Compilation of Rules and Regulations of the State of Georgia
Department 290 - RULES OF DEPARTMENT OF HUMAN SERVICES
Chapter 290-2 - FAMILY AND CHILDREN SERVICES
Subject 290-2-26 - EMERGENCY MEDICAL SERVICES TO PREGNANT WOMEN
Rule 290-2-26-.08 - Violations

ANNEX A INDIGENCY STANDARDS TOTAL ANNUAL GROSS INCOME

%POVERTY LEVEL

100%

105%

110%

115%

120%

125%

[GREATER THAN]125%

PAY CATEGORY

FAMILY SIZE

EARNINGS PERIOD

Pay $100

Pay 25%

Pay 35%

Pay 45%

Pay 55%

Pay 65%

Pay 100%

1

ANNUAL MONTHLY WEEKLY

$5,250.00 [LESS THAN] $437.50 $100.96

$5,512.50 [LESS THAN] $459.38 $106.01

$5,775.00 [LESS THAN] $481.25 $111.06

$6,037.50 [LESS THAN] $503.13 $116.11

$6,300.00 [LESS THAN] $525.00 $121.15

$6,562.50 [LESS THAN] $546.88 $126.20

$6,562.50 [GREATER THAN] $546.88 $126.20

2

ANNUAL MONTHLY WEEKLY

$7,050.00 [LESS THAN] $587.50 $135.58

$7,402.50 [LESS THAN] $616.88 $142.36

$7,755.00 [LESS THAN] $646.25 $149.13

$8,107.50 [LESS THAN] $675.63 $155.91

$8,460.00 [LESS THAN] $705.00 $162.69

$8,812.50 [LESS THAN] $734.38 $169.47

$8,812.50 [GREATER THAN] $734.38 $169.47

3

ANNUAL MONTHLY WEEKLY

$8,850.00 [LESS THAN] $737.50 $170.19

$9,292.50 [LESS THAN] $774.38 $178.70

$9,735.00 [LESS THAN] $811.25 $187.21

$10,177.50 [LESS THAN] $848.13 $195.72

$10,620.00 [LESS THAN] $885.00 $204.23

$11,062.50 [LESS THAN] $921.88 $212.74

$11,062.50 [GREATER THAN] $921.88 $212.74

4

ANNUAL MONTHLY WEEKLY

$10,650.00 [LESS THAN] $887.50 $204.81

$11,182.50 [LESS THAN] $931.88 $215.05

$11,715.00 [LESS THAN] $976.25 $225.29

$12,247.50 [LESS THAN] $1,020.63 $235.53

$12,780.00 [LESS THAN] $1,065.00 $245.77

$13,312.50 [LESS THAN] $1,109.38 $256.01

$13,312.50 [GREATER THAN] $1,109.38 $256.01

5

ANNUAL MONTHLY WEEKLY

$12,450.00 [LESS THAN] $1,037.50 $239.42

$13,072.50 [LESS THAN] $1,089.38 $251.39

$13,695.00 [LESS THAN] $1,141.25 $263.37

$14,317.50 [LESS THAN] $1,193.13 $275.34

$14,940.00 [LESS THAN] $1,245.00 $287.31

$15,562.50 [LESS THAN] $1,296.88 $299.28

$15,562.50 [GREATER THAN] $1,296.88 $299.28

6

ANNUAL MONTHLY WEEKLY

$14,250.00 [LESS THAN] $1,187.50 $274.04

$14,962.50 [LESS THAN] $1,246.88 $287.74

$15,675.00 [LESS THAN] $1,306.25 $301.44

$16,387.50 [LESS THAN] $1,365.63 $315.14

$17,100.00 [LESS THAN] $1,425.00 $328.85

$17,812.50 [LESS THAN] $1,484.38 $342.55

$17,812.50 [GREATER THAN] $1,484.38 $342.55

7

ANNUAL MONTHLY WEEKLY

$16,050.00 [LESS THAN] $1,337.50 $308.65

$16,852.50 [LESS THAN] $1,404.38 $324.09

$17,655.00 [LESS THAN] $1,471.25 $339.52

$18,457.50 [LESS THAN] $1,538.13 $354.95

$19,260.00 [LESS THAN] $1,605.00 $370.38

$20,062.50 [LESS THAN] $1,671.88 $385.82

$20,062.50 [GREATER THAN] $1,671.88 $385.82

8

ANNUAL MONTHLY WEEKLY

$17,850.00 [LESS THAN] $1,487.50 $343.27

$18,742.50 [LESS THAN] $1,561.88 $360.43

$19,635.00 [LESS THAN] $1,636.25 $377.60

$20,527.50 [LESS THAN] $1,710.63 $394.76

$21,420.00 [LESS THAN] $1,785.00 $411.92

$22,312.50 [LESS THAN] $1,859.38 $429.09

$22,312.50 [GREATER THAN] $1,859.38 $429.09

9

ANNUAL MONTHLY WEEKLY

$19,650.00 [LESS THAN] $1,637.50 $377.88

$20,632.50 [LESS THAN] $1,719.38 $396.78

$21,615.00 [LESS THAN] $1,801.25 $415.67

$22,597.50 [LESS THAN] $1,883.13 $434.57

$23,580.00 [LESS THAN] $1,965.00 $453.46

$24,562.50 [LESS THAN] $2,046.88 $472.36

$24,562.50 [GREATER THAN] $2.046.88 $472.36

10

ANNUAL MONTHLY WEEKLY

$21,450.00 [LESS THAN] $1,787.50 $412.50

$22,522.50 [LESS THAN] $1,876.88 $433.13

$23,595.00 [LESS THAN] $1,966.25 $453.75

$24,667.50 [LESS THAN] $2,055.63 $474.38

$25,740.00 [LESS THAN] $2,145.00 $495.00

$26,812.50 [LESS THAN] $2,234.38 $515.63

$26,812.50 [GREATER THAN] $2,234.38 $515.63

For Families Exceeding 10 Members, Add $1800 To The Annual Income For Each Additional Family Member

LEGEND:

[LESS THAN] = LESS THAN

BASED ON ANNUAL REVISION GE POVERTY INCOME GUIDELINES

[GREATER THAN] = MORE THAN OR EQUAL TO

published 3/8/85 FEDERAL REGISTER, VOL. 50, NO. 46.