WorkWORLD
|
|
||||
| Get Latest WorkWORLD |
|
||||
|
|||||
|
|
www.workworld.org |
workworld@vcu.edu |
Many of the Income Limits for various poverty and disability benefits are tied to the Federal Poverty Level (FPL). (See Medicaid - Countable Income - FPL Related) for information about income types or amounts that are counted or disregarded.)
Although the federal government usually releases the new FPL numbers in late February or March of each year (and occasionally in January), Delaware chooses to implement the new FPL criteria on different dates depending on the program.
Annual sets of tables below are presented in reverse chronological order (the current year is shown first, followed by previous years.)
The Federal Poverty Level guidelines are used to compute income eligibility standards for:
· FPL-Related Covered Groups: Low Income Pregnant Women, Infants and Children; and Low Income Uninsured Adults in the Expanded Population
· Medicare-Related Medicaid (QMB, SLMB, QI-1, & QDWI)
· Transitional Medicaid (second six months)
· Delaware Prescription Assistance Program (DPAP) (see DPAP topic)
The FPL guidelines are also used to determine the income levels for the premium amounts for:
Income Limits for FPL-Related Groups, DPAP, and Family Planning:
Effective January 1, 2007, except DPAP effective February 1, 2007
|
Family Size |
Annual income |
Monthly Income |
Monthly Income |
Monthly Income |
|
1 |
10,210 |
851 |
1,132 |
1,702 |
|
2 |
13,690 |
1,141 |
1,518 |
2,282 |
|
3 |
17,170 |
1,431 |
1,904 |
2,862 |
|
4 |
20,650 |
1,721 |
2,289 |
3,442 |
|
5 |
24,130 |
2,011 |
2,675 |
4,022 |
|
6 |
27,610 |
2,301 |
3,061 |
4,602 |
|
7 |
31,090 |
2,591 |
3,446 |
5,182 |
|
8 |
34,570 |
2,881 |
3,832 |
5,762 |
|
9 |
38,050 |
3,171 |
4,218 |
6,342 |
|
10 |
41,530 |
3,461 |
4,603 |
6,922 |
For a family size greater than 10, add $3,480 to the 100% Annual Income for each family member.
Income Limits for Medicare-Related Medicaid:
Effective April 1, 2007, except QDWI effective January 1, 2007
|
Family Size |
Monthly Income |
Monthly Income |
Monthly Income |
Monthly Income |
|
1 |
851 |
1,021 |
1,149 |
1,702 |
|
2 |
1,141 |
1,369 |
1,541 |
2,282 |
Earned Income Limits for Transitional Medicaid (2nd 6 months):
Effective July 1, 2007
NOTE: These will use 2008 FPL basis effective 07/01/2008.
|
Family Size |
Annual income |
Monthly Earnings |
|
1 |
10,210 |
1,574 |
|
2 |
13,690 |
2,111 |
|
3 |
17,170 |
2,647 |
|
4 |
20,650 |
3,184 |
|
5 |
24,130 |
3,720 |
|
6 |
27,610 |
4,257 |
|
7 |
31,090 |
4,793 |
|
8 |
34,570 |
5,330 |
|
9 |
38,050 |
5,866 |
|
10 |
41,530 |
6,403 |
* Actual limit may be off by $1 due to rounding
For a family size greater than 10, add $3,480 to the 100% Annual Income for each family member.
Healthy Children Program
Premiums based on Countable Monthly Income % of FPL
Effective January 1, 2007
|
Family Size |
Monthly Income |
Monthly Income |
Monthly Income |
|
1 |
852 - 1,132 |
1,133 - 1,413 |
1,414 - 1,702 |
|
2 |
1,142 - 1,518 |
1,519 - 1,894 |
1,895 - 2,282 |
|
3 |
1,432 - 1,904 |
1,905 - 2,376 |
2,377 - 2,862 |
|
4 |
1,722 - 2,289 |
2,290 - 2,857 |
2,858 - 3,442 |
|
5 |
2,012 - 2,675 |
2,676 - 3,338 |
3,339 - 4,022 |
|
6 |
2,302 - 3,061 |
3,062 - 3,820 |
3,821 - 4,602 |
|
7 |
2,592 - 3,446 |
3,447 - 4,301 |
4,302 - 5,182 |
|
8 |
2,882 - 3,832 |
3,833 - 4,783 |
4,784 - 5,762 |
|
9 |
3,172 - 4,218 |
4,219 - 5,264 |
5,265 - 6,342 |
|
10 |
3,462 - 4,603 |
4,604 - 5,745 |
5,746 - 6,922 |
Income Limits for FPL-Related Groups, DPAP, and Family Planning:
Effective January 1, 2006, except DPAP effective February 1, 2006
|
Family Size |
Annual income |
Monthly Income |
Monthly Income |
Monthly Income |
Monthly Income |
|
1 |
9,800 |
817 |
1,087 |
1,634 |
2,450 |
|
2 |
13,200 |
1,100 |
1,463 |
2,200 |
3,300 |
|
3 |
16,600 |
1,384 |
1,840 |
2,767 |
4,150 |
|
4 |
20,000 |
1,667 |
2,217 |
3,334 |
5,000 |
|
5 |
23,400 |
1,950 |
2,594 |
3,900 |
5,850 |
|
6 |
26,800 |
2,234 |
2,971 |
4,467 |
6,700 |
|
7 |
30,200 |
2,517 |
3,348 |
5,034 |
7,550 |
|
8 |
33,600 |
2,800 |
3,724 |
5,600 |
8,400 |
|
9 |
37,000 |
3,084 |
4,101 |
6,167 |
9,250 |
|
10 |
40,400 |
3,367 |
4,478 |
6,734 |
10,100 |
For a family size greater than 10, add $3,400 to the 100% Annual Income for each family member.
Income Limits for Medicare-Related Medicaid:
Effective April 1, 2006, except QDWI effective January 1, 2006
|
Family Size |
Monthly Income |
Monthly Income |
Monthly Income |
Monthly Income |
|
1 |
817 |
980 |
1,103 |
1,634 |
|
2 |
1,100 |
1,320 |
1,485 |
2,200 |
Earned Income Limits for Transitional Medicaid (2nd 6 months):
Effective July 1, 2006
|
Family Size |
Annual income |
Monthly Earnings |
|
1 |
9,800 |
1,511 |
|
2 |
13,200 |
2,035 |
|
3 |
16,600 |
2,559 |
|
4 |
20,000 |
3,083 |
|
5 |
23,400 |
3,608 |
|
6 |
26,800 |
4,132 |
|
7 |
30,200 |
4,656 |
|
8 |
33,600 |
5,180 |
|
9 |
37,000 |
5,704 |
|
10 |
40,400 |
6,228 |
* Actual limit may be off by $1 due to rounding
For a family size greater than 10, add $3,400 to the 100% Annual Income for each family member.
Healthy Children Program
Premiums based on Countable Monthly Income % of FPL
Effective January 1, 2006
|
Family Size |
Monthly Income |
Monthly Income |
Monthly Income |
|
1 |
818 - 1,087 |
1,088 - 1,356 |
1,357 - 1,634 |
|
2 |
1,101 - 1,463 |
1,464 - 1,826 |
1,827 - 2,200 |
|
3 |
1,385 - 1,840 |
1,841 - 2,297 |
2,298 - 2,767 |
|
4 |
1,668 - 2,217 |
2,218 - 2,767 |
2,768 - 3,334 |
|
5 |
1,951 - 2,594 |
2,595 - 3,237 |
3,238 - 3,900 |
|
6 |
2,235 - 2,971 |
2,972 - 3,708 |
3,709 - 4,467 |
|
7 |
2,518 - 3,348 |
3,349 - 4,178 |
4,179 - 5,034 |
|
8 |
2,801 - 3,724 |
3,725 - 4,648 |
4,649 - 5,600 |
|
9 |
3,085 - 4,101 |
4,102 - 5,119 |
5,120 - 6,167 |
|
10 |
3,368 - 4,478 |
4,479 - 5,589 |
5,590 - 6,734 |
|
|
Premium = $10 |
Premium $15 |
Premium $25 |
Income Limits for FPL-Related Groups, DPAP, and Family Planning:
Effective February 1, 2005, except DPAP effective March 1, 2005
|
Family Size |
Annual income |
Monthly Income |
Monthly Income |
Monthly Income |
Monthly Income |
|
1 |
9,570 |
798 |
1,061 |
1,595 |
2,393 |
|
2 |
12,830 |
1,070 |
1,422 |
2,139 |
3,208 |
|
3 |
16,090 |
1,341 |
1,784 |
2,682 |
4,023 |
|
4 |
19,350 |
1,613 |
2,145 |
3,225 |
4,838 |
|
5 |
22,610 |
1,885 |
2,506 |
3,769 |
5,653 |
|
6 |
25,870 |
2,156 |
2,868 |
4,312 |
6,468 |
|
7 |
29,130 |
2,428 |
3,229 |
4,855 |
7,283 |
|
8 |
32,390 |
2,700 |
3,590 |
5,399 |
8,098 |
|
9 |
35,650 |
2,971 |
3,952 |
5,942 |
8,913 |
|
10 |
38,910 |
3,243 |
4,314 |
6,485 |
9,728 |
For a family size greater than 10, add $3,260 to the 100% Annual Income for each family member.
Income Limits for Medicare-Related Medicaid:
Effective April 1, 2005, except QDWI effective February 1, 2005
|
Family Size |
Monthly Income |
Monthly Income |
Monthly Income |
Monthly Income |
|
1 |
798 |
957 |
1,077 |
1,595 |
|
2 |
1,070 |
1,283 |
1,444 |
2,139 |
Earned Income Limits for Transitional Medicaid (2nd 6 months):
Effective July 1, 2005
|
Family Size |
Annual income |
Monthly Earnings |
|
1 |
9,570 |
1,475 |
|
2 |
12,830 |
1,978 |
|
3 |
16,090 |
2,481 |
|
4 |
19,350 |
2,983 |
|
5 |
22,610 |
3,486 |
|
6 |
25,870 |
3,988 |
|
7 |
29,130 |
4,491 |
|
8 |
32,390 |
4,993 |
|
9 |
35,650 |
5,496 |
|
10 |
38,910 |
5,998 |
* Actual limit may be off by $1 due to rounding
For a family size greater than 10, add $3,260 to the 100% Annual Income for each family member.
Healthy Children Program
Premiums based on Countable Monthly Income % of FPL
Effective Feb. 1, 2005
|
Family Size |
Monthly Income |
Monthly Income |
Monthly Income |
|
1 |
799 - 1,061 |
1,062 - 1,324 |
1,325 - 1,595 |
|
2 |
1,071 - 1,422 |
1,423 - 1,775 |
1,776 - 2,139 |
|
3 |
1,342 - 1,784 |
1,785 - 2,226 |
2,227 - 2,682 |
|
4 |
1,614 - 2,145 |
2,146 - 2,677 |
2,678 - 3,225 |
|
5 |
1,886 - 2,506 |
2,507 - 3,128 |
3,129 - 3,769 |
|
6 |
2,157 - 2,868 |
2,869 - 3,579 |
3,580 - 4,312 |
|
7 |
2,429 - 3,229 |
3,230 - 4,030 |
4,031 - 4,855 |
|
8 |
2,701 - 3,590 |
3,591 - 4,481 |
4,482 - 5,399 |
|
9 |
2,972 - 3,952 |
3,953 - 4,932 |
4,933 - 5,942 |
|
10 |
3,244 - 4,314 |
4,314 - 5,383 |
5,384 - 6,485 |
|
|
Premium = $10 |
Premium $15 |
Premium $25 |
Income Limits for FPL-Related Groups:
Effective Feb. 1, 2004
|
Family Size |
Annual income |
Monthly Income 100% FPL (Age 6 through 18 & Uninsured Adults) |
Monthly Income 133% FPL (Age 1 through 5) |
Monthly Income 200% FPL (Pregnant Women & Infants & Healthy Children) |
|
1 |
9,310 |
776 |
1,032 |
1,552 |
|
2 |
12,490 |
1,041 |
1,385 |
2,082 |
|
3 |
15,670 |
1,306 |
1,737 |
2,612 |
|
4 |
18,850 |
1,571 |
2,090 |
3,142 |
|
5 |
22,030 |
1,836 |
2,442 |
3,672 |
|
6 |
25,210 |
2,101 |
2,795 |
4,202 |
|
7 |
28,390 |
2,366 |
3,147 |
4,732 |
|
8 |
31,570 |
2,631 |
3,499 |
5,262 |
|
9 |
34,750 |
2,896 |
3,852 |
5,792 |
|
10 |
37,930 |
3,161 |
4,204 |
6,322 |
For a family size greater than 10, add $3,180 to the 100% Annual Income for each family member.
Income Limits for Medicare-Related Medicaid:
Effective April 1, 2004
|
Family Size |
Monthly Income |
Monthly Income |
Monthly Income |
Monthly Income |
|
1 |
776 |
931 |
1,048 |
1,552 |
|
2 |
1,041 |
1,249 |
1,406 |
2,082 |
Earned Income Limits for Transitional Medicaid (2nd 6 months):
Effective July 1, 2004
|
Family Size |
Annual income 100% FPL |
Monthly Earnings 185% FPL* |
|
1 |
9,310 |
1,436 |
|
2 |
12,490 |
1,926 |
|
3 |
15,670 |
2,416 |
|
4 |
18,850 |
2,907 |
|
5 |
22,030 |
3,397 |
|
6 |
25,210 |
3,887 |
|
7 |
28,390 |
4,377 |
|
8 |
31,570 |
4,868 |
|
9 |
34,750 |
5,358 |
|
10 |
37,930 |
5,848 |
* Actual limit may be off by $1 due to rounding
For a family size greater than 10, add $3,180 to the 100% Annual Income for each family member.
Healthy Children Program
Premiums based on Countable Monthly Income % of FPL
Effective Feb. 1, 2004
|
Family Size |
Monthly Income more than 100% and less than or = 133% |
Monthly Income more than 133% and less than or = 166% |
Monthly Income more than 166% and less than or = 200% |
|
1 |
777- 1,032 |
1,033 - 1,288 |
1,289 - 1,552 |
|
2 |
1,042 - 1,385 |
1,386 - 1,728 |
1,729 - 2,082 |
|
3 |
1,307 - 1,737 |
1,738 - 2,168 |
2,169 - 2,612 |
|
4 |
1,572 - 2,090 |
2,091 - 2,608 |
2,609 - 3,142 |
|
5 |
1,837 - 2,442 |
2,443 - 3,048 |
3,049 - 3,672 |
|
6 |
2,102 - 2,795 |
2,796 - 3,488 |
3,489 - 4,202 |
|
7 |
2,367 - 3,147 |
3,148 - 3,928 |
3,929 - 4,732 |
|
8 |
2,632 - 3,499 |
3,500 - 4,368 |
4,369 - 5,262 |
|
9 |
2,897 - 3,852 |
3,853 - 4,808 |
4,809 - 5,792 |
|
10 |
3,162 - 4,204 |
4,205 - 5,247 |
5,248 - 6,322 |
|
|
Premium = $10 |
Premium $15 |
Premium $25 |
DE Medicaid - Resource Eligibility
DE Medicaid - Application Procedures
DE DSS - Change Reporting Requirements
Administrative Notice DMMA-09-2007, January 26, 2006; Administrative Notice DMMA-02-2006, January 27, 2006; DSS Administrative Notice A-06-2005, February 22, 2005; DSS Administrative Notice A-04-2004, February 18, 2004; and calculation of Transitional Limits from Federal Poverty Levels.
DE Division of Social Services - Overview
DE Benefit Information System Overview
WorkWORLD™ Help/Information System
Share/Save: Click the button or link at left to select your favorite bookmark service and add this page.
This is one topic from the thousands available in the WorkWORLD™ software Help/Information System.
Complete information about the software is available at: http://www.WorkWORLD.org
See How to Get WorkWORLD page at: http://www.WorkWORLD.org/howtogetWW.html
NOTE: Sponsored links and commercial advertisements help make the WorkWORLD™ website possible by partially defraying its operating and maintenance expenses. No endorsement of these or any related commercial products or services is intended or implied by the Employment Support Institute or any of its partners. ESI and its partners take no responsibility for, and exercise no control over, any of these advertisements or their views or contents, and do not vouch for the accuracy of the information contained in them. Readers are cautioned to verify all information obtained from these advertisements prior to taking any actions based upon them. The installed WorkWORLD software does not contain advertisements of any kind.
Copyright © 1996, 1997, 1998, 1999, 2000, 2001, 2002, 2003, 2004, 2005, 2006, 2007, 2008, 2009, 2010, 2011, 2012, Virginia Commonwealth University. All rights reserved.