Appendix C: Qualifying Person (QI-1S)

Income Limits - 135% of the Federal Poverty Guidelines

Effective 1/25/16

Family Size*

Monthly Limits

Annual Limit

1
2
3
4
5
6
7
8

 

Each additional person

$1,337.00

$1,803.00

$2,268.00

$2,734.00

$3,200.00

$3,666.00

$4,133.00

$4,601.00

 

 

$468.00

$16,038.00

$21,627.00

$27,216.00

$32,805.00

$38,394.00

$43,983.00

$49,586.00

$55,202.00

 

 

$5,616.00

 

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

 

Income  Limits - 135% of the Federal Poverty Guidelines

Effective 1/22/15

Family Size*

Monthly Limits

Annual Limit

1
2
3
4
5
6
7
8

 

Each additional person

$1,325.00

$1,793.00

$2,261.00

$2,729.00

$3,197.00

$3,665.00

$4,133.00

$4,601.00

 

 

$468.00

$15,890.00

$21,506.00

$27,122.00

$32,738.00

$38,354.00

$43,970.00

$49,586.00

$55,202.00

 

 

$5,616.00

 

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


Resource Limits  Effective 1/1/2017

Family Size*

Resource Limit

1 person
2 or more

$7,390
$11,090

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

 

 

Resource Limits  Effective 1/1/2016

Family Size*

Resource Limit

1 person
2 or more

$7,280
$10,930

 

 

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

 

 

Updated January 4, 2017,   Replacing  February 2, 2016