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 |
|
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 |
Blind Pension (BP) |
7,259 |
04-01-21 |
29,999 |
2018 |
Supplemental Aid to the Blind (SAB) |
857 |
01-01-21 |
5,035 individual |
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 $50 personal needs allowance and allowable deductions: medical insurance premiums, allotments, child support |
5,035 after Division of Assets |
07-01-21 |
|
Home and Community Based Services (HCB) – nursing facility care in your own home |
|||
Monthly income limit ($) |
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 |
|
|
26,076 |
01-01-21 |
|
|
130,380 |
01-01-21 |
|
Allotment of income – used to determine allotments to a community spouse or dependents |
Monthly amount ($) |
Effective Date |
|
|
2,178 |
07-01-21 |
|
|
3,260 |
01-01-21 |
|
|
397 |
01-01-21 |
|
Shelter Expenses – used to determine allotments to a community spouse |
|||
Allowable Expense |
Monthly limit ($) |
Effective Date |
|
|
653 |
07-01-21 |
|
|
415 |
10-01-21 |
|
|
67 |
10-01-21 |
|
Maximum home equity – For Vendor, HCB, or PACE |
Asset Maximum ($) |
Effective Date |
|
|
603,000 |
01-01-21 |
|
Transfer of property penalty |
|||
|
6,588 |
04-01-21 |
Supplemental Nursing Care (SNC) – cash grant to participants living in supported living facilities |
||
SNC income eligibility determination |
Asset Maximum |
Effective Date |
SNC grant is available if the facility’s monthly residential care expense exceeds the participant’s countable income. The grant amount is the deficit up to the maximum monthly grant amount. |
5,035 individual |
07-01-21 |
Grant type |
Maximum monthly grant amount ($) |
Effective Date |
|
156 |
07-01-00 |
|
292 |
07-01-00 |
|
390 |
07-01-00 |
|
50 |
01-01-15 |
Updated 10/2021