| Appendix A-1 |
Food Assistance Gross and Net Income Limits |
| Appendix A-2 |
Food Assistance Maximum Benefit Table |
| Appendix A-3 |
Food Assistance 165% Need Standards |
| Appendix A-3.1 |
Food Assistance Allowances |
| Appendix A-5 |
Temporary Cash Assistance Income Standards |
| Appendix A-6 |
Prorating Chart for TCA and RAP |
| Appendix A-7 |
Family-Related Medicaid Income & Asset Limit Chart |
| Appendix A-8 |
Transfer Penalty Determination Process |
| Appendix A-9 |
Eligibility Standards for SSI-Related Medicaid Programs |
| Appendix A-10 |
Federal Benefit Rates |
| Appendix A-11 |
Title II Cost of Living Increases |
| Appendix A-12 |
Optional State Supplementation Eligibility Standards |
| Appendix A-13 |
Family-Related Medicaid Coverage Groups |
| Appendix A-14 |
Life Expectancy Table |
| Appendix A-16 |
Certification of Prior Residence |
| Appendix A-17 |
Life Estate and Remainder Interest Table |
| Appendix A-22 |
Qualified Medicaid Trust Guidelines and Forms |
| Appendix A-22.1 |
Guidelines for Reviewing Income Trusts |
| Appendix A-22.3 |
Guidelines for Reviewing Trusts for the Disabled |
| Appendix A-22.4 |
Trusts for the Disabled Review Form |
| Appendix A-22.5 |
Income Trust Review Form |
| Appendix A-22.6 |
Pooled Trusts for the Disabled Review Form |
| Appendix A-33 |
Chart for Determination of 40 Qualifying Quarters |
| Appendix A-34 |
Guideline for Evaluating Annuities |
| Appendix A-35 |
Average Monthly Private Pay Nursing Home Rate |