Policy                                                                        Issuance Number: MS 03-03

Medical Services Policy Manual                       Issuance Date: April 1, 2003

From: Joni Jones, Director                               Expiration Date: Until Superseded

Subj: 2003 Federal Poverty Levels

Appendix F provides the 2003 Federal Poverty Level income guidelines to be effective April 1, 2003 for the following categories:

1. Medicare Savings Categories

ARSeniors, QMB, SMB and QI-1 – MS 23110 #7

QDWI – MS 23515 #4

2. Working Disabled – MS 28015 #7
3. Transitional Medicaid – MS 2062.3
4. ARKids A and B – MS 16040 #8
5. SOBRA Pregnant Women – PD MS 01-11
6. Family Planning Demonstration Waiver – MS 5914 # 1

These income guidelines will supersede the 2001 figures in Appendix F.

Inquiries to: Jack Tiner, 501-682-8259

Diana Teal, 501-682-1562

Carmen Brown, 501-682-8258

Carla Droughn, 501-682-8254