Federal Poverty Levels

1

PERSON IN HOUSEHOLD

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INCOME LIMIT 250% FPG
CYSHCN PAYMENT PROGRAMS

Yearly: $37,650

Monthly: $3,138

Twice Monthly: $1,569

Bi-weekly: $1,448

Weekly: $724

ANNUAL INCOME LIMIT: MULTIPLE ASSISTANCE PROGRAMS
ELIGIBLE PROGRAMS

100%: $15,060

Aged, Blind, or Disabled

130%: $18,960

SNAP (until Sept. 30, 2024- gross income) per FNS Guidelines

175%: $26,355

N/A

194%: $29,216

Pregnant Women and Infants, Healthy Connections Checkup

200%: $30,120

Medically Indigent Assistance Program

208%: $31,325

Partners for Healthy Children

250%: $37,650

All CYSHCN Payment Programs

2

PEOPLE IN HOUSEHOLD

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INCOME LIMIT 250% FPG
CYSHCN PAYMENT PROGRAMS

Yearly: $51,100

Monthly: $4,258

Twice Monthly: $2,129

Bi-weekly: $1,965

Weekly: $983

ANNUAL INCOME LIMIT: MULTIPLE ASSISTANCE PROGRAMS
ELIGIBLE PROGRAMS

100%: $20,440

Aged, Blind, or Disabled

130%: $25,644

SNAP (until Sept. 30, 2024- gross income) per FNS Guidelines

175%: $35,770

N/A

194%: $39,654

Pregnant Women and Infants, Healthy Connections Checkup

200%: $40,880

Medically Indigent Assistance Program

208%: $42,515

Partners for Healthy Children

250%: $51,100

All CYSHCN Payment Programs

3

PEOPLE IN HOUSEHOLD

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INCOME LIMIT 250% FPG
CYSHCN PAYMENT PROGRAMS

Yearly: $64,550

Monthly: $5,379

Twice Monthly: $2,690

Bi-weekly: $2,483

Weekly: $1,241

ANNUAL INCOME LIMIT: MULTIPLE ASSISTANCE PROGRAMS
ELIGIBLE PROGRAMS

100%: $25,820

Aged, Blind, or Disabled

130%: $32,328

SNAP (until Sept. 30, 2024- gross income) per FNS Guidelines

175%: $45,185

N/A

194%: $50,091

Pregnant Women and Infants, Healthy Connections Checkup

200%: $51,640

Medically Indigent Assistance Program

208%: $53,706

Partners for Healthy Children

250%: $64,550

All CYSHCN Payment Programs

4

PEOPLE IN HOUSEHOLD

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INCOME LIMIT 250% FPG
CYSHCN PAYMENT PROGRAMS

Yearly: $78,000

Monthly: $6,500

Twice Monthly: $3,250

Bi-weekly: $3,000

Weekly: $1,500

ANNUAL INCOME LIMIT: MULTIPLE ASSISTANCE PROGRAMS
ELIGIBLE PROGRAMS

100%: $31,200

Aged, Blind, or Disabled

130%: $39,000

SNAP (until Sept. 30, 2024- gross income) per FNS Guidelines

175%: $54,600

N/A

194%: $60,528

Pregnant Women and Infants, Healthy Connections Checkup

200%: $62,400

Medically Indigent Assistance Program

208%: $64,896

Partners for Healthy Children

250%: $78,000

All CYSHCN Payment Programs

5

PEOPLE IN HOUSEHOLD

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INCOME LIMIT 250% FPG
CYSHCN PAYMENT PROGRAMS

Yearly: $91,450

Monthly: $7,621

Twice Monthly: $3,810

Bi-weekly: $3,517

Weekly: $1,759

ANNUAL INCOME LIMIT: MULTIPLE ASSISTANCE PROGRAMS
ELIGIBLE PROGRAMS

100%: $36,580

Aged, Blind, or Disabled

130%: $45,684

SNAP (until Sept. 30, 2024- gross income) per FNS Guidelines

175%: $64,015

N/A

194%: $70,965

Pregnant Women and Infants, Healthy Connections Checkup

200%: $73,160

Medically Indigent Assistance Program

208%: $76,086

Partners for Healthy Children

250%: $91,450

All CYSHCN Payment Programs

6

PEOPLE IN HOUSEHOLD

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INCOME LIMIT 250% FPG
CYSHCN PAYMENT PROGRAMS

Yearly: $104,900

Monthly: $8,742

Twice Monthly: $4,371

Bi-weekly: $4,035

Weekly: $2,017

ANNUAL INCOME LIMIT: MULTIPLE ASSISTANCE PROGRAMS
ELIGIBLE PROGRAMS

100%: $41,960

Aged, Blind, or Disabled

130%: $52,368

SNAP (until Sept. 30, 2024- gross income) per FNS Guidelines

175%: $73,430

N/A

194%: $81,402

Pregnant Women and Infants, Healthy Connections Checkup

200%: $83,920

Medically Indigent Assistance Program

208%: $87,277

Partners for Healthy Children

250%: $104,900

All CYSHCN Payment Programs

7

PEOPLE IN HOUSEHOLD

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INCOME LIMIT 250% FPG
CYSHCN PAYMENT PROGRAMS

Yearly: $118,350

Monthly: $9,863

Twice Monthly: $4,931

Bi-weekly: $4,552

Weekly: $2,276

ANNUAL INCOME LIMIT: MULTIPLE ASSISTANCE PROGRAMS
ELIGIBLE PROGRAMS

100%: $47,340

Aged, Blind, or Disabled

130%: $59,052

SNAP (until Sept. 30, 2024- gross income) per FNS Guidelines

175%: $82,845

N/A

194%: $91,840

Pregnant Women and Infants, Healthy Connections Checkup

200%: $94,680

Medically Indigent Assistance Program

208%: $98,467

Partners for Healthy Children

250%: $118,350

All CYSHCN Payment Programs

8

PEOPLE IN HOUSEHOLD

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INCOME LIMIT 250% FPG
CYSHCN PAYMENT PROGRAMS

Yearly: $131,800

Monthly: $10,983

Twice Monthly: $5,492

Bi-weekly: $5,069

Weekly: $2,535

ANNUAL INCOME LIMIT: MULTIPLE ASSISTANCE PROGRAMS
ELIGIBLE PROGRAMS

100%: $52,720

Aged, Blind, or Disabled

130%: $65,736

SNAP (until Sept. 30, 2024- gross income) per FNS Guidelines

175%: $92,260

N/A

194%: $102,277

Pregnant Women and Infants, Healthy Connections Checkup

200%: $105,440

Medically Indigent Assistance Program

208%: $109,658

Partners for Healthy Children

250%: $131,800

All CYSHCN Payment Programs

9

PEOPLE IN HOUSEHOLD

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INCOME LIMIT 250% FPG
CYSHCN PAYMENT PROGRAMS

Yearly: $145,250

Monthly: $12,104

Twice Monthly: $6,052

Bi-weekly: $5,587

Weekly: $2,793

ANNUAL INCOME LIMIT: MULTIPLE ASSISTANCE PROGRAMS
ELIGIBLE PROGRAMS

100%: N/A

Aged, Blind, or Disabled

130%: N/A

SNAP (until Sept. 30, 2024- 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%: $145,250

All CYSHCN Payment Programs

10

PEOPLE IN HOUSEHOLD

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INCOME LIMIT 250% FPG
CYSHCN PAYMENT PROGRAMS

Yearly: $158,700

Monthly: $13,225

Twice Monthly: $6,613

Bi-weekly: $6,104

Weekly: $3,052

ANNUAL INCOME LIMIT: MULTIPLE ASSISTANCE PROGRAMS
ELIGIBLE PROGRAMS

100%: N/A

Aged, Blind, or Disabled

130%: N/A

SNAP (until Sept. 30, 2024- 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%: $158,700

All CYSHCN Payment Programs