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 |
$16,146 |
$1,349 |
8 |
$56,365 |
$4,698 |
2 |
$21,891 |
$1,825 |
9 |
$62,111 |
$5,176 |
3 |
$27,637 |
$2,304 |
10 |
$67,856 |
$5,655 |
4 |
$33,383 |
$2,782 |
11 |
$73,602 |
$6,134 |
5 |
$39,128 |
$3,261 |
12 |
$79,347 |
$6,613 |
6 |
$44,874 |
$3,740 |
13 |
$85,093 |
$7,092 |
7 |
$50,619 |
$4,219 |
14 |
$90,839 |
$7,570 |
For larger households, add $4,320 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 |
$1,715 |
$857.50 |
3 |
$2,165 |
$721.67 |
4 |
$2,615 |
$653.75 |
5 |
$3,065 |
$613.00 |
6 |
$3,515 |
$585.83 |
7 |
$3,965 |
$566.43 |
8 |
$4,415 |
$551.88 |
9 |
$4,865 |
$540.56 |
10 |
$5,315 |
$531.50 |
11 |
$5,765 |
$524.09 |
12 |
$6,215 |
$517.92 |
13 |
$6,665 |
$512.69 |
14 |
$7,115 |
$508.21 |