MO HealthNet for the Aged, Blind, and Disabled (MHABD) Manual

Appendix J: Eligibility Standards for MHABD

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

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

Updated 10/2021