NOTICES
Federal Poverty Income Guidelines for 2014
[44 Pa.B. 3390]
[Saturday, June 7, 2014]The Department of Public Welfare (Department) announces the implementation in this Commonwealth of the 2014 Federal Poverty Income Guidelines (FPIG) which were issued by the Department of Health and Human Services and published at 79 FR 3593 (January 22, 2014).
The FPIGs are the basis for the income eligibility limits for several categories of Medicaid whose regulations are published in 55 Pa. Code (relating to public welfare) and administered by the Department. These categories include Healthy Beginnings for Pregnant Women and Qualified Children (55 Pa. Code Chapter 140, Subchapter A), Healthy Horizons for the Elderly and Disabled (55 Pa. Code Chapter 140, Subchapter B) and Extended Medical Coverage under Categorically Needy TANF-Related Categories (55 Pa. Code Chapter 140, Subchapter C). Categories also include the Modified Adjusted Gross Income (MAGI) based eligibility categories for pregnant women, children and parent/caretakers. The MAGI categories were established by the Department's implementation of the Affordable Care Act at 43 Pa.B. 4035 (July 13, 2013).
The percentages for the Medicaid categories of Healthy Beginnings, MAGI and Healthy Horizons are set forth as follows:
Healthy Beginnings:
a. 185% for pregnant women and infants up to 1 year of age.
b. 133% for children 1 year of age through 5 years of age.
c. 100% for children 6 years of age and older.
* Healthy Beginnings FPIGs will discontinue once the categories are converted to a MAGI category in 2014.
MAGI:
a. 215% for pregnant women and infants up to 1 year of age.
b. 157% for children 1 year of age through 5 years of age.
c. 33% for parents/caretakers and children 0 years of age through 18 years of age.
* MAGI FPIGs represent the MAGI converted standards which will be valid until September 2019
Healthy Horizons:
a. 100% for persons eligible for the categorically needy, Medicare Buy-In and Medicare cost-sharing benefits.
b. 120% for persons eligible for the Specified Low-Income Medicare Beneficiaries.
c. 135% for persons eligible for the Qualifying Individuals Beneficiaries benefits.
There are different resource limits for each of the Healthy Horizons programs.
Persons 33% of FPIG 100% of FPIG 120% of FPIG 133% of FPIG Month Annual Month Annual Month Annual Month Annual 1 $321 $3,852 $973 $11,670 $1,167 $14,004 $1,294 $15,522 2 $433 $5,191 $1,311 $15,730 $1,573 $18,876 $1,744 $20,921 3 $545 $6,531 $1,650 $19,790 $1,979 $23,748 $2,194 $26,321 4 $656 $7,871 $1,988 $23,850 $2,385 $28,620 $2,644 $31,721 5 $768 $9,211 $2,326 $27,910 $2,791 $33,492 $3,094 $37,121 6 $880 $10,551 $2,665 $31,970 $3,197 $38,364 $3,544 $42,521 7 $991 $11,890 $3,003 $36,030 $3,603 $43,236 $3,994 $47,920 8 $1,103 $13,230 $3,341 $40,090 $4,009 $48,108 $4,444 $53,320 Each
Additional
Person$112 $1,340 $339 $4,060 $406 $4,872 $450 $5,400
Persons 135% of FPIG 157% of FPIG 185% of FPIG 200% of FPIG Month Annual Month Annual Month Annual Month Annual 1 $1,313 $15,755 $1,527 $18,322 $1,800 $21,590 $1,945 $23,340 2 $1,770 $21,236 $2,058 $24,697 $2,426 $29,101 $2,622 $31,460 3 $2,227 $26,717 $2,590 $31,071 $3,051 $36,612 $3,299 $39,580 4 $2,684 $32,198 $3,121 $37,445 $3,677 $44,123 $3,975 $47,700 5 $3,140 $37,679 $3,652 $43,819 $4,303 $51,634 $4,652 $55,820 6 $3,597 $43,160 $4,183 $50,193 $4,929 $59,145 $5,329 $63,940 7 $4,054 $48,641 $4,714 $56,568 $5,555 $66,656 $6,005 $72,060 8 $4,511 $54,122 $5,246 $62,942 $6,181 $74,167 $6,682 $80,180 Each
Additional
Person$457 $5,481 $532 $6,375 $626 $7,511 $677 $8,120
Persons 214% of FPIG 215% of FPIG 235% of FPIG 250% of FPIG Month Annual Month Annual Month Annual Month Annual 1 $2,082 $24,974 $2,091 $25,091 $2,286 $27,425 $2,432 $29,175 2 $2,806 $33,663 $2,819 $33,820 $3,081 $36,966 $3,278 $39,325 3 $3,530 $42,351 $3,546 $42,549 $3,876 $46,507 $4,123 $49,475 4 $4,254 $51,039 $4,274 $51,278 $4,671 $56,048 $4,969 $59,625 5 $4,978 $59,728 $5,001 $60,007 $5,466 $65,589 $5,815 $69,775 6 $5,702 $68,416 $5,728 $68,736 $6,261 $75,130 $6,661 $79,925 7 $6,426 $77,105 $6,456 $77,465 $7,056 $84,671 $7,507 $90,075 8 $7,150 $85,793 $7,183 $86,194 $7,851 $94,212 $8,353 $100,225 Each
Additional
Person$725 $8,689 $728 $8,729 $796 $9,541 $846 $10,150
Additional information on the programs is available at the county assistance offices.
This notice shall take effect upon publication in the Pennsylvania Bulletin and apply retroactively to January 22, 2014.
Public Comments
Interested persons are invited to submit written comments regarding this notice to the Department of Public Welfare, Office of Income Maintenance, Matthew McLees, Director, Bureau of Policy, Room 431, Health and Welfare Building, Harrisburg, PA 17120. Comments received within 30 calendar days will be reviewed and considered for any subsequent revision of the notice.
Persons with a disability who require an auxiliary aid or service may submit comments using the Pennsylvania AT&T Relay Service at (800) 654-5984 (TDD users) or (800) 654-5988 (voice users).
BEVERLY D. MACKERETH,
SecretaryFiscal Note: 14-NOT-876. No fiscal impact; (8) recommends adoption.
[Pa.B. Doc. No. 14-1211. Filed for public inspection June 6, 2014, 9:00 a.m.]
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