Table E: Qualified Disabled and Working Individual (QDWI) SR 17-14, 03/17 (MAM-A)

Assistance Group Size

Monthly Net Income

< 200%

1

$2,010

2

$2,707

3

$3,404

4

$4,100

5

$4,797

6

$5,494

7

$6,190

8

$6,887

9

$7,584

10

$8,280

11

$8,977

12

$9,674

For each additional person add:

$697

 

References: 42 USC 1396d(s)(2), 42 USC 9902(2)