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 |
$16,040 |
$1,337 |
8 |
$54,956 |
$4,580 |
2 |
$21,600 |
$1,800 |
9 |
$60,515 |
$5,043 |
3 |
$27,159 |
$2,264 |
10 |
$66,075 |
$5,507 |
4 |
$32,718 |
$2,727 |
11 |
$71,634 |
$5,970 |
5 |
$38,278 |
$3,190 |
12 |
$77,194 |
$6,433 |
6 |
$43,837 |
$3,654 |
13 |
$82,753 |
$6,897 |
7 |
$49,397 |
$4,117 |
14 |
$88,312 |
$7,360 |
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 |
$1,692 |
$834.50 |
3 |
$2,128 |
$700.00 |
4 |
$2,563 |
$633.00 |
5 |
$2,998 |
$592.60 |
6 |
$3,434 |
$565.67 |
7 |
$3,869 |
$546.71 |
8 |
$4,305 |
$532.50 |
9 |
$4,740 |
$521.44 |
10 |
$5,175 |
$512.70 |
11 |
$5,611 |
$505.45 |
12 |
$6,046 |
$499.42 |
13 |
$6,482 |
$494.38 |
14 |
$6,917 |
$490.00 |