016.20.99 Ark. Code R. 025
1999 FEDERAL POVERTY LEVELS Monthly Levels
(April 1, 1999 through March 31, 2000)
FAMILY MEDICAID CATEGORIES
SOBRA Children 6 & Over Born After 9/30/82 & AR Health Care Access | SOBRA Pregnant Women, Infants and Children up to Age 6 & | Transitional Medicaid | ARKids First | |
Family Size | 100% | Family Planning 133% | 185% | 200% |
1 | 686.67 | 913.27 | 1,270.34 | 1,373.34 |
2 | 921.67 | 1,225.82 | 1,705.09 | 1,843.34 |
3 | 1,156.67 | 1,538.37 | 2,139.84 | 2,313.34 |
4 | 1,391.67 | 1,850.92 | 2,574.59 | 2,783.34 |
5 | 1,626.67 | 2,163.47 | 3,009.34 | 3,253.34 |
6 | 1,861.67 | 2,476.02 | 3,444.09 | 3,723.34 |
7 | 2,096.67 | 2,788.57 | 3,878.84 | 4,193.34 |
8 | 2,331.67 | 3,101.12 | 4,313.59 | 4,663.34 |
9 | 2,566.67 | 3,413.67 | 4,748.34 | 5,133.34 |
10 | 2,801.67 | 3,726.22 | 5,183.09 | 5,603.34 |
For each additional member add: | 235.00 | 312.55 | 434.75 | 470.00 |
AABD MEDICAID CATEGORIES
QMB Equal To or Below 100% | SMB Between 100% & 120% | QI-1 At least 120% but Less Than 135% | QI-2 At least 135% but Less Than 175% | QDWI Equal To or Below 200% | |
Individual | 686.67 | 824.00 | 927.00 | 1,201.67 | 1,373.34 |
Couple | 921.67 | 1,106.00 | 1,244.25 | 1612.92 | 1,843.34 |
016.20.99 Ark. Code R. 025