Table E: Qualified Disabled and Working Individual (QDWI) SR 21-14, 03/21 (MAM-A)

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Assistance Group Size

Monthly Net Income

< 200%

1

$2,147

2

$2,904

3

$3,660

4

$4,417

5

$5,174

6

$5,930

7

$6,687

8

$7,444

9

$8,200

10

$8,957

11

$9,714

12

$10,470

For each additional person add:

$757

 

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