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PA Bulletin, Doc. No. 13-966

NOTICES

DEPARTMENT OF
PUBLIC WELFARE

Federal Poverty Income Guidelines for 2013

[43 Pa.B. 2967]
[Saturday, May 25, 2013]

 The Department of Public Welfare (Department) announces the implementation in this Commonwealth of the 2013 Federal Poverty Income Guidelines (FPIGs) which were issued by the Department of Health and Human Services and published at 78 FR 5182 (January 24, 2013).

 The FPIGs are the basis for the income eligibility limits for several categories of Medicaid whose regulations are published in 55 Pa. Code (relating to public welfare) and administered by the Department. These categories include Healthy Beginnings for Pregnant Women and Qualified Children (55 Pa. Code Chapter 140, Subchapter A), Healthy Horizons for the Elderly and Disabled (55 Pa. Code Chapter 140, Subchapter B) and Extended Medical Coverage under Categorically Needy TANF-Related Categories (55 Pa. Code Chapter 140, Subchapter C).

 The percentages for the Medicaid categories of Healthy Beginnings and Healthy Horizons are set forth as follows:

 These percentages apply as follows:

 Healthy Beginnings:

 a. 185% for pregnant women and infants up to 1 year of age

 b. 133% for children 1 through 5 years of age

 c. 100% for children 6 years of age and older

 Healthy Horizons:

 a. 100% for persons eligible for the categorically needy, Medicare Buy-In and Medicare cost-sharing benefits

 b. 120% for persons eligible for the Specified Low-Income Medicare Beneficiaries

 c. 135% for persons eligible for the Qualifying Individuals Beneficiaries benefits

 There are different resource limits for each of the Healthy Horizons programs.

Persons 100% of FPIG 120% of FPIG 133% of FPIG 135% of FPIG
Month Annual Month Annual Month Annual Month Annual
1 $958 $11,490 $1,149 $13,788 $1,274 $15,282 $1,293 $15,512
2 $1,293 $15,510 $1,551 $18,612 $1,720 $20,629 $1,745 $20,939
3 $1,628 $19,530 $1,953 $23,436 $2,165 $25,975 $2,198 $26,366
4 $1,963 $23,550 $2,355 $28,260 $2,611 $31,322 $2,650 $31,793
5 $2,298 $27,570 $2,757 $33,084 $3,056 $36,669 $3,102 $37,220
6 $2,633 $31,590 $3,159 $37,908 $3,502 $42,015 $3,554 $42,647
7 $2,968 $35,610 $3,561 $42,732 $3,947 $47,362 $4,007 $48,074
8 $3,303 $39,630 $3,963 $47,556 $4,393 $52,708 $4,459 $53,501
Each
Additional $335 $4,020 $402 $4,824 $446 $5,347 $453 $5,427
Person
Persons 185% of FPIG 200% of FPIG 235% of FPIG 250% of FPIG
Month Annual Month Annual Month Annual Month Annual
1 $1,772 $21,257 $1,915 $22,980 $2,251 $27,002 $2,394 $28,725
2 $2,392 $28,694 $2,585 $31,020 $3,038 $36,449 $3,232 $38,775
3 $3,011 $36,131 $3,255 $39,060 $3,825 $45,896 $4,069 $48,825
4 $3,631 $43,568 $3,925 $47,100 $4,612 $55,343 $4,907 $58,875
5 $4,251 $51,005 $4,595 $55,140 $5,400 $64,790 $5,744 $68,925
6 $4,871 $58,442 $5,265 $63,180 $6,187 $74,237 $6,582 $78,975
7 $5,490 $65,879 $5,935 $71,220 $6,974 $83,684 $7,419 $89,025
8 $6,110 $73,316 $6,605 $79,260 $7,761 $93,131 $8,257 $99,075
Each
Additional $620 $7,437 $670 $8,040 $788 $9,447 $838 $10,050
Person

 Additional information on the programs is available at the county assistance offices.

 This notice shall take effect upon publication in the Pennsylvania Bulletin and apply retroactively to January 24, 2013.

Public Comments

 Interested persons are invited to submit written comments regarding this notice to the Department of Public Welfare, Office of Income Maintenance, Edward J. Zogby, Director, Bureau of Policy, Room 431, Health and Welfare Building, Harrisburg, PA 17120, (717) 787-4081. Comments received within 30 calendar days will be reviewed and considered for any subsequent revision of the notice.

 Persons with a disability who require an auxiliary aid or service may submit comments using the Pennsylvania AT&T Relay Service at (800) 654-5984 (TDD users) or (800) 654-5988 (voice users).

BEVERLY D. MACKERETH, 
Acting Secretary

Fiscal Note: 14-NOT-819. No fiscal impact; (8) recommends adoption.

Annex A

TITLE 55. PUBLIC WELFARE

PART II. PUBLIC ASSISTANCE MANUAL

Subpart C. ELIGIBILITY REQUIREMENTS

CHAPTER 140. SPECIAL MA ELIGIBILITY PROVISIONS

Subchapter C. ELIGIBILITY PROVISIONS FOR EMC UNDER THE CATEGORICALLY
NEEDY PROGRAM FOR TANF-RELATED CATEGORIES

APPENDIX A

EXTENDED MEDICAL COVERAGE (EMC) MONTHLY INCOME LIMITS

185% OF THE 2013 FEDERAL POVERTY INCOME GUIDELINES

Family Size185% of the Federal
Poverty Income Guidelines
1 $1,772
2 $2,392
3 $3,011
4 $3,631
5 $4,251
6 $4,871
7 $5,490
8 $6,110
Each Additional Person $620
[Pa.B. Doc. No. 13-966. Filed for public inspection May 24, 2013, 9:00 a.m.]



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