must not exceed the appropriate percentage of the FPL below:
133% of the FPL |
|||
Number of People in Household |
Effective 2/1/2021 |
Effective 2/1/2022 |
Effective 2/1/2023 |
1 |
$1,428 |
$1,507 |
$1,616 |
2 |
$1,931 |
$2,030 |
$2,186 |
3 |
$2,434 |
$2,553 |
$2,756 |
4 |
$2,938 |
$3,076 |
$3,325 |
5 |
$3,441 |
$3,599 |
$3,895 |
6 |
$3,944 |
$4,122 |
$4,465 |
7 |
$4,447 |
$4,646 |
$5,035 |
*Each additional member add: |
$504 |
$524 |
$570 |
*“Each additional” approximate amounts only.
Monthly income must not exceed the appropriate percentage of the FPL below:
200% of the FPL |
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Number of People in Household |
Effective 2/1/2021 |
Effective 2/1/2022 |
Effective 2/1/2023 |
1 |
$2,147 |
$2,265 |
$2,430 |
2 |
$2,904 |
$3,052 |
$3,287 |
3 |
$3,660 |
$3,839 |
$4,144 |
4 |
$4,417 |
$4,625 |
$5,000 |
5 |
$5,174 |
$5,412 |
$5,857 |
6 |
$5,930 |
$6,199 |
$6,714 |
7 |
$6,687 |
$6,985 |
$7,570 |
*Each additional member add: |
$757 |
$787 |
$857 |
*“Each additional” approximate amounts only.
Monthly income must not exceed the appropriate percentage of the FPL below:
185% of the FPL |
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Number of People in Household |
Effective 2/1/2021 |
Effective 2/1/2022 |
Effective 2/1/2023 |
1 |
$1,986 |
$2,096 |
$2,248 |
2 |
$2,686 |
$2,823 |
$3,041 |
3 |
$3,386 |
$3,551 |
$3,833 |
4 |
$4,086 |
$4,279 |
$4,625 |
5 |
$4,786 |
$5,006 |
$5,418 |
6 |
$5,486 |
$5,734 |
$6,210 |
7 |
$6,186 |
$6,462 |
$7,003 |
*Each additional member add: |
$700 |
$728 |
$793 |
*“Each additional” approximate amounts only.
If income exceeds the amounts listed for the MAGI groups in 7) through 14) above, a second income test is run using Premium Tax Credit budget group and income rules.
Monthly income must not exceed the appropriate percentage of the FPL below:
100% of the FPL |
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Number of People in Household |
Effective 2/1/2021 |
Effective 2/1/2022 |
Effective 2/1/2023 |
1 |
$1,074 |
$1,133 |
$1,215 |
2 |
$1,452 |
$1,526 |
$1,644 |
3 |
$1,830 |
$1,920 |
$2,072 |
4 |
$2,209 |
$2,313 |
$2,500 |
5 |
$2,587 |
$2,706 |
$2,929 |
6 |
$2,965 |
$3,100 |
$3,357 |
7 |
$3,344 |
$3,493 |
$3,785 |
*Each additional member add: |
$379 |
$394 |
$429 |
*“Each additional” approximate amounts only.
Term |
Definition |
Federal Benefit Rate (FBR) |
The basic benefit amount the Social Security Administration (SSA) pays to clients who are eligible for the Supplemental Security Income (SSI) program. |
Federal Poverty Level (FPL) |
A measure of income used to help government agencies determine eligibility levels for public assistance programs such as Medicaid. |
This requirement applies to the following programs:
Program |
Legal Authorities |
ALTCS SSI-MAO Medicare Savings Program (MSP) Freedom to Work (FTW) |
42 USC 1396a(a)(10)(E) AAC R9-22-1504 and 1505 AAC R9-22-1909 AAC R9-28-408 AAC R9-29-212 and 213 |
Adult Caretaker Relative Pregnant Woman Child |
42 CFR 435.110, 116, 118 and 119 AAC R9-22-1427 |
KidsCare |
42 CFR 457.10, 300, 301 and 315 AAC R9-31-304 |