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 |
$14,847 |
$1,239 |
8 |
$51,724 |
$4,311 |
2 |
$20,123 |
$1,677 |
9 |
$57,848 |
$4,750 |
3 |
$25,390 |
$2,116 |
10 |
$62,258 |
$5,189 |
4 |
$30,657 |
$2,555 |
11 |
$67,525 |
$5,628 |
5 |
$35,924 |
$2,994 |
12 |
$72,791 |
$6,066 |
6 |
$41,191 |
$3,433 |
13 |
$78,058 |
$6,505 |
7 |
$46,457 |
$3,872 |
14 |
$83,325 |
$6,944 |
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 |
$1,577 |
$788.50 |
3 |
$1,989 |
$663.00 |
4 |
$2,402 |
$600.50 |
5 |
$2,814 |
$562.80 |
6 |
$3,227 |
$537.83 |
7 |
$3,639 |
$519.85 |
8 |
$4,052 |
$506.50 |
9 |
$4,464 |
$496.00 |
10 |
$4,877 |
$487.70 |
11 |
$5,289 |
$480.81 |
12 |
$5,702 |
$475.16 |
13 |
$6,114 |
$470.30 |
14 |
$6,527 |
$466.21 |