PM 06-10-05

(Provider) Uses the income guidelines in the following table to decide if a pregnant woman is eligible for MPE.

revised textThe income standard has been converted to a Modified Adjusted Gross Income (MAGI) equivalent standard. Monthly countable income must be equal to or less than 213% of the FPL (208% + 5% standard disregard). The FPL is updated yearly.

revised text2014 Income Standard for MPE

(MAGI Equivalent)

Family Size * Monthly Income
2 $2,792
3 3,513
4 4,233
5 4,954
6 5,675
7 6,395
8 7,116
each additional person 721

*If the pregnant woman has more than one unborn child, increase the family size by the number of additional unborn children and use the corresponding income levels.

Example: A married woman with one child who is expecting twins would have a family size of 5.