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 |
$15,282 |
$1,274 |
8 |
$52,708 |
$4,392 |
2 |
$20,628 |
$1,720 |
9 |
$58,055 |
$4,838 |
3 |
$25,975 |
$2,165 |
10 |
$63,401 |
$5,284 |
4 |
$31,322 |
$2,611 |
11 |
$68,748 |
$5,729 |
5 |
$36,668 |
$3,056 |
12 |
$74,094 |
$6,175 |
6 |
$42,015 |
$3,502 |
13 |
$79,441 |
$6,621 |
7 |
$47,361 |
$3,947 |
14 |
$84,788 |
$7,066 |
For larger households, add $4020 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 |
$1,616 |
$808 |
3 |
$2,035 |
$678.33 |
4 |
$2,454 |
$613.50 |
5 |
$2,872 |
$574.40 |
6 |
$3,291 |
$548.50 |
7 |
$3,710 |
$530.00 |
8 |
$4,129 |
$516.12 |
9 |
$4,547 |
$505.22 |
10 |
$4,966 |
$496.60 |
11 |
$5,385 |
$489.54 |
12 |
$5,804 |
$483.66 |
13 |
$6,222 |
$478.61 |
14 |
$6,641 |
$474.35 |