Appendix B: Income and Resource Limits for Specified Low-Income MA Beneficiaries (SLMB)

Family Size*

Monthly Limits

Annual Limit

1
2
3
4
5
6
7
8

Each additional person

$1,149
$1,551
$1,953
$2,355
$2,757
$3,159
$3,561
$3,963

$402

$13,788
$18,612
$23,436
$28,260
$33,084
$37,908
$42,732
$47,556

$4,824

* Count each individual, including unborn children, who is included in the Healthy Horizons family.

Family Size*

                          SLMB Eligible

1 person    $6,940

2 or more    $10,410

$7,080

  $10,620

Family Size*

SLMB and MNO Eligible

1 person     $2,400

2 or more   $3,200

$2,400

$3,200

Each additional individual $300

* Use the two-person limit when the Healthy Horizons family includes more than one individual, including unborn children.