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 |
$15,522 |
$1,294 |
8 |
$53,320 |
$4,444 |
2 |
$20,921 |
$1,744 |
9 |
$58,720 |
$4,894 |
3 |
$26,321 |
$2,194 |
10 |
$64,120 |
$5,344 |
4 |
$31,721 |
$2,644 |
11 |
$69,520 |
$5,794 |
5 |
$37,121 |
$3,094 |
12 |
$74,919 |
$6,244 |
6 |
$42,521 |
$3,544 |
13 |
$80,319 |
$6,694 |
7 |
$47,920 |
$3,994 |
14 |
$85,719 |
$7,144 |
For larger households, add $4060 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 |
$1,639 |
$819.50 |
3 |
$2,062 |
$687.33 |
4 |
$2,485 |
$621.25 |
5 |
$2,908 |
$581.60 |
6 |
$3,331 |
$555.17 |
7 |
$3,754 |
$536.29 |
8 |
$4,177 |
$522.13 |
9 |
$4,599 |
$511.00 |
10 |
$5,022 |
$502.20 |
11 |
$5,445 |
$495.00 |
12 |
$5,868 |
$489.00 |
13 |
$6,291 |
$483.92 |
14 |
$6,714 |
$479.57 |