NOTICES
DEPARTMENT OF HUMAN SERVICES
Federal Poverty Income Guidelines for 2019
[49 Pa.B. 2070]
[Saturday, April 27, 2019]The Department of Human Services (Department) announces the implementation in this Commonwealth of the 2019 Federal Poverty Income Guidelines (FPIG) which were issued by the Department of Health and Human Services and published at 84 FR 1167 (February 1, 2019).
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)), Modified Adjusted Gross Income (MAGI) based eligibility categories for pregnant women, children, parent/caretakers and adults and Medical Assistance for Workers with Disabilities (MAWD). 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 MAWD category was established by the Department's implementation of the Ticket to Work and Work Incentives Improvement Act of 1999 (P.L. 106-170) at 32 Pa.B. 289 (January 12, 2002).
The percentages for the Medicaid categories of MAGI, Healthy Horizons and MAWD are set forth as follows:
MAGI—
• 33% for children up through 18 years of age and parents/caretakers.
• 102% for individuals 19—64 years of age with a permanent disability (Medical Review Team (MRT) or Social Security Administration (SSA) 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.
• 133% for children 6—18 years of age and for adults 19—64 years of age.
• 157% for children 1—5 years of age.
• 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.
• 215% for pregnant women and infants under 1 year of age; and the Family Planning Services program.
* MAGI FPIGs represent the MAGI converted standards which will be valid until September 2019.
Healthy Horizons—
• 100% for persons eligible for categorically needy, Medicare Buy-In and Medicare cost-sharing benefits.
• 120% for persons eligible for the Specified Low-Income Medicare Beneficiaries.
• 135% for persons eligible for the Qualifying Individuals Beneficiaries benefits.
MAWD—
• 250% for individuals 16—64 years of age who are disabled (MRT or SSA determined) and employed.
There are different resource limits for each of the Healthy Horizons programs and MAWD.
Persons 33% of FPIG 100% of FPIG 102% of FPIG 120% of FPIG Month Annual Month Annual Month Annual Month Annual 1 $344 $4,122 $1,041 $12,490 $1,062 $12,740 $1,249 $14,988 2 $466 $5,581 $1,410 $16,910 $1,438 $17,249 $1,691 $20,292 3 $587 $7,039 $1,778 $21,330 $1,814 $21,757 $2,133 $25,596 4 $709 $8,498 $2,146 $25,750 $2,189 $26,265 $2,575 $30,900 5 $830 $9,957 $2,515 $30,170 $2,565 $30,774 $3,017 $36,204 6 $952 $11,415 $2,883 $34,590 $2,941 $35,282 $3,459 $41,508 7 $1,073 $12,874 $3,251 $39,010 $3,316 $39,791 $3,901 $46,812 8 $1,195 $14,332 $3,620 $43,430 $3,692 $44,299 $4,343 $52,116 Each Additional Person $122 $1,459 $369 $4,420 $376 $4,509 $442 $5,304
Persons 133% of FPIG 135% of FPIG 157% of FPIG 185% of FPIG Month Annual Month Annual Month Annual Month Annual 1 $1,385 $16,612 $1,406 $16,862 $1,635 $19,610 $1,926 $23,107 2 $1,875 $22,491 $1,903 $22,829 $2,213 $26,549 $2,607 $31,284 3 $2,365 $28,369 $2,400 $28,796 $2,791 $33,489 $3,289 $39,461 4 $2,854 $34,248 $2,897 $34,763 $3,369 $40,428 $3,970 $47,638 5 $3,344 $40,127 $3,395 $40,730 $3,948 $47,367 $4,652 $55,815 6 $3,834 $46,005 $3,892 $46,697 $4,526 $54,307 $5,333 $63,992 7 $4,324 $51,884 $4,389 $52,664 $5,104 $61,246 $6,015 $72,169 8 $4,814 $57,762 $4,886 $58,631 $5,683 $68,186 $6,696 $80,346 Each Additional Person $490 $5,879 $498 $5,967 $579 $6,940 $682 $8,177
Persons 215% of FPIG 250% of FPIG Month Annual Month Annual 1 $2,238 $26,854 $2,603 $31,225 2 $3,030 $36,357 $3,523 $42,275 3 $3,822 $45,860 $4,444 $53,325 4 $4,614 $55,363 $5,365 $64,375 5 $5,406 $64,866 $6,286 $75,425 6 $6,198 $74,369 $7,207 $86,475 7 $6,990 $83,782 $8,128 $97,525 8 $7,782 $93,375 $9,048 $108,575 Each
Additional
Person$792 $9,503 $921 $11,050 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 11, 2019.
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).
TERESA D. MILLER,
SecretaryFiscal Note: 14-NOT-1322. No fiscal impact; (8) recommends adoption
[Pa.B. Doc. No. 19-628. Filed for public inspection April 26, 2019, 9:00 a.m.]
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