Transcription of Eligibility Reference Guide - Tennessee
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Family Size100%120%133%135%142%195%200%211%250% 1Mo$1,012 $1,214 $1,346 $1,366 $1,437 $1,973 $2,024 $2,135 $2,530 Yr$12,140$14,568 $16,147 $16,389 $17,239 $23,673 $24,280 $25,616 $30,350 2 Mo$1,372 $1,646 $1,825 $1,852 $1,948 $2,675 $2,744 $2,895 $3,430 Yr$16,460 $19,752 $21,892 $22,221 $23,374 $32,097 $32,920 $34,731 $41,150 3 Mo$1,732 $2,078 $2,304 $2,338 $2,459 $3,377 $3,464 $3,654 $4,330 Yr$20,780 $24,936 $27,638 $28,053 $29,508 $40,521 $41,560 $43,846 $51,950 4 Mo$2,092 $2,510 $2,782 $2,824 $2,971 $4,079 $4,184 $4,414 $5,230 Yr$25,100 $30,120 $33,383 $33,885 $35,642 $48,945 $50,200 $52,961 $62,750 5 Mo$2,452 $2,942 $3,261 $3,310 $3,482 $4,781 $4,904 $5,174 $6,130 Yr$29,420 $35,304 $39,129 $39,717 $41,777 $57,369 $58,840 $62,077 $73,550 6 Mo$2,812 $3,374 $3,740 $3,796 $3,993 $5,483 $5,624 $5,933 $7,030 Yr$33,740 $40,488 $44,875 $45,549 $47,911 $6
Low income children age 6 to 19th birthday 133% of the poverty level - No resource test . Child Medically Needy . Children up to age 21. Must either have low income OR have sufficient unreimbursed medical bills to spend down to requisite income limits. Monthly spend-down levels of $241 (1), $258 (2),
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