Eligibility Requirements


  • All applicants must be a Chaves County for at least ninety (90) days prior to the date your services were rendered.
  • The household gross income must be consistent with the established annual income. Household income is needed on everyone living within your household. Example: Two families living in the same house. Anyone receiving income, food stamps etc. must submit that information. Applicant’s income must comply with the Income Criteria below, if the household income exceeds the income schedule below, a medical spend down must be included. (A medical spend down is any medical and pharmacy payments and or insurance premiums made by members of the household within the last three months prior to the current services rendered. It does not include payments made by an insurance provider.) If you make monthly child support payments, that can also be used to help your household meet our income guidelines. (Include proof with your application.)

Income Schedule

Persons Annual Income
Monthly Income
1 $19,248 $1,604
2 $25,908
3 $32,568 $2,714
4 $39,228 $3,269
5 $45,888 $3,824
6 $52,548 $4,379
7 $59,208
8 $65,868 $5,489
An expectant mother’s unborn child will be included in determining the family or household eligibility. Add $6,660 for each additional household member.