Table C, TANF Medical Assistance Net Income Limits and Percentages of Poverty Level SR 05-31, 06/05 (FAM-A)

Assistance Group Size

PIL

QMB

< 100%

MCPW EMA
Healthy Kids-Gold:
age 0-19

< 185%

Healthy Kids-Gold:

Infants age 0-1

> 185% < 300%

1

$ 591

$ 798

$1,476

$ 2,393

2

$ 675

$1,070

$1,978

$ 3,208

3

$ 683

$1,341

$2,481

$ 4,023

4

$ 691

$1,613

$2,984

$ 4,838

5

$ 698

$1,885

$3,486

$ 5,653

6

$ 779

$2,156

$3,989

$ 6,468

7

$ 842

$2,428

$4,491

$ 7,283

8

$ 935

$2,700

$4,994

$ 8,098

9

$ 987

$2,971

$5,497

$ 8,913

10

$1,064

$3,243

$5,999

$ 9,728

11

$1,151

$3,515

$6,502

$10,543

12

$1,223

$3,786

$7,004

$11,358

For each additional person add:

$ 67

$ 272

$ 503

$ 815