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I. Purpose
The purpose of this letter is to transmit the 2004 income standards to be used in determining eligibility for services.
State income standards are established using the poverty guidelines updated periodically in the Federal Register by the U.S. Department of Health and Human Services under the authority of 42 U.S.C. §9902(2). Local district eligibility levels are recorded in Appendix F of the local district Consolidated Services Plan or Integrated County Plan. This information is used to update each local district’s Welfare Management System Title XX services matrix.
The following are the income standards that are to be used effective June 1, 2004, in determining eligibility for services provided between June 1, 2004, and May 31, 2005.
Family Size Income Standards
1 $ 9,310
2 12,490
3 15,670
4 18,850
5 22,030
6 25,210
7 28,390
8 31,570
Please add $3,180 per person for any family size over 8.
When determining eligibility for a service, apply the appropriate percentage for that service to these income standards. For example, if a family of three is applying for a service that a social services district provides at the 200% income level; multiply the income standard for a family of three by 200% (i.e. $15,670 x 200% = $31,340) to determine the income eligibility for that size family for that service.
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