861 Federal poverty income guidelines for 2004

DEPARTMENT OF
PUBLIC WELFARE

Federal Poverty Income Guidelines for 2004

[34 Pa.B. 2645]

   The Department of Public Welfare (Department) announces the implementation in this Commonwealth of the 2004 Federal Poverty Income Guidelines (FPIGs) which were issued by the Department of Health and Human Services and published at 69 FR 7336 on February 13, 2004.

   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), Healthy Horizons for the Elderly and Disabled (55 Pa. Code Chapter 140, Subchapter B) and Extended Medical Coverage under Categorically Needy TANF-Related Categories (55 Pa. Code Chapter 140, Subchapter C).

   The percentages for the Medicaid categories of Healthy Beginnings and Healthy Horizons are set forth as follows:

Persons	100% of FPIG		120% of FPIG		133% of FPIG		135% of FPIG
	Month	Annual	Month	Annual	Month	Annual	Month	Annual
1	$   776	$ 9,310	$   931	$11,172	$1,032	$12,383	$1,048	$12,569
2	$1,041	$12,490	$1,249	$14,988	$1,385	$16,612	$1,406	$16,862
3	$1,306	$15,670	$1,567	$18,804	$1,737	$20,842	$1,763	$21,155
4	$1,571	$18,850	$1,885	$22,620	$2,090	$25,071	$2,121	$25,448
5	$1,836	$22,030	$2,203	$26,436	$2,442	$29,300	$2,479	$29,741
6	$2,101	$25,210	$2,521	$30,252	$2,795	$33,530	$2,837	$34,034
7	$2,366	$28,390	$2,839	$34,068	$3,147	$37,759	$3,194	$38,327
8	$2,631	$31,570	$3,157	$37,884	$3,499	$41,989	$3,552	$42,620
Each Additional Person	$   265	$  3,180	$   318	$  3,816	$   353	$  4,230	$   358	$  4,293

Persons	185% of FPIG		200% of FPIG		235% of FPIG		250% of FPIG
	Month	Annual	Month	Annual	Month	Annual	Month	Annual
1	$1,436	$17,224	$1,552	$18,620	$1,824	$21,879	$1,940	$23,275
2	$1,926	$23,107	$2,082	$24,980	$2,446	$29,352	$2,603	$31,225
3	$2,416	$28,990	$2,612	$31,340	$3,069	$36,825
4	$2,907	$34,873	$3,142	$37,700	$3,692	$44,298
5	$3,397	$40,756	$3,672	$44,060	$4,315	$51,771
6	$3,887	$46,639	$4,202	$50,420	$4,937	$59,244
7	$4,377	$52,522	$4,732	$56,780	$5,560	$66,717
8	$4,868	$58,405	$5,262	$63,140	$6,183	$74,190
Each Additional Person	$   491	$  5,883	$   530	$  6,360	$   623	$  7,473

   These percentages apply as follows:

Healthy Beginnings--

   a.  185% for pregnant women and infants up to 1 year of age.

   b.  133% for children 1-5 years of age.

   c.  100% for children 6 years of age and older who were born after September 30, 1983.

Healthy Horizons--

   a.  100% for persons eligible for the categorically needy and Medicare cost-sharing benefits.

   b.  120% for persons eligible for the Specified Low-Income Medicare Beneficiaries and Medically Needy Only benefits.

   c.  135% for persons eligible for the Qualifying Individuals Beneficiaries benefits.

   (There are different resource limits for each of these programs.)

   Additional information on the specific program is available at county assistance offices.

Effective Date

   This notice shall take effect upon publication in the Pennsylvania Bulletin and apply retroactively to February 13, 2004.

ESTELLE B. RICHMAN,   
Secretary

   Fiscal Note:  14-NOT-390. 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

APPENDIX A

EXTENDED MEDICAL COVERAGE (EMC) MONTHLY INCOME LIMITS

185% OF THE 2004 FEDERAL POVERTY INCOME GUIDELINES

	185% of the Federal
Family Size	Poverty Income Guidelines
1	$1,436
2	$1,926
3	$2,416
4	$2,907
5	$3,397
6	$3,887
7	$4,377
8	$4,868
Each Additional Person	$   491

[Pa.B. Doc. No. 04-861. Filed for public inspection May 14, 2004, 9:00 a.m.]