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 |
$16,970 |
$1,415 |
8 |
$58,679 |
$4,890 |
2 |
$22,929 |
$1,911 |
9 |
$64,638 |
$5,387 |
3 |
$28,887 |
$2,408 |
10 |
$70,596 |
$5,884 |
4 |
$34,846 |
$2,904 |
11 |
$76,554 |
$6,380 |
5 |
$40,804 |
$3,401 |
12 |
$82,513 |
$6,877 |
6 |
$46,762 |
$3,897 |
13 |
$88,471 |
$7,373 |
7 |
$52,721 |
$4,394 |
14 |
$94,430 |
$7,870 |
For larger households, add $4,480 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 |
$1,796 |
$898.00 |
3 |
$2,263 |
$754.34 |
4 |
$2,730 |
$682.50 |
5 |
$3,196 |
$639.20 |
6 |
$3,663 |
$610.50 |
7 |
$4,130 |
$590.00 |
8 |
$4,596 |
$574.50 |
9 |
$5,063 |
$562.56 |
10 |
$5,530 |
$553.00 |
11 |
$5,996 |
$545.10 |
12 |
$6,463 |
$538.59 |
13 |
$6,930 |
$533.08 |
14 |
$7,396 |
$528.29 |