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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