All Medicaid Programs |
Obsolete Policy |
Sponsored Alien Indigence Test |
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Alien's HH Size |
Annual 133% FPL |
Monthly 133% FPL |
Alien's HH Size |
Annual 133% FPL |
Monthly 133% FPL |
1 |
$14,484 |
$1,207 |
8 |
$50,052 |
$4,171 |
2 |
$19,572 |
$1,631 |
9 |
$55,140 |
$4,595 |
3 |
$24,648 |
$2,054 |
10 |
$60,216 |
$5,018 |
4 |
$29,736 |
$2,478 |
11 |
$65,232 |
$5,436 |
5 |
$34,812 |
$2,901 |
12 |
$70,295 |
$5,858 |
6 |
$39,888 |
$3,324 |
13 |
$75,348 |
$6,279 |
7 |
$44,976 |
$3,748 |
14 |
$80,412 |
$6,701 |
For larger households, add $3740 to the 100% annual amount for each additional member (see Table VII). Then multiply by the applicable percentage (1.33 for the indigence test; 1.25 for the amount of income to deem) and divide by 12 to get the monthly amount.
Amount Deemed to Sponsored Alien |
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Sponsor's HH Size Plus # of Sponsored Aliens |
Monthly Income INS Requires Sponsor to Have 125% FPL |
Monthly Income Deemed to the Sponsored Alien (Divide monthly income by HH size) |
2 |
$1,532 |
$766.00 |
3 |
$1,931 |
$644.66 |
4 |
$2,329 |
$582.25 |
5 |
$2,726 |
$545.20 |
6 |
$3,125 |
$520.83 |
7 |
$3,522 |
$503.14 |
8 |
$3,920 |
$490.00 |
9 |
$4,319 |
$479.88 |
10 |
$4,716 |
$471.60 |
11 |
$5,112 |
$464.71 |
12 |
$5,515 |
$459.60 |
13 |
$5,905 |
$454.26 |
14 |
$6,301 |
$450.09 |