DEPARTMENT OF PUBLIC WELFARE Federal Poverty Income Guidelines for 2003 [33 Pa.B. 2226] The Department of Public Welfare (Department) announces the implementation in this Commonwealth of the 2003 Federal Poverty Income Guidelines (FPIGs) which were issued by the Department of Health and Human Services and were published at 68 FR 6456 on February 7, 2003.
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 $ 749 $ 8,980 $ 898 $10,776 $ 996 $11,944 $ 1,011 $12,123 2 $1,010 $12,120 $1,212 $14,544 $1,344 $16,120 $1,364 $16,362 3 $1,272 $15,260 $1,526 $18,312 $1,692 $20,296 $1,717 $20,601 4 $1,534 $18,400 $1,840 $22,080 $2,040 $24,472 $2,070 $24,840 5 $1,795 $21,540 $2,154 $25,848 $2,388 $28,649 $2,424 $29,079 6 $2,057 $24,680 $2,468 $29,616 $2,736 $32,825 $2,777 $33,318 7 $2,319 $27,820 $2,782 $33,384 $3,084 $37,001 $3,130 $37,557 8 $2,580 $30,960 $3,096 $37,152 $3,432 $41,177 $3,483 $41,796 Each
Additional
Person
$ 262 $ 3,140 $ 314 $ 3,768 $ 349 $ 4,177 $ 354 $ 4,239 Persons 185% of FPIG 200% of FPIG 235% of FPIG 250% of FPIG Month Annual Month Annual Month Annual Month Annual 1 $1,385 $16,613 $1,497 $17,960 $1,759 $21,103 $1,871 $22,450 2 $1,869 $22,422 $2,020 $24,240 $2,374 $28,482 $2,525 $30,300 3 $2,353 $28,231 $2,544 $30,520 $2,989 $35,861 $3,180 $38,150 4 $2,837 $34,040 $3,067 $36,800 $3,604 $43,240 $3,834 $46,000 5 $3,321 $39,849 $3,590 $43,080 $4,219 $50,619 $4,488 $53,850 6 $3,805 $45,658 $4,114 $49,360 $4,834 $57,998 $5,142 $61,700 7 $4,289 $51,467 $4,637 $55,640 $5,449 $65,377 $5,796 $69,550 8 $4,773 $57,276 $5,160 $61,920 $6,063 $72,756 $6,450 $77,400 Each Additional
Person
$ 485 $ 5,809 $ 524 $ 6,280 $ 615 $ 7,379 $ 655 $ 7,850
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 those persons eligible for the categorically needy and Medicare cost-sharing benefits.
b. 120% for those persons eligible for the Specified Low-Income Medicare Beneficiaries and Medically Needy Only benefits.
c. 135% for those 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 the county assistance offices.
Effective Date
This notice shall take effect upon publication in the Pennsylvania Bulletin and apply retroactively to February 7, 2003.
ESTELLE B. RICHMAN,
SecretaryFiscal Note: 14-NOT-359. 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 AFDC/AFDC-U RELATED CATEGORIES APPENDIX A EXTENDED MEDICAL COVERAGE (EMC) MONTHLY INCOME LIMITS 185% OF THE 2003 FEDERAL POVERTY INCOME GUIDELINES 185% of the Federal Family Size Poverty Income Guidelines 1 $1,385 2 $1,869 3 $2,353 4 $2,837 5 $3,321 6 $3,805 7 $4,289 8 $4,773 Each Additional Person $ 485 [Pa.B. Doc. No. 03-835. Filed for public inspection May 2, 2003, 9:00 a.m.]
