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VA Standards of Assistance - Medicaid

The Standards of Assistance vary with both the size of the family unit and the geographic area in which the family lives. (There are three groups of geographic areas. See Geographic Areas of the State for the grouping by City and County.)

Medicaid

For Medicaid purposes the Standards of Assistance are used as follows:

1. LIFC 185% of Standards of Need (Non-VIEW): The first table is used in the first step of a two-step process to calculate the eligibility of non-VIEW low-income family members who are adults (aged 19 and above) and who do not fall into another category (such as being pregnant, having a disability, or being aged). If the family's Gross Income does not exceed 185% of the Standards of Need and one or more of the family members are children under 19, then the adults pass the first income-eligibility test for Medicaid because they are in the covered group, Low Income Families with Children (LIFC).

NOTE: To see how the standards of assistance are used for VIEW participants, read the explanation in the Initiative for Employment not Welfare (VIEW) topic.

2. 100% of Standards of Need: Column A in the next three tables (one table for each geographic area) contains the amounts that are used in the second step of computing income eligibility of children under age 21 in foster care or subsidized adoption. In this step the Families and Children (F&C) definition of Countable Income, rather than Gross Income, is used in the comparison.

This amount is also used in calculating the amount that is deemed from a parent or spouse who is not a member of the Assistance Unit.

3. 90% of Standards of Need: Column B in the next three tables contains the amounts used in the second step of the two-step process of calculating eligibility for Low Income Families with Children (LIFC). The family's Countable Income is compared to 90% of the applicable Standard of Assistance.

NOTE: The 90% limit is also used when determining eligibility for a family that is participating in the VIEW program. In that case, earned income cannot exceed 100% of the Federal Poverty Level (FPL) and unearned income cannot exceed the 90% Standard of Need.

 

NOTE: Tables below are listed in reverse chronological order, with current year's tables shown first, followed by previous years.

Image of horizontal red colored lines, used to seperate topic sections.

 

Tables Effective Dates: 07/01/2011 - 06/30/2012

 

LIFC 185% Of Standards Of Need
(Maximum Monthly Gross Income)
Effective 07/01/2011 - 06/30/2012

Grouped by Geographic Area

Family Unit Size

Group I

Group II

Group III

1

2

3

4

5

6

7

8

9

10

Each Additional

$ 355.57

557.71

718.48

871.97

1027.91

1152.08

1303.14

1466.32

1614.83

1763.34

148.51

$ 423.79

625.94

784.15

940.17

1113.32

1239.75

1388.38

1549.15

1697.66

1846.17

148.51

$ 591.83

796.42

957.22

1113.12

1320.17

1440.40

1594.44

1753.83

1902.34

2050.85

148.51

 

F&C Monthly Countable Income Limits
Effective 07/01/2011
- 06/30/2012

Geographic Area Group I

Family Unit Size

100%

90%

1

$192.20

$172.44

2

301.47

272.50

3

388.37

348.87

4

471.34

423.93

5

555.63

500.30

6

622.75

562.19

7

704.40

634.61

8

792.61

712.28

9

872.89

785.97

10

953.17

859.66

Each Additional

80.28

73.69

 

Geographic Area Group II

Family Unit Size

100%

90%

1

$229.08

$206.68

2

338.35

304.11

3

423.87

383.12

4

508.20

456.85

5

601.69

538.54

6

670.14

603.00

7

750.48

674.10

8

837.38

753.12

9

917.66

826.81

10

997.94

900.50

Each Additional

80.28

73.69

 

Geographic Area Group III

Family Unit Size

100%

90%

1

$319.91

$289.64

2

430.50

387.07

3

517.42

466.07

4

601.69

539.82

5

713.61

642.50

6

780.76

703.07

7

862.40

776.81

8

948.02

855.82

9

1028.30

929.51

10

1108.58

1003.20

Each Additional

80.28

73.69

Image of horizontal red colored lines, used to seperate topic sections.

 

NOTE: Tables below are for archival purposes only.
Tables Effective Dates: 07/01/2010 - 06/30/2011

 

LIFC 185% Of Standards Of Need
(Maximum Monthly Gross Income)
Effective 07/01/2010 - 06/30/2011

 

Grouped by Geographic Area

Family Unit Size

Group I

Group II

Group III

1

2

3

4

5

6

7

8

9

10

Each Additional

$ 349.98

548.95

707.18

858.25

1011.73

1133.96

1282.62

1443.24

1575.13

1721.37

146.19

$ 417.14

616.11

771.82

925.37

1095.61

1220.24

1366.54

1524.77

1659.04

1807.71

146.19

$ 582.53

783.90

942.17

1095.61

1299.40

1421.67

1570.32

1726.24

1867.63

2011.39

146.19

 

F&C Monthly Countable Income Limits
Effective 07/01/2010
- 06/30/2011

Geographic Area Group I

Family Unit Size

100%

90%

1

$189.18

$169.73

2

296.73

268.21

3

382.26

343.38

4

463.92

417.26

5

546.88

492.43

6

612.95

553.34

7

693.31

624.62

8

780.13

701.07

9

859.15

773.60

10

938.17

846.13

Each Additional

79.02

72.53

 

Geographic Area Group II

Family Unit Size

100%

90%

1

$225.48

$203.43

2

333.03

299.33

3

417.20

377.09

4

500.20

449.66

5

592.22

530.06

6

659.59

593.51

7

738.67

663.49

8

824.20

741.26

9

903.22

813.79

10

982.24

886.32

Each Additional

79.02

72.53

 

Geographic Area Group III

Family Unit Size

100%

90%

1

$314.88

$285.08

2

423.73

380.98

3

509.28

458.74

4

592.22

531.32

5

702.38

632.39

6

768.47

692.00

7

848.82

764.58

8

933.10

842.35

9

1012.12

914.88

10

1091.14

987.41

Each Additional

79.02

72.53

Image of horizontal red colored lines, used to seperate topic sections.

 

NOTE: Tables below are for archival purposes only.
Tables Effective Dates: 07/01/2009 - 06/30/2010

 

LIFC 185% Of Standards Of Need
(Maximum Monthly Gross Income)
Effective 07/01/2009 - 06/30/2010

Grouped by Geographic Area

Family Unit Size

Group I

Group II

Group III

1

2

3

4

5

6

7

8

9

10

Each Additional

$ 349.98

548.95

707.18

858.25

1011.73

1133.96

1282.62

1443.24

1575.13

1721.37

146.19

$ 417.14

616.11

771.82

925.37

1095.61

1220.24

1366.54

1524.77

1659.04

1807.71

146.19

$ 582.53

783.90

942.17

1095.61

1299.40

1421.67

1570.32

1726.24

1867.63

2011.39

146.19

 

F&C Monthly Countable Income Limits
Effective 07/01/2009
- 06/30/2010

Geographic Area Group I

Family Unit Size

100%

90%

1

$189.18

$169.73

2

296.73

268.21

3

382.26

343.38

4

463.92

417.26

5

546.88

492.43

6

612.95

553.34

7

693.31

624.62

8

780.13

701.07

9

859.15

773.60

10

938.17

846.13

Each Additional

79.02

72.53

 

Geographic Area Group II

Family Unit Size

100%

90%

1

$225.48

$203.43

2

333.03

299.33

3

417.20

377.09

4

500.20

449.66

5

592.22

530.06

6

659.59

593.51

7

738.67

663.49

8

824.20

741.26

9

903.22

813.79

10

982.24

886.32

Each Additional

79.02

72.53

 

Geographic Area Group III

Family Unit Size

100%

90%

1

$314.88

$285.08

2

423.73

380.98

3

509.28

458.74

4

592.22

531.32

5

702.38

632.39

6

768.47

692.00

7

848.82

764.58

8

933.10

842.35

9

1012.12

914.88

10

1091.14

987.41

Each Additional

79.02

72.53

Image of horizontal red colored lines, used to seperate topic sections.

 

NOTE: Tables below are for archival purposes only.
Tables Effective Dates: 07/01/2008 - 06/30/2009

 

LIFC 185% Of Standards Of Need
(Maximum Monthly Gross Income)
Effective 07/01/2008 - 06/30/2009

Grouped by Geographic Area

Family Unit Size

Group I

Group II

Group III

1

2

3

4

5

6

7

8

9

10

Each Additional

$ 330.80

518.89

668.44

811.22

956.26

1071.81

1212.32

1364.16

1502.35

1640.54

138.19

$ 394.27

582.34

729.65

874.67

1035.55

1153.39

1291.62

1441.21

1579.40

1717.59

138.19

$ 550.60

740.94

890.54

1035.55

1228.19

1343.76

1484.25

1631.64

1769.83

1908.02

138.19

 

F&C Monthly Countable Income Limits
Effective 07/01/2008
- 06/30/2009

Geographic Area Group I

Family Unit Size

100%

90%

1

$178.81

$160.433

2

280.47

253.51

3

361.31

324.56

4

438.49

394.39

5

516.90

465.44

6

579.35

523.01

7

655.31

590.38

8

737.37

662.64

9

812.06

731.20

10

886.75

799.76

Each Additional

74.69

68.56

 

Geographic Area Group II

Family Unit Size

100%

90%

1

$213.12

$192.28

2

314.78

282.93

3

394.39

356.42

4

472.78

425.01

5

559.76

501.01

6

623.44

560.98

7

698.18

627.12

8

779.02

700.63

9

853.71

769.19

10

928.40

837.75

Each Additional

74.69

68.56

 

Geographic Area Group III

Family Unit Size

100%

90%

1

$297.62

$269.46

2

400.51

360.10

3

481.37

433.60

4

559.76

502.20

5

663.88

597.73

6

726.35

654.07

7

802.29

722.67

8

881.95

796.18

9

956.64

864.74

10

1031.33

933.30

Each Additional

74.69

68.56

Image of horizontal red colored lines, used to seperate topic sections.

 

NOTE: Tables below are for archival purposes only.
Tables Effective Dates: 07/01/2007 - 06/30/2008

 

LIFC 185% Of Standards Of Need
(Maximum Monthly Gross Income)
Effective 07/01/2007 - 06/30/2008

Grouped by Geographic Area

Family Unit Size

Group I

Group II

Group III

1

2

3

4

5

6

7

8

9

10

Each Additional

$ 323.37

507.23

653.42

792.99

937.77

1047.72

1185.07

1333.49

1455.31

1590.47

135.09

$ 385.41

569.25

713.25

855.01

1012.27

1127.46

1262.59

1408.81

1532.86

1616.86

135.09

$ 538.23

724.29

870.52

1012.27

1200.58

1313.55

1450.88

1594.96

1725.57

1858.41

135.09

 

F&C Monthly Countable Income Limits
Effective 07/01/2007
- 06/30/2008

Geographic Area Group I

Family Unit Size

100%

90%

1

$174.79

$156.83

2

274.17

247.82

3

353.19

317.27

4

428.64

385.53

5

505.28

454.98

6

566.33

511.26

7

640.58

577.11

8

720.80

647.75

9

786.66

707.63

10

859.70

774.67

Each Additional

73.02

67.02

 

Geographic Area Group II

Family Unit Size

100%

90%

1

$208.33

$187.96

2

307.71

276.57

3

385.53

348.41

4

462.16

415.46

5

547.18

489.75

6

609.43

548.37

7

682.49

613.03

8

761.51

684.88

9

828.57

745.94

10

902.82

811.80

Each Additional

70.69

67.02

 

Geographic Area Group III

Family Unit Size

100%

90%

1

$290.93

$263.41

2

391.51

352.01

3

470.55

423.86

4

547.18

490.91

5

648.96

584.30

6

710.02

639.37

7

784.26

706.43

8

862.13

778.28

9

932.74

839.35

10

1004.54

903.99

Each Additional

73.02

67.02

Image of horizontal red colored lines, used to seperate topic sections.

 

NOTE: Tables below are for archival purposes only.
Tables Effective Dates: 07/01/2006 - 06/30/2007

 

LIFC 185% Of Standards Of Need
(Maximum Monthly Gross Income)
Effective 07/01/2006 - 06/30/2007

Grouped by Geographic Area

Family Unit Size

Group I

Group II

Group III

1

2

3

4

5

6

7

8

9

10

Each Additional

$ 313.04

491.03

632.55

767.66

904.91

1014.25

1147.22

1290.90

1408.82

1539.67

130.78

$ 373.10

551.07

690.47

827.70

979.94

1091.45

1222.76

1363.81

1483.90

1616.86

130.78

$ 521.04

701.16

842.72

979.94

1162.23

1271.59

1404.54

1544.01

1670.45

1799.05

130.78

 

F&C Monthly Countable Income Limits
Effective 07/01/2006
- 06/30/2007

Geographic Area Group I

Family Unit Size

100%

90%

1

$169.21

$151.82

2

265.42

239.91

3

341.91

307.14

4

414.95

373.22

5

489.14

440.45

6

548.24

494.93

7

620.12

558.68

8

697.78

627.06

9

761.53

685.03

10

832.24

749.93

Each Additional

70.69

64.88

 

Geographic Area Group II

Family Unit Size

100%

90%

1

$201.68

$181.96

2

297.88

267.74

3

373.22

337.28

4

447.40

402.19

5

529.70

474.11

6

589.97

530.86

7

660.69

593.45

8

737.19

663.01

9

802.11

722.12

10

873.98

785.87

Each Additional

70.69

64.88

 

Geographic Area Group III

Family Unit Size

100%

90%

1

$281.64

$255.00

2

379.01

340.77

3

455.52

410.32

4

529.70

475.23

5

628.23

565.64

6

687.34

618.95

7

759.21

683.87

8

834.59

753.42

9

902.95

812.54

10

972.45

875.12

Each Additional

70.69

64.88

Image of horizontal red colored lines, used to seperate topic sections.

 

NOTE: Tables below are for archival purposes only.
Effective Dates: 07/01/2005 - 06/30/2006

 

LIFC 185% Of Standards Of Need
(Maximum Monthly Gross Income)
Effective 07/01/2005 - 06/30/2006

Grouped by Geographic Area

Family Unit Size

Group I

Group II

Group III

1

2

3

4

5

6

7

8

9

10

Each Additional

$ 300.72

471.70

607.64

737.43

869.27

974.31

1102.04

1240.06

1353.34

1479.03

125.63

$ 358.41

529.37

663.28

795.11

941.35

1048.47

1174.13

1310.10

1425.46

1553.18

125.63

$ 500.52

673.55

809.53

941.35

1116.46

1221.51

1349.23

1483.20

1604.66

1728.20

125.63

 

F&C Monthly Countable Income Limits
Effective 07/01/2005
- 06/30/2006

Geographic Area Group I

Family Unit Size

100%

90%

1

$162.55

$145.85

2

254.97

230.47

3

328.45

295.05

4

398.61

358.53

5

469.88

423.11

6

526.65

475.44

7

595.70

536.68

8

670.30

602.37

9

731.54

658.05

10

799.47

720.40

Each Additional

67.91

62.33

 

Geographic Area Group II

Family Unit Size

100%

90%

1

$193.74

$174.80

2

286.15

257.20

3

358.53

324.00

4

429.78

386.35

5

508.84

455.44

6

566.74

509.96

7

634.67

570.08

8

708.16

636.90

9

770.52

693.68

10

839.56

754.92

Each Additional

67.91

62.33

 

Geographic Area Group III

Family Unit Size

100%

90%

1

$270.55

$244.96

2

364.09

327.35

3

437.58

394.16

4

508.84

456.52

5

603.49

543.37

6

660.27

594.58

7

729.31

656.94

8

801.72

723.75

9

867.39

780.54

10

934.15

840.66

Each Additional

67.91

62.33

Image of horizontal red colored lines, used to seperate topic sections.

 

NOTE: Tables below are for archival purposes only.
Effective Dates: 07/01/2004 - 06/30/2005

 

LIFC 185% Of Standards Of Need
(Maximum Monthly Gross Income)
Effective 07/01/2004 - 06/30/2005

Grouped by Geographic Area

Family Unit Size

Group I

Group II

Group III

1

2

3

4

5

6

7

8

9

10

Each Additional

$ 292.82

459.30

591.67

718.05

846.42

948.70

1073.07

1207.46

1317.77

1440.15

122.33

$ 348.99

515.46

645.85

774.21

916.61

1020.91

1143.27

1275.66

1512.35

1481.25

122.33

$ 487.37

655.85

788.25

916.61

1087.11

1189.40

1313.76

1444.21

1562.48

1682.77

122.33

 

F&C Monthly Countable Income Limits
Effective 07/01/2004
- 06/30/2005

Geographic Area Group I

Family Unit Size

100%

90%

1

$158.28

$142.02

2

248.27

224.42

3

319.82

287.30

4

388.14

349.11

5

457.53

411.99

6

512.81

462.95

7

580.04

522.58

8

652.68

586.54

9

712.31

640.75

10

778.46

701.47

Each Additional

66.13

60.70

 

Geographic Area Group II

Family Unit Size

100%

90%

1

$188.65

$170.21

2

278.63

250.44

3

349.11

315.49

4

418.49

376.20

5

495.47

443.47

6

551.85

496.56

7

617.99

555.10

8

689.55

620.16

9

750.27

675.45

10

817.49

735.08

Each Additional

66.13

60.70

 

Geographic Area Group III

Family Unit Size

100%

90%

1

$263.44

$238.52

2

354.52

318.75

3

426.08

383.80

4

495.47

444.52

5

587.63

529.09

6

642.92

578.95

7

710.14

639.67

8

780.65

704.73

9

844.59

760.02

10

909.60

818.56

Each Additional

66.13

60.70

Image of horizontal red colored lines, used to seperate topic sections.

Back to:

VA Medicaid Eligibility

VA Medicaid Covered Groups

VA Medicaid Overview

VA Benefit Information System Welcome and Introduction

Source:

Information for this topic was drawn from Chapter M07, Appendix 1 and Appendix 3, of the Department of Social Services (DSS) Medicaid Manual.


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