Table E: Qualified Disabled and Working Individual (QDWI) SR 15-14, 03/15 (MAM-A)

Assistance Group Size

Monthly Net Income

< 200%

1

$1,962

2

$2,655

3

$3,349

4

$4,042

5

$4,735

6

$5,429

7

$6,122

8

$6,815

9

$7,509

10

$8,202

11

$8,895

12

$9,589

For each additional person add:

$694

References: Section 1905(s)(2) of the Social Security Act, 42 USC 1396d(s)(2), 42 USC 9902(2)