DEPARTMENT OF
PUBLIC WELFARE
Federal Poverty Income Guidelines for 2011
[41 Pa.B. 2095]
[Saturday, April 16, 2011]The Department of Public Welfare (Department) announces the implementation in this Commonwealth of the 2011 Federal Poverty Income Guidelines (FPIGs) which were issued by the Department of Health and Human Services and published at 76 FR 3637 (January 20, 2011).
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 (relating to the categorically needy healthy beginnings program for pregnant women and qualified children)), 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 Extended Medical Coverage under the Categorically Needy TANF-Related Categories (55 Pa. Code Chapter 140, Subchapter C (relating to eligibility provisions for EMC under the categorically needy program for TANF-related categories)).
The percentages for the Medicaid categories of Healthy Beginnings and Healthy Horizons are set forth as follows:
These percentages apply as follows:
Healthy Beginnings:
a. 185% for pregnant women and infants up to 1 year of age.
b. 133% for children 1 through 5 years of age.
c. 100% for children 6 years of age and older.
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.
Persons 100% of FPIG 120% of FPIG 133% of FPIG 135% of FPIG Month Annual Month Annual Month Annual Month Annual 1 $908 $10,890 $1,089 $13,068 $1,207 $14,484 $1,226 $14,702 2 $1,226 $14,710 $1,471 $17,652 $1,631 $19,565 $1,655 $19,859 3 $1,545 $18,530 $1,853 $22,236 $2,054 $24,645 $2,085 $25,016 4 $1,863 $22,350 $2,235 $26,820 $2,478 $29,726 $2,515 $30,173 5 $2,181 $26,170 $2,617 $31,404 $2,901 $34,807 $2,945 $35,330 6 $2,500 $29,990 $2,999 $35,988 $3,324 $39,887 $3,374 $40,487 7 $2,818 $33,810 $3,381 $40,572 $3,748 $44,968 $3,804 $45,644 8 $3,136 $37,630 $3,763 $45,156 $4,171 $50,048 $4,234 $50,801 Each Additional Person $319 $3,820 $382 $4,584 $424 $5,081 $430 $5,157
Persons 185% of FPIG 200% of FPIG 235% of FPIG 250% of FPIG Month Annual Month Annual Month Annual Month Annual 1 $1,679 $20,147 $1,815 $21,780 $2,133 $25,592 $2,269 $27,225 2 $2,268 $27,214 $2,452 $29,420 $2,881 $34,569 $3,065 $36,775 3 $2,857 $34,281 $3,089 $37,060 $3,629 $43,546 $3,861 $46,325 4 $3,446 $41,348 $3,725 $44,700 $4,377 $52,523 $4,657 $55,875 5 $4,035 $48,415 $4,362 $52,340 $5,125 $61,500 $5,453 $65,425 6 $4,624 $55,482 $4,999 $59,980 $5,874 $70,477 $6,248 $74,975 7 $5,213 $62,549 $5,635 $67,620 $6,622 $79,454 $7,044 $84,525 8 $5,802 $69,616 $6,272 $75,260 $7,370 $88,431 $7,840 $94,075 Each Additional Person $589 $7,067 $637 $7,640 $749 $8,977 $796 $9,550 There are different resource limits for each of the Healthy Horizons programs.
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 20, 2011.
Public Comments
Interested persons are invited to submit written comments regarding this notice to the Department of Public Welfare, Office of Income Maintenance, Edward J. Zogby, Director, Bureau of Policy, Room 431, Health and Welfare Building, Harrisburg, PA 17120, (717) 787-4081. 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).
GARY ALEXANDER,
Acting SecretaryFiscal Note: 14-NOT-684. No fiscal impact; (8) recommends adoption.
Annex A
TITLE 55. PUBLIC WELFARE
PART II. PUBLIC ASSISTANCE MANUAL
Subpart C. ELIGIBILITY REQUIREMENTS
CHAPTER 140. SPECIAL MA ELIGIBILITY
PROVISIONS
Subchapter C. ELIGIBILITY PROVISIONS FOR
EMC UNDER THE CATEGORICALLY NEEDY
PROGRAM FOR TANF-RELATED CATEGORIES
APPENDIX A
EXTENDED MEDICAL COVERAGE (EMC)
MONTHLY INCOME LIMITS
185% OF THE 2011 FEDERAL POVERTY
INCOME GUIDELINES
185% of the Federal Family Size Poverty Income Guidelines 1 $1,679 2 $2,268 3 $2,857 4 $3,446 5 $4,035 6 $4,624 7 $5,213 8 $5,802 Each Additional Person $589
[Pa.B. Doc. No. 11-663. Filed for public inspection April 15, 2011, 9:00 a.m.]
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