Transcription of WIC Income Calculation Reference Sheet 2021-2022
1 WIC Income Calculation Reference Sheet - Updated 06/30/2021 Medicaid Provider ID (WIC) 7032402 Provider Type 98 For Participant: Medicaid # or SS#/Birthdate 2021-2022 WIC Annual Income guidelines 185% Federal Poverty Level WIC Final Policy Memorandum: #2020-4 (Publication of the 2020-2021 WIC Income eligibility guidelines ) which was published May 26, 2020. Family Size* Hourly 2080 Hours Weekly 52 weeks Biweekly 26 weeks Monthly 12 months Annual 1 $ $459 $917 $1,986 $23,828 Medicaid (MA) Verify active Medicaid number (CHAMPS, MI-Benefit) 2 $ $620 $ $2,686 $32,227 3 $ $782 $1,563 $3,386 $40,626 4 $ $943 $1,886 $4,086 $49,025 Supplemental Nutrition Assistance Program (Food Stamps) Verify Bridge Card current month deposit 888-678-8914 5 $ $1,105 $2,209 $4,786 $57,424 6 $ $1,266 $2,532 $5,486 $65,823 7 $ $1,428 $2,855 $6,186 $74,222 Family Independence Program (FIP) Conduent Customer Service 1-888-529-1693 8 $ $1,589 $3,178 $6,886 $82,621 9 $ $1,751 $3,501 $7,585 $91,020 10 $ $1,912 $3,824 $8,285 $99,419 11 $ $2,074 $4,147 $8,985 $107,818 12 $ $2,235 $4,470 $9,685 $116,217 13 $ $2,397 $4,793 $10,385 $124,616 14 $ $2,558 $5,116 $11,085 $133,015 15 $ $2,720 $5,439 $11,785 $141,414 16 $ $2,882 $5,763 $12,485 $149,813 *Pregnant woman is counted as one + the number of Infants expected when determining Income eligibility for the Total Economic Unit Ways to Calculate Total Annual Income Use past month (30 days) check stubs for Income verification Gross Income : Most recent IRS 1040 (Net Income for Farm and Self-Employed workers) YTD: Divided by # weeks paid x 52 weeks Weekly x 52 weeks Every 2 weeks x 26 weeks 2 Checks per month 1 pay stub x 24 Monthly x 12 months No Income : Review No Income questions to determine if part of another family.
2 If not, record $0 annual Income . Record Self Declared/Verification. Adjunct eligibility (Medicaid, Food Stamps or FIP): Verify current eligibility . Then client can self declare Income . Sudden Change in Income : Today's Income x 52 weeks Remember! You can use 1040 tax with W-2 forms until the next one is filed for documentation. For complete information about Income eligibility Determination, please refer to MI-WIC Policies: Income Determination Income guidelines Adjunct Income eligibility Declaration of No Income Family Size Migrant Family eligibility Michigan Department of Health and Human Services & WIC Program eligibility = Adjunct eligibility for WIC 133% MAGI 160% MAGI 185% FPL 195% MAGI 212% MAGI MI-Child Health Insurance for Infants & Children 0-19 years old who don t qualify for Healthy Kids Program Healthy Kids Program Insurance for Infants & Pregnant Women MOMs Program/PE (Presumptive eligibility ) Insurance for Pregnant Women not eligible for or not currently enrolled on Medicaid WIC Supplemental Nutrition Pregnant & Breast feeding women, non-lactating women, infants and children up to age 5.
3 Healthy Kids Insurance for Children 1 to 19 years old Healthy Michigan Plan Adults 19-64 years of age Apply for Healthy Michigan Plan, Healthy Kid Program, MIChild: Request appointment for WIC.
