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

$1,177

$1,593

$2,009

$2,425

$2,841

$3,257

$3,673

$4,089

$416

$14,124

$19,116

$24,108

$29,100

$34,092

$39,084

$44,076

$49,068

$4,992

Family Size*

Monthly Limits

Annual Limit

1
2
3
4
5
6
7
8

Each additional person

$1,167
$1,573
$1,979
$2,385
$2,791
$3,197
$3,603
$4,009

$406

$14,004
$18,876
$23,748
$28,620
$33,492

$38,364
$43,236
$48,108

$4,872

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

Family Size*

                          SLMB Eligible

1 person    $7,280

2 or more    $10,930

$7,160

  $10,750

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.