WIC Income Calculation Reference Sheet 2021-2022

WIC Income Calculation Reference Sheet - Updated 06/30/2021

Medicaid Provider ID (WIC) 7032402 Provider Type 98

For Participant: Medicaid # or

SS#/Birthdate

Medicaid (MA)

Verify active Medicaid number (CHAMPS, MI-

Benefit)

Supplemental Nutrition Assistance Program (Food Stamps)

Family Independence Program (FIP)

Verify Bridge Card current month deposit

888-678-8914

Conduent Customer Service 1-888-529-1693

2021-2022 WIC Annual Income Guidelines

185% Federal Poverty Level

WIC Final Policy Memorandum: #2020-4 (Publication of the 2020-2021 WIC Income Eligibility Guidelines) which was published May 26, 2020.

Family Size*

1 2 3 4 5 6

Hourly 2080 Hours

$11.45 $15.49 $19.53 $23.56 $27.60 $31.64

Weekly 52 weeks

$459 $620 $782 $943 $1,105 $1,266

Biweekly 26

weeks

$917 $1.240 $1,563 $1,886 $2,209 $2,532

Monthly 12

months

$1,986 $2,686 $3,386 $4,086 $4,786 $5,486

Annual

$23,828 $32,227 $40,626 $49,025 $57,424 $65,823

7

$35.68 $1,428 $2,855 $6,186 $74,222

8

$39.72 $1,589 $3,178 $6,886 $82,621

9

$43.75 $1,751 $3,501 $7,585 $91,020

10

$47.79 $1,912 $3,824 $8,285 $99,419

11

$51.83 $2,074 $4,147 $8,985 $107,818

12

$55.87 $2,235 $4,470 $9,685 $116,217

13

$59.91 $2,397 $4,793 $10,385 $124,616

14

$63.94 $2,558 $5,116 $11,085 $133,015

15

$67.98 $2,720 $5,439 $11,785 $141,414

16

$72.02 $2,882 $5,763 $12,485 $149,813

*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 (Net Income for Farm and Self-Employed workers)

YTD: Divided by # weeks paid x 52 weeks

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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