Pennsylvania Code › Title 55 - HUMAN SERVICES › Part II - Public Assistance Manual › Subpart D - Determination of Need and Amount of Assistance › Chapter 181 - INCOME PROVISIONS FOR CATEGORICALLY NEEDY NMP-MA AND MNO-MA › Subchapter D - POSTELIGIBILITY DETERMINATION OF ELIGIBILITY FOR MA PAYMENT TOWARD COST OF CARE IN INSTITUTIONS › POSTELIGIBILITY DETERMINATION PROVISIONS › Appendix J - NMP-MA GROSS INCOME TEST LIMITS

Current through Register Vol. 54, No. 28, July 13, 2024
SCHEDULE 1
NUMBER OF PERSONS
								  IN APPLICANT/RECIPIENT GROUP
1
2
3
4
5
6
Each
								  Additional Person
$579
$890
$1136
$1386
$1637
$1852
$224
_______________________________________________________________________________________________
Bucks
Chester
Lancaster
Montgomery
Pike
_______________________________________________________________________________________________
								  _______________________________________________________________________________________________
SCHEDULE 2
NUMBER OF PERSONS
								  IN APPLICANT/RECIPIENT GROUP
1
2
3
4
5
6
Each
								  Additional Person
$551
$853
$1086
$1339
$1589
$1809
$224
_______________________________________________________________________________________________
Adams Allegheny Berks Blair Bradford
								  Butler
Centre Columbia Crawford Cumberland Dauphin
								  Delaware
Erie Lackawanna Lebanon Lehigh Luzerne Lycoming
Monroe
								  Montour Northampton Philadelphia Sullivan Susquehanna
Union Warren
								  Wayne Westmoreland Wyoming York
_______________________________________________________________________________________________
								  _______________________________________________________________________________________________
SCHEDULE 3
NUMBER OF PERSONS
								  IN APPLICANT/RECIPIENT GROUP
1
2
3
4
5
6
Each Additional Person
$525
$821
$1060
$1291
$1534
$1745
$224
_______________________________________________________________________________________________
Beaver Cameron Carbon Clinton
Elk
								  Franklin Indiana
Lawrence McKean Mercer
Mifflin Perry
								  Potter
Snyder Tioga Venango Washington
_______________________________________________________________________________________________
								  _______________________________________________________________________________________________
SCHEDULE 4
NUMBER OF PERSONS
								  IN APPLICANT/RECIPIENT GROUP
1
2
3
4
5
6
Each
								  Additional Person
$468
$751
$984
$1225
$1463
$1654
$224
_______________________________________________________________________________________________
Armstrong Bedford Cambria
Clarion
								  Clearfield Fayette
Forest Fulton Greene
Huntingdon Jefferson
								  Juniata
Northumberland Schuylkill Somerset
_______________________________________________________________________________________________
								  _______________________________________________________________________________________________
Note:
If a pregnancy is medically
						  verified, the unborn child is counted as a member of the applicant/recipient
						  group when establishing the income limits. If multiple births are expected and
						  verified, each unborn child is counted.
The provisions of this Appendix J issued under
							 section 403(b) of the Public Welfare Code (62 P. S. §
															403(b)).
This appendix cited in 55 Pa. Code §
														181.1 (relating to general policy
							 on MA income common to all categories of
							 MA).