Table C: TANF Medical Assistance Net Income Limits and Percentages of Poverty Level SR 99-14, 05/99 (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

$ 514

$ 687

$1,271

$2,060

2

$ 642

$ 922

$1,706

$2,765

3

$ 652

$1,157

$2,140

$3,470

4

$ 662

$1,392

$2,575

$4,175

5

$ 673

$1,627

$3,010

$4,880

6

$ 754

$1,862

$3,445

$5,585

7

$ 817

$2,097

$3,879

$6,290

8

$ 910

$2,332

$4,314

$6,995

9

$ 962

$2,567

$4,749

$7,700

10

$1,039

$2,802

$5,184

$8,405

11

$1,126

$3,037

$5,618

$9,110

12

$1,198

$3,272

$6,053

$9,815

For each additional person

Add $235

Add $435

Add $705