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 |
$15,801 |
$1,317 |
8 |
$54,384 |
$4,532 |
2 |
$21,307 |
$1,776 |
9 |
$59,917 |
$4,994 |
3 |
$26,813 |
$2,235 |
10 |
$65,450 |
$5,455 |
4 |
$32,319 |
$2,694 |
11 |
$70,983 |
$5,916 |
5 |
$37,826 |
$3,153 |
12 |
$76,515 |
$6,377 |
6 |
$43,332 |
$3,611 |
13 |
$82,048 |
$6,838 |
7 |
$48,851 |
$4,071 |
14 |
$87,581 |
$7,299 |
For larger households, add $4,160 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 |
$1,669 |
$834.50 |
3 |
$2,100 |
$700.00 |
4 |
$2,532 |
$633.00 |
5 |
$2,963 |
$592.60 |
6 |
$3,394 |
$565.67 |
7 |
$3,827 |
$546.71 |
8 |
$4,260 |
$532.50 |
9 |
$4,693 |
$521.44 |
10 |
$5,127 |
$512.70 |
11 |
$5,560 |
$505.45 |
12 |
$5,993 |
$499.42 |
13 |
$6,427 |
$494.38 |
14 |
$6,860 |
$490.00 |