WIC Income Calculation Reference Sheet - Effective 06/17/2019
WIC Income Calculation Reference Sheet - Effective 06/17/2019
Medicaid Provider ID (WIC) 7032402 Provider Type 98
2019-2020 WIC Annual Income Guidelines
185% Federal Poverty Level
Federal Register: Vol. 83, FR14240/Friday, April 3, 2018 (2018 USDA Federal Poverty Guidelines) WIC Final Policy Memorandum: #2018-1 (Publication of the 2018-2019 WIC Income Eligibility Guidelines)
For Participant: Medicaid # or
SS#/Birthdate
Medicaid (MA)
Supplemental Nutrition Assistance Program (Food Stamps)
Verify active Medicaid number (CHAMPS, MI-
Benefit)
Verify Bridge Card current month deposit
888-678-8914
Family Independence Program (FIP)
Conduent Customer Service 1-888-529-1693
Family Size*
1 2 3 4 5 6
Hourly 2080 Hours
$11.10 $15.04 $18.97 $22.90 $26.83 $30.76
Weekly 52 weeks
$445 $602 $759 $917 $1,074 $1,231
Biweekly 26
weeks
$889 $1,204 $1,518 $1,833 $2,147 $2,462
Monthly 12
months
$1,926 $2,607 $3,289 $3,970 $4,652 $5,333
Annual
$23,107 $31,284 $39,461 $47,638 $55,815 $63,992
7
$34.69 $1,388 $2,776 $6,015 $72,169
8
$38.62 $1,546 $3,091 $6,696 $80,346
9
$42.55 $1,703 $3,405 $7,377 $88,523
10
$46.49 $1,860 $3,720 $8,059 $96,700
11
$50.42 $2,017 $4,034 $8,740 $104,877
12
$54.35 $2,175 $4,349 $9,422 $113,054
13
$58.28 $2,332 $4,663 $10,103 $121,231
14
$62.21 $2,489 $4,978 $10,784 $129,408
15
$66.14 $2,646 $5,292 $11,466 $137,585
16
$70.07 $2,804 $5,607 $12,147 $145,762
*Pregnant woman is counted as one + the number of Infants expected
when determining income eligibility for the Total Economic Unit
Ways to Calculate Total Annual Income Use past month (30 days) check stubs for income verification
Gross Income: Most recent IRS 1040
YTD: Divided by # weeks paid x 52 weeks
(Net Income for Farm and Self-Employed workers)
Weekly x 52 weeks
Every 2 weeks x 26 weeks
2 Checks per month 1 pay stub x 24
Monthly x 12 months
No Income: Review "No Income" questions to determine if part of another family. If not, record $0 annual income. Record Self Declared/Verification.
Adjunct Eligibility (Medicaid, Food Stamps or FIP): Verify current eligibility. Then client can self declare income.
Sudden Change in Income:
Remember! You can use 1040 tax with W-2
Today's Income x 52 weeks
forms until the next one is filed for documentation.
For complete information about Income Eligibility Determination, please refer to MI-WIC Policies:
2.04 Income Determination
2.07 Declaration of No Income
2.05 Income Guidelines
2.08 Family Size
2.06 Adjunct Income Eligibility
2.12 Migrant Family Eligibility
Michigan Department of Health and Human Services & WIC Program Eligibility
= Adjunct Eligibility for WIC
133% MAGI
160% MAGI
185% FPL
195% MAGI 212% MAGI
MI-Child
Health Insurance for Infants & Children 0-19 years
old
who don't qualify for Healthy Kids Program Healthy Kids Program
Insurance for Infants & Pregnant Women MOMs Program/PE (Presumptive Eligibility)
Insurance for Pregnant Women
not eligible for or not currently enrolled on Medicaid
WIC Supplemental Nutrition
Pregnant & Breast feeding women, non-lactating women,
infants and children up to age 5.
Healthy Kids
Insurance for
Children 1 to 19 years old
Healthy Michigan Plan
Adults 19-64 years
of age
Apply for Healthy Michigan Plan, Healthy Kid Program, MIChild:
Request appointment for WIC:
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