568 Federal Poverty Income Guidelines for 2016

Federal Poverty Income Guidelines for 2016

[46 Pa.B. 1708]
[Saturday, April 2, 2016]

 The Department of Human Services (Department) announces the implementation in this Commonwealth of the 2016 Federal Poverty Income Guidelines (FPIG) which were issued by the Department of Health and Human Services and published at 81 FR 4036 (January 25, 2016).

 The FPIGs are the basis for the income eligibility limits for several categories of Medicaid whose regulations are codified in 55 Pa. Code (relating to public welfare) and administered by the Department. These categories include Healthy Horizons for the Elderly and Disabled (55 Pa. Code Chapter 140, Subchapter B), 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 Affordable Care Act 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. 157% for children 1 through 5 years of age.

 c. 133% for children 6 through 18 years of age and for adults 19 through 64 years of age.

 d. 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 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.

 There are different resource limits for each of the Healthy Horizons programs.

Persons	33% of FPIG		100% of FPIG		120% of FPIG		133% of FPIG
	Month	Annual	Month	Annual	Month	Annual	Month	Annual
1	$327	$3,921	$990	$11,880	$1,188	$14,256	$1,317	$15,801
2	$441	$5,287	$1,335	$16,020	$1,602	$19,224	$1,776	$21,307
3	$555	$6,653	$1,680	$20,160	$2,016	$24,192	$2,235	$26,813
4	$669	$8,019	$2,025	$24,300	$2,430	$29,160	$2,694	$32,319
5	$783	$9,386	$2,370	$28,440	$2,844	$34,128	$3,153	$37,826
6	$896	$10,752	$2,715	$32,580	$3,258	$39,096	$3,611	$43,332
7	$1,011	$12,121	$3,061	$36,730	$3,673	$44,076	$4,071	$48,851
8	$1,125	$13,494	$3,408	$40,890	$4,089	$49,068	$4,532	$54,384
Each Additional Person	$115	$1,373	$347	$4,160	$416	$4,992	$462	$5,533

Persons	135% of FPIG		157% of FPIG		200% of FPIG		215% of FPIG
	Month	Annual	Month	Annual	Month	Annual	Month	Annual
1	$1,337	$16,038	$1,555	$18,652	$1,980	$23,760	$2,129	$25,542
2	$1,803	$21,627	$2,096	$25,152	$2,670	$32,040	$2,871	$34,443
3	$2,268	$27,216	$2,638	$31,652	$3,360	$40,320	$3,612	$43,344
4	$2,734	$32,805	$3,180	$38,151	$4,050	$48,600	$4,354	$52,245
5	$3,200	$38,394	$3,721	$44,651	$4,740	$56,880	$5,096	$61,146
6	$3,666	$43,983	$4,263	$51,151	$5,430	$65,160	$5,838	$70,047
7	$4,133	$49,586	$4,806	$57,667	$6,122	$73,460	$6,581	$78,970
8	$4,601	$55,202	$5,350	$64,198	$6,815	$81,780	$7,327	$87,914
Each Additional Person	$468	$5,616	$545	$6,532	$694	$8,320	$746	$8,944

Persons	235% of FPIG		250% of FPIG
	Month	Annual	Month	Annual
1	$2,327	$27,918	$2,475	$29,700
2	$3,138	$37,647	$3,338	$40,050
3	$3,948	$47,376	$4,200	$50,400
4	$4,759	$57,105	$5,063	$60,750
5	$5,570	$66,834	$5,925	$71,100
6	$6,381	$76,563	$6,788	$81,450
7	$7,193	$86,316	$7,653	$91,825
8	$8,008	$96,092	$8,519	$102,225
Each Additional Person	$815	$9,776	$867	$10,400

 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 25, 2016.

Public Comments

 Interested persons are invited to submit written comments regarding this notice to the Department of Human Services, Office of Income Maintenance, Cathy Buhrig, Director, Bureau of Policy, Room 431, Health and Welfare Building, Harrisburg, PA 17120. 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 [phone] (TDD users) or [phone] (voice users).

THEODORE DALLAS, 
Secretary

 Fiscal Note: 14-NOT-1002. No fiscal impact; (8) recommends adoption.

[Pa.B. Doc. No. 16-568. Filed for public inspection April 1, 2016, 9:00 a.m.]