WAG 15-06-01-e.
See policy memorandum dated 12/11/13 Family Health Spenddown Ending for Non-Pregnant Adults.
| Number in Standard |
Countable Monthly Income |
| 1 |
$283 |
| 2 |
375 |
| 3 |
508 |
| 4 |
558 |
| 5 |
650 |
| 6 |
733 |
| 7 |
767 |
| 8 |
808 |
NOTE: Contact the HFS Bureau of Medical Eligibility Policy for the amount to add for an additional person(s).