NOTICES
DEPARTMENT OF HUMAN SERVICES
Federal Poverty Income Guidelines for 2018
[48 Pa.B. 2240]
[Saturday, April 14, 2018]The Department of Human Services (Department) announces the implementation in this Commonwealth of the 2018 Federal Poverty Income Guidelines (FPIG) which were issued by the Department of Health and Human Services and published at 83 FR 2642 (January 18, 2018).
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 human services) and administered by the Department. These categories include Healthy Horizons for the Elderly and Disabled (55 Pa. Code Chapter 140, Subchapter B (relating to eligibility provisions for the healthy horizons program for the elderly/disabled)) and the Modified Adjusted Gross Income (MAGI) based eligibility categories for pregnant women, children, parent/caretakers and adults. The MAGI categories were established by the Department's implementation of the Patient Protection and Affordable Care Act (Pub.L. No. 111-148) at 43 Pa.B. 4035 (July 13, 2013).
The percentages for the Medicaid categories of MAGI and Healthy Horizons are set forth as follows:
MAGI—
a. 215% for pregnant women and infants under 1 year of age; and the Family Planning Services program.
b. 185% for individuals 0—64 years of age who are eligible for 12-months of Transitional Medical Assistance, this is the second 6-month limit.
c. 157% for children 1—5 years of age.
d. 133% for children 6—18 years of age and for adults 19—64 years of age.
e. 102% for individuals 19—64 years of age with a permanent disability (Medical Review Team or Social Security Administration determined) who are not eligible for Medicare or individuals 19—20 years of age with income at or below the Medically Needy Only limit who are not eligible for Medicare.
f. 33% for children through 18 years of age and parents/caretakers.
*MAGI FPIGs represent the MAGI converted standards which will be valid until September 2019.
Healthy Horizons—
a. 100% for persons eligible for 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 102% of FPIG 120% of FPIG Month Annual Month Annual Month Annual Month Annual 1 $334 $4,007 $1,012 $12,140 $1,032 $12,383 $1,214 $14,568 2 $453 $5,432 $1,372 $16,460 $1,400 $16,790 $1,646 $19,752 3 $572 $6,858 $1,732 $20,780 $1,767 $21,196 $2,078 $24,936 4 $691 $8,283 $2,092 $25,100 $2,134 $25,602 $2,510 $30,120 5 $810 $9,709 $2,452 $29,420 $2,501 $30,009 $2,942 $35,304 6 $928 $11,135 $2,812 $33,740 $2,868 $34,415 $3,374 $40,488 7 $1,047 $12,560 $3,172 $38,060 $3,236 $38,822 $3,806 $45,672 8 $1,166 $13,986 $3,532 $42,380 $3,603 $43,228 $4,238 $50,856 Each Additional Person $119 $1,426 $360 $4,320 $368 $4,407 $432 $5,184
Persons 133% of FPIG 135% of FPIG 157% of FPIG 185% of FPIG Month Annual Month Annual Month Annual Month Annual 1 $1,346 $16,147 $1,366 $16,389 $1,589 $19,060 $1,872 $22,459 2 $1,825 $21,892 $1,852 $22,221 $2,154 $25,843 $2,538 $30,451 3 $2,304 $27,638 $2,338 $28,053 $2,719 $32,625 $3,204 $38,443 4 $2,782 $33,383 $2,824 $33,885 $3,284 $39,407 $3,870 $46,435 5 $3,261 $39,129 $3,310 $39,717 $3,850 $46,190 $4,536 $54,427 6 $3,740 $44,875 $3,796 $45,549 $4,415 $52,972 $5,202 $62,419 7 $4,219 $50,620 $4,282 $51,381 $4,980 $59,755 $5,868 $70,411 8 $4,698 $56,366 $4,768 $57,213 $5,545 $66,537 $6,534 $78,403 Each Additional Person $479 $5,746 $486 $5,832 $566 $6,783 $666 $7,992
Persons 200% of FPIG 215% of FPIG 235% of FPIG 250% of FPIG Month Annual Month Annual Month Annual Month Annual 1 $2,024 $24,280 $2,176 $26,101 $2,378 $28,529 $2,530 $30,350 2 $2,744 $32,920 $2,950 $35,389 $3,224 $38,681 $3,430 $41,150 3 $3,464 $41,560 $3,724 $44,677 $4,070 $48,833 $4,330 $51,950 4 $4,184 $50,200 $4,498 $53,965 $4,916 $58,985 $5,230 $62,750 5 $4,904 $58,840 $5,272 $63,253 $5,762 $69,137 $6,130 $73,550 6 $5,624 $67,480 $6,046 $72,541 $6,608 $79,289 $7,030 $84,350 7 $6,344 $76,120 $6,820 $81,829 $7,454 $89,441 $7,930 $95,150 8 $7,064 $84,760 $7,594 $91,117 $8,300 $99,593 $8,830 $105,950 Each Additional Person $720 $8,640 $774 $9,288 $846 $10,152 $900 $10,800 Additional information on the programs is available at county assistance offices.
This notice shall take effect upon publication in the Pennsylvania Bulletin and apply retroactively to January 13, 2018.
Public Comments
Interested persons are invited to submit written comments regarding the implementation of FPIGs to the Department of Human Services, Office of Income Maintenance, Cathy Buhrig, Director, Bureau of Policy, Room 427, Health and Welfare Building, Harrisburg, PA 17120. Comments received within 30 calendar days will be reviewed and considered.
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).
Fiscal Note: 14-NOT-1225. No fiscal impact; (8) recommends adoption.
TERESA D. MILLER,
Secretary
[Pa.B. Doc. No. 18-578. Filed for public inspection April 13, 2018, 9:00 a.m.]
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