SCDHHS MPPM

103.01 Optional Coverage for (Pregnant) Women/Infants – OCWI, Family Planning – FP, and Transitional Medicaid (Eff. 03/01/09)
(185% of Federal Poverty Level)

For each additional family member, add $6,919 to the annual income.

Divide by 12 and round up to the next whole dollar for the monthly income.

103.02 Healthy Connections Programs for Children Up to Age 19 (Eff. 03/01/09)
For family sizes over 8, add the amount shown for each extra person to income limit for 8.

103.03 Low Income Families – LIF (Eff. 11/01/09)
For family sizes over 8, add $156 for each extra person to net income limit for 8. To calculate the gross income limit, multiply the net income limit by 185%.

103.04 Regular Foster Care – RFC (Eff. 11/01/09)
For family sizes over 8, add $156 for each extra person to net income limit for 8. To calculate the gross income limit, multiply the net income limit by 185%.

103.05 Aged, Blind and Disabled – ABD (Eff. 03/01/09)
(100% of Federal Poverty Level)

103.06 Specified Low Income Beneficiaries – SLMB Qualifying Individual – QI (Eff. 03/01/09)
(120% and 135% of Federal Poverty Level)

103.07 General Hospital (GH), Nursing Home (NH), Katie Beckett (TEFRA), Home and Community Based Services (HCBS) (Eff. 01/01/09)
(300% of Federal Benefit Rate)

103.08 Breast and Cervical Cancer Program (BCCP) Gap Assistance Pharmacy Program for Seniors (GAPS) Qualified Disabled Working Individuals (QDWI) (Eff. 03/01/09)
(200% of Federal Poverty Level)

For each additional member, add $7,480 to the annual income.

Divide by 12 and round up to the next whole dollar for the monthly income.

103.09 Working Disabled – WD (Eff. 03/01/09)
(250% of Federal Poverty Level)

For each additional family member, add $9,350 to the annual income.

Divide by 12 and round up to the next whole dollar for the monthly income.

103.13 Social Security Cost–of–Living Adjustment – COLA and Supplemental Security Income – SSI Federal Benefit Rate (Eff. 01/01/09)
Social Security Cost–of–Living Adjustment – COLA and

Supplemental Security Income – SSI Federal Benefit Rate

with Effective Dates: 01/92 through 01/00