1 AFDC Income Standards

Medicaid and CHIP Program (MACPro) (CMS-10434)

QSSI-MACPro-PRA-S14

GenIC #15 (Transition from 0938-1148) - Medicaid State Plan Eligibility

OMB: 0938-1188

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Centers for Medicare & Medicaid Services
CMS eXpedited Life Cycle (XLC)

Medicaid and CHIP Program (MACPro)
S14-AFDC Income Standards PRA document
Version 1.0
08/17/2017

Document Number: 205-QSSI-MACPro-PRA-S14-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

CMS XLC

Table of Contents

Table of Contents
1. S14-AFDC Income Standards – Screenshots ........................................................ 1
1.1

AFDC Income Standards ................................................................................ 1

List of Figures
Figure 1: AFDC Income Standards - 1 ............................................................................ 1
Figure 2: AFDC Income Standards – 2 ........................................................................... 2
Figure 3: AFDC Income Standards – 3 ........................................................................... 2

S14-AFDC Income Standards PRA document Version 1.0

i

08/17/2017

CMS XLC

S14-AFDC Income Standards – Screenshots

1. S14-AFDC Income Standards – Screenshots
1.1

AFDC Income Standards

Figure 1: AFDC Income Standards - 1

S14-AFDC Income Standards PRA document Version 1.0

1

08/17/2017

CMS XLC

S14-AFDC Income Standards – Screenshots

Figure 2: AFDC Income Standards – 2

Figure 3: AFDC Income Standards – 3

S14-AFDC Income Standards PRA document Version 1.0

2

08/17/2017


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