Used for:
· ADC Transitional Medical
· Super Enhanced Medical Assistance for Children (SEMAC)
· Presumptive Eligibility
Unit Size |
Monthly |
1 |
1,722 |
2 |
2,333 |
3 |
2,943 |
4 |
3,554 |
5 |
4,164 |
6 |
4,775 |
7 |
5,385 |
8 |
5,996 |
9 |
6,606 |
10 |
7,217 |
11 |
7,827 |
12 |
8,438 |
{Rev. 1/1/12}