State of Wisconsin
Department of Health Services

HISTORY

The policy on this page is from a previous version of the handbook. 

39.4 Elderly, Blind, Or Disabled Assets and Income Tables

39.4.1 Elderly, Blind, or Disabled Assets and Income Table

39.4.2 Elderly, Blind, or Disabled Deductions and Allowances

39.4.3 Institutional Cost of Care Values

39.4.1 Elderly, Blind, or Disabled Assets and Income Table

Effective January 1, 2015

 

Group Size

Category

 

1

 

2

EBD Categorically Needy Limits

Assets

$2,000.00

Assets

$3,000.00

Income

$572.45 (+ actual shelter up to $244.33)

Income

$865.38 (+ actual shelter up to $366.67)

EBD Medically Needy Limits

Assets

$2,000.00

Assets

$3,000.00

Income

$591.67

Income

$591.67

SSI Payment Level

Federal SSI Payment Level

Income

$733.00

Income

$1,100.00

SSP

Income

$83.78

Income

$132.05

Total

Income

$816.78

Income

$1,232.05

SSI Payment Level + E Supplement

Income

$912.77

 

 

SSI E Supplement

Income

$95.99

 

 

Community Waivers Special Income Limit

Income

$2,199.00

 

 

Institutions Categorically Needy Income Limit

Income

$2,199.00

 

 

Substantial Gainful Activity Limit (non-blind individuals)

Income

$1,040.00

 

 

Substantial Gainful Activity Limit (blind individuals)

Income

$1,740.00

 

 

39.4.2 Elderly, Blind, or Disabled Deductions and Allowances

Effective January 1, 2015

 

 

Description

Amount

1

Personal Needs Allowance (effective 7/1/01)

$45.00

2

EBD Maximum Personal Maintenance Allowance

$2,199.00

3

EBD Deeming Amount to an Ineligible Minor

$367.00

4

Community Waivers Basic Needs Allowance

$913.00

5

Parental Living Allowance for Disabled Minors

1 Parent

2 Parent

$733.00

$1,100.00

6

MAPP Standard Living Allowance

Standard Living Allowance = SSI + State Supplement + $20

$836.00

 

7

Community Spouse Lower Income Allocation Limit

$2,655.00

8

Community Spouse Excess Shelter Cost Limit

$796.50

9

Family Member Income Allowance

$663.75

39.4.3 Institutional Cost of Care Values

Effective July 1, 2015

 

Description

Amount

Daily Average Private Pay Nursing Home Rate

$252.96

Monthly Average Private Pay Nursing Home Rate

$7,693.90

Monthly Rate for State Centers for Persons with Developmental Disabilities

$20,721.00

 

 

 

This page last updated in Release Number: 15-03

Release Date: 11/24/2015

Effective Date: 11/24/2015

 


The information concerning the Medicaid program provided in this handbook release is published in accordance with: Titles XI and XIX of the Social Security Act; Parts 430 through 481 of Title 42 of the Code of Federal Regulations; Chapters 46 and 49 of the Wisconsin Statutes; and Chapters HA 3, DHS 2, 10 and 101 through 109 of the Wisconsin Administrative Code.

Notice: The content within this manual is the sole responsibility of the State of Wisconsin's Department of Health Services (DHS). This site will link to sites outside of DHS where appropriate. DHS is in no way responsible for the content of sites outside of DHS.

Publication Number: P-10030