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Appendix F

2008 FEDERAL POVERTY LEVELS

Monthly Levels

(April 1, 2008 through March 31, 2009)

 

FAMILY MEDICAID CATEGORIES

 

 

 

 

 

Family Size

ARKids A

Children 6 & Over &

AR Health Care Access

 

100%

ARKids A Children Under Age 6

 

 

133%

Transitional Medicaid

 

 

 

185%

SOBRA

Pregnant Women, Family Planning &

ARKids First B

200%

1

866.67

1152.67

1603.33

1733.34

2

1166.67

1551.67

2158.33

2333.34

3

1466.67

1950.67

2713.33

2933.34

4

1766.67

2349.67

3268.33

3533.34

5

2066.67

2748.67

3823.33

4133.34

6

2366.67

3147.67

4378.33

4733.34

7

2666.67

3546.67

4933.33

5333.34

8

2966.67

3945.67

5488.33

5933.34

9

3266.67

4344.67

6043.33

6533.34

10

3566.67

4743.67

6598.33

7133.34

 

 

 

 

 

For each additional member add:

300.00

399.00

555.00

600.00

 

AABD MEDICAID CATEGORIES

 

 

ARSeniors

Equal to or Below

80%

QMB

Equal To or Below

100%

SMB

Between 100% & 120%

QI-1

At least 120% but Less Than 135%

QDWI & TB

Equal To or Below

200%

Working Disabled 250%

 

Individual

693.33

866.67

1040.00

1170.00

1733.34

2166.67

 

Couple

933.33

1166.67

1400.00

1575.00

2333.34

2916.67

 

For each additional family member in the Working Disabled category add:

750.00

 

 

 

 

2007 FEDERAL POVERTY LEVELS

Monthly Levels

(April 1, 2007 through March 31, 2008)

 

FAMILY MEDICAID CATEGORIES

 

 

 

 

Family Size

ARKids A

Children 6 & Over &

AR Health Care Access

 

100%

ARKids A Children Under Age 6

 

 

133%

Transitional Medicaid

 

 

 

185%

SOBRA

Pregnant Women, Family Planning &

ARKids First B

200%

1

850.83

1131.60

1574.04

1701.66

2

1140.83

1517.30

2110.54

2281.66

3

1430.83

1903.00

2647.04

2861.66

4

1720.83

2288.70

3183.54

3441.66

5

2010.83

2674.40

3720.04

4021.66

6

2300.83

3060.10

4256.54

4601.66

7

2590.83

3445.80

4793.04

5181.66

8

2880.83

3831.50

5329.54

5761.66

9

3170.83

4217.20

5866.04

6341.66

10

3460.83

4602.90

6402.54

6921.66

 

 

 

 

 

For each additional member add:

290.00

385.70

536.50

580.00

 

AABD MEDICAID CATEGORIES

 

 

ARSeniors

Equal to or Below

80%

QMB

Equal To or Below

100%

SMB

Between 100% & 120%

QI-1

At least 120% but Less Than 135%

QDWI & TB

Equal To or Below

200%

Working Disabled 250%

 

Individual

680.66

850.83

1021.00

1148.62

1701.66

2127.08

 

Couple

912.66

1140.83

1369.00

1540.12

2281.66

2852.08

 

For each additional family member in the Working Disabled category add:

725.00

 

 

 

2006 FEDERAL POVERTY LEVELS

Monthly Levels

(April 1, 2006 through March 31, 2007)

 

FAMILY MEDICAID CATEGORIES

 

 

 

 

 

Family Size

ARKids A

Children 6 & Over &

AR Health Care Access

 

100%

ARKids A Children Under Age 6

 

 

133%

Transitional Medicaid

 

 

 

185%

SOBRA

Pregnant Women, Family Planning &

ARKids First B

200%

1

816.67

1086.17

1510.84

1633.34

2

1100.00

1463.00

2035.00

2200.00

3

1383.33

1839.83

2559.16

2766.66

4

1666.67

2216.67

3083.34

3333.34

5

1950.00

2593.50

3607.50

3900.00

6

2233.33

2970.33

4131.66

4466.66

7

2516.67

3347.17

4655.84

5033.34

8

2800.00

3724.00

5180.00

5600.00

9

3083.33

4100.83

5704.16

6166.66

10

3366.66

4477.66

6228.32

6733.32

 

 

 

 

 

For each additional membe