1 Income Standards - AFDC-related – Territories

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

QSSI-MACPro-PRA-S14T

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)
S14T- Income Standards - AFDC-related –
Territories PRA document
Version 1.0
08/18/2017

Document Number: 211-QSSI-MACPro-PRA-S14T-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

CMS XLC

Table of Contents

Table of Contents
1. S14T- Income Standards - AFDC-related – Territories – Screenshots ................ 1
1.1

Income Standards - AFDC-related – Territories .............................................. 1

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

S14T- Income Standards - AFDC-related – Territories PRA document
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S14T- Income Standards - AFDC-related – Territories – Screenshots

1. S14T- Income Standards - AFDC-related – Territories –
Screenshots
1.1

Income Standards - AFDC-related – Territories

Figure 1: Income Standards - AFDC-related – Territories – 1

Figure 2: Income Standards - AFDC-related – Territories – 2
S14T- Income Standards - AFDC-related – Territories PRA document
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S14T- Income Standards - AFDC-related – Territories – Screenshots

Figure 3: Income Standards - AFDC-related – Territories – 3

S14T- Income Standards - AFDC-related – Territories PRA document
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