Program |
Monthly income limit |
Effective date |
Asset maximum |
Effective date |
---|---|---|---|---|
Spend Down (includes disabled child) – MHNS, MHSD, MHDC |
||||
1 person – aged or disabled |
$913 |
04-01-21 |
$5,035 |
07-01-21 |
2 people – aged or disabled |
$1,234 |
04-01-21 |
$10,070 |
07-01-21 |
1 person – blind |
$1,074 |
04-01-21 |
$5,035 |
07-01-21 |
2 people – blind |
$1,452 |
04-01-21 |
$10,070 |
07-01-21 |
SGA (Substantial Gainful Activity) – aged or disabled |
$1,310 |
01-01-21 |
|
|
SGA – blind |
$2,190 |
01-01-21 |
|
|
SSI (Supplemental Security Income) |
||||
1 person in own household |
$794 |
01-01-21 |
|
|
2 people in own household |
$1,191 |
01-01-21 |
|
|
1 person in another’s household |
$529 |
01-01-21 |
|
|
2 people in another’s household |
$794 |
01-01-21 |
|
|
SSI essential person in own household |
$397 |
01-01-21 |
|
|
SSI 1619 (a) and (b) |
$3,693 |
01-01-21 |
$2,000 individual $3,000 couple |
|
Qualified Medicare Beneficiary (QMB) |
||||
1 person |
$1,074 |
04-01-21 |
$7,970 |
01-01-21 |
2 people |
$1,452 |
04-01-21 |
$11,960 |
01-01-21 |
3 People |
$1,830 |
04-01-21 |
$11,960 |
01-01-21 |
Specified Low-Income Medicare Beneficiary 1 (SLMB or SLMB1) |
||||
1 person |
$1,288 |
04-01-21 |
$7,970 |
01-01-21 |
2 people |
$1,742 |
04-01-21 |
$11,960 |
01-01-21 |
3 people |
$2,196 |
04-01-21 |
$11,960 |
01-01-21 |
Specified Low-Income Medicare Beneficiary 2 (SLMB2 or QI-1) |
||||
1 person |
$1,449 |
04-01-21 |
$7,970 |
01-01-21 |
2 people |
$1,960 |
04-01-21 |
$11,960 |
01-01-21 |
3 people |
$2,471 |
04-01-21 |
$11,960 |
01-01-21 |
|
|
|
|
|
Program |
Monthly income limit |
Effective date |
Asset maximum |
Effective date |
---|---|---|---|---|
Blind Pension (BP) |
$7,259 (sighted spouse) |
04-01-21 |
$29,999 |
2018 |
|
||||
Supplemental Aid to the Blind (SAB) consolidated standard |
$857 |
01-01-21 |
$5,035 individual $10,070 couple |
07-01-21 |
|
||||
Qualified Disabled and Working Individuals (QDWI) |
||||
1 person |
$2,147 |
04-01-21 |
$4,000 |
|
2 people |
$2,903 |
04-01-21 |
$6,000 |
|
|
||||
Ticket to Work Health Assurance (TWHA) |
||||
1 person |
$3,220 |
04-01-21 |
$5,035 |
07-01-21 |
2 people |
$4,355 |
04-01-21 |
$10,070 |
07-01-21 |
TWHA premium amounts – effective date 04-01-2019 |
|||
Percent of FPL |
Single or couple |
Monthly income |
Monthly premium |
Less than or equal to 100% |
Single |
$1,074 or less |
$0 |
|
Couple |
$1,452 or less |
$0 |
|
|||
101% to 149% |
Single |
$1,074.01 – $1,609.99 |
$42 |
|
Couple |
$1,452.01 – $2,177.99 |
$56 |
|
|||
150% to 199% |
Single |
$1,610 – $2,146.99 |
$62 |
|
Couple |
$2,178 – $2,903.99 |
$85 |
|
|||
200% to 249% |
Single |
$2,147 – $2,683.99 |
$104 |
|
Couple |
$2,904 – $3,629.99 |
$141 |
|
|||
250% to 300% |
Single |
$2,684 – $3,220 |
$156 |
|
Couple |
$3,630 – $4,355 |
$211 |
Other expenses |
Amount |
Effective Date |
---|---|---|
Supplementary Medical Insurance (SMI) Medicare Part B monthly premium |
$148.50 |
01-01-21 |
State mileage rate (per mile) |
$0.49 |
07-01-21 |
Vendor Care – in a nursing facility, institution for the intellectually disabled, or mental or psychiatric hospital |
|||
---|---|---|---|
Vendor Surplus Calculation |
Asset Maximum |
Effective Date |
|
All income paid to the facility as surplus minus $50 personal needs allowance and allowable deductions: medical insurance premiums, allotments, child support |
$5,035 after Division of Assets |
07-01-21 |
|
Home and Community Based Services (HCB) – nursing facility care in your own home |
|||
Monthly income limit for eligible individual (not including spouse) |
Effective date |
Asset Maximum |
Effective Date |
$1,388 |
01-01-21 |
$5,035 after Division of Assets |
07-01-21 |
Other numbers used for Vendor and HCB calculations |
|||
Spousal share – used to determine Division of Assets |
Available assets |
Effective Date |
|
· Minimum |
$26,076 |
01-01-21 |
|
· Maximum |
$130,380 |
01-01-21 |
|
Allotment of income – used to determine allotments to a community spouse or dependents |
Monthly amount |
Effective Date |
|
· Minimum monthly maintenance needs allowance (MMMNA) |
$2,178 |
07-01-21 |
|
· Maximum MMMNA |
$3,260 |
01-01-21 |
|
· Maximum allocation to a child |
$397 |
01-01-21 |
|
Shelter Expenses – used to determine allotments to a community spouse |
|||
Allowable Expense |
Monthly limit |
Effective Date |
|
· Shelter standard |
$653 |
07-01-21 |
|
· Utility standard |
$415 |
10-01-21 |
|
· Telephone standard |
$67 |
10-01-21 |
|
Maximum home equity – For Vendor, HCB, or PACE |
Asset Maximum |
Effective Date |
|
|
$603,000 |
01-01-21 |
|
Transfer of property penalty |
|||
· Average monthly private pay nursing rate |
$6,588 |
04-01-21 |
Supplemental Nursing Care (SNC) – cash grant to participants living in supported living facilities |
||
---|---|---|
SNC income eligibility determination |
Asset Maximum |
Effective Date |
SNC grant is available if the facility’s monthly residential care expense exceeds the participant’s countable income. The grant amount is the deficit up to the maximum monthly grant amount. |
$5,035 individual $10,070 couple |
07-01-21 |
Grant type |
Maximum monthly grant amount |
Effective Date |
· Residential care facility I |
$156 |
07-01-00 |
· Residential care facility II · Assisted living facility · Intermediate or skilled without a level of care determination |
$292 |
07-01-00 |
· Intermediate or skilled with a level of care determination |
$390 |
07-01-00 |
|
||
· Personal needs allowance paid to all SNC participants |
$50 |
01-01-15 |