Federal Poverty Levels

1

PERSON IN HOUSEHOLD

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INCOME LIMIT 250% FPG
CYSHCN PAYMENT PROGRAMS

Yearly: $36,450

Monthly: $3,038

Twice Monthly: $1,519

Bi-weekly: $1,402

Weekly: $701

ANNUAL INCOME LIMIT: MULTIPLE ASSISTANCE PROGRAMS
ELIGIBLE PROGRAMS

100%: $14,580

Aged, Blind, or Disabled

130%: $17,676

SNAP (until Sept. 30, 2023- gross income) per FNS Guidelines

175%: $25,515

N/A

194%: $28,285

Pregnant Women and Infants, Healthy Connections Checkup

200%: $29,160

Medically Indigent Assistance Program

208%: $30,326

Partners for Healthy Children

250%: $36,450

All CYSHCN Payment Programs

2

PEOPLE IN HOUSEHOLD

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INCOME LIMIT 250% FPG
CYSHCN PAYMENT PROGRAMS

Yearly: $49,300

Monthly: $4,108

Twice Monthly: $2,054

Bi-weekly: $1,896

Weekly: $948

ANNUAL INCOME LIMIT: MULTIPLE ASSISTANCE PROGRAMS
ELIGIBLE PROGRAMS

100%: $19,720

Aged, Blind, or Disabled

130%: $23,808

SNAP (until Sept. 30, 2023- gross income) per FNS Guidelines

175%: $34,510

N/A

194%: $38,257

Pregnant Women and Infants, Healthy Connections Checkup

200%: $39,440

Medically Indigent Assistance Program

208%: $41,018

Partners for Healthy Children

250%: $49,300

All CYSHCN Payment Programs

3

PEOPLE IN HOUSEHOLD

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INCOME LIMIT 250% FPG
CYSHCN PAYMENT PROGRAMS

Yearly: $62,150

Monthly: $5,179

Twice Monthly: $2,590

Bi-weekly: $2,390

Weekly: $1,195

ANNUAL INCOME LIMIT: MULTIPLE ASSISTANCE PROGRAMS
ELIGIBLE PROGRAMS

100%: $24,860

Aged, Blind, or Disabled

130%: $29,940

SNAP (until Sept. 30, 2023- gross income) per FNS Guidelines

175%: $43,505

N/A

194%: $48,228

Pregnant Women and Infants, Healthy Connections Checkup

200%: $49,720

Medically Indigent Assistance Program

208%: $51,709

Partners for Healthy Children

250%: $62,150

All CYSHCN Payment Programs

4

PEOPLE IN HOUSEHOLD

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INCOME LIMIT 250% FPG
CYSHCN PAYMENT PROGRAMS

Yearly: $75,000

Monthly: $6,250

Twice Monthly: $3,125

Bi-weekly: $2,885

Weekly: $1,442

ANNUAL INCOME LIMIT: MULTIPLE ASSISTANCE PROGRAMS
ELIGIBLE PROGRAMS

100%: $30,000

Aged, Blind, or Disabled

130%: $36,084

SNAP (until Sept. 30, 2023- gross income) per FNS Guidelines

175%: $52,500

N/A

194%: $58,200

Pregnant Women and Infants, Healthy Connections Checkup

200%: $60,000

Medically Indigent Assistance Program

208%: $62,400

Partners for Healthy Children

250%: $75,000

All CYSHCN Payment Programs

5

PEOPLE IN HOUSEHOLD

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INCOME LIMIT 250% FPG
CYSHCN PAYMENT PROGRAMS

Yearly: $87,850

Monthly: $7,321

Twice Monthly: $3,660

Bi-weekly: $3,379

Weekly: $1,689

ANNUAL INCOME LIMIT: MULTIPLE ASSISTANCE PROGRAMS
ELIGIBLE PROGRAMS

100%: $35,140

Aged, Blind, or Disabled

130%: $42,216

SNAP (until Sept. 30, 2023- gross income) per FNS Guidelines

175%: $61,495

N/A

194%: $68,172

Pregnant Women and Infants, Healthy Connections Checkup

200%: $70,280

Medically Indigent Assistance Program

208%: $73,091

Partners for Healthy Children

250%: $87,850

All CYSHCN Payment Programs

6

PEOPLE IN HOUSEHOLD

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INCOME LIMIT 250% FPG
CYSHCN PAYMENT PROGRAMS

Yearly: $100,700

Monthly: $8,392

Twice Monthly: $4,196

Bi-weekly: $3,873

Weekly: $1,937

ANNUAL INCOME LIMIT: MULTIPLE ASSISTANCE PROGRAMS
ELIGIBLE PROGRAMS

100%: $40,280

Aged, Blind, or Disabled

130%: $48,348

SNAP (until Sept. 30, 2023- gross income) per FNS Guidelines

175%: $70,490

N/A

194%: $78,143

Pregnant Women and Infants, Healthy Connections Checkup

200%: $80,560

Medically Indigent Assistance Program

208%: $83,782

Partners for Healthy Children

250%: $100,700

All CYSHCN Payment Programs

7

PEOPLE IN HOUSEHOLD

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INCOME LIMIT 250% FPG
CYSHCN PAYMENT PROGRAMS

Yearly: $113,550

Monthly: $9,463

Twice Monthly: $4,731

Bi-weekly: $4,367

Weekly: $2,184

ANNUAL INCOME LIMIT: MULTIPLE ASSISTANCE PROGRAMS
ELIGIBLE PROGRAMS

100%: $45,420

Aged, Blind, or Disabled

130%: $54,492

SNAP (until Sept. 30, 2023- gross income) per FNS Guidelines

175%: $79,485

N/A

194%: $88,115

Pregnant Women and Infants, Healthy Connections Checkup

200%: $90,840

Medically Indigent Assistance Program

208%: $94,474

Partners for Healthy Children

250%: $113,550

All CYSHCN Payment Programs

8

PEOPLE IN HOUSEHOLD

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INCOME LIMIT 250% FPG
CYSHCN PAYMENT PROGRAMS

Yearly: $126,400

Monthly: $10,533

Twice Monthly: $5,267

Bi-weekly: $4,862

Weekly: $2,431

ANNUAL INCOME LIMIT: MULTIPLE ASSISTANCE PROGRAMS
ELIGIBLE PROGRAMS

100%: $50,560

Aged, Blind, or Disabled

130%: $60,624

SNAP (until Sept. 30, 2023- gross income) per FNS Guidelines

175%: $88,480

N/A

194%: $98,086

Pregnant Women and Infants, Healthy Connections Checkup

200%: $101,120

Medically Indigent Assistance Program

208%: $105,165

Partners for Healthy Children

250%: $126,400

All CYSHCN Payment Programs

9

PEOPLE IN HOUSEHOLD

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INCOME LIMIT 250% FPG
CYSHCN PAYMENT PROGRAMS

Yearly: $139,250

Monthly: $11,604

Twice Monthly: $5,802

Bi-weekly: $5,356

Weekly: $2,678

ANNUAL INCOME LIMIT: MULTIPLE ASSISTANCE PROGRAMS
ELIGIBLE PROGRAMS

100%: N/A

Aged, Blind, or Disabled

130%: N/A

SNAP (until Sept. 30, 2023- gross income) per FNS Guidelines

175%: N/A

N/A

194%: N/A

Pregnant Women and Infants, Healthy Connections Checkup

200%: N/A

Medically Indigent Assistance Program

208%: N/A

Partners for Healthy Children

250%: $139,250

All CYSHCN Payment Programs

10

PEOPLE IN HOUSEHOLD

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INCOME LIMIT 250% FPG
CYSHCN PAYMENT PROGRAMS

Yearly: $152,100

Monthly: $12,675

Twice Monthly: $6,338

Bi-weekly: $5,850

Weekly: $2,925

ANNUAL INCOME LIMIT: MULTIPLE ASSISTANCE PROGRAMS
ELIGIBLE PROGRAMS

100%: N/A

Aged, Blind, or Disabled

130%: N/A

SNAP (until Sept. 30, 2023- gross income) per FNS Guidelines

175%: N/A

N/A

194%: N/A

Pregnant Women and Infants, Healthy Connections Checkup

200%: N/A

Medically Indigent Assistance Program

208%: N/A

Partners for Healthy Children

250%: $152,100

All CYSHCN Payment Programs