|
State of Wisconsin |
HISTORY |
The policy on this page is from a previous version of the handbook.
Release 21-01
The values in the following table were effective January 1, 2021.
|
Group Size |
||||
|
Category |
|
1 |
|
2 |
|
SSI-Related Categorically Needy Limits |
Assets |
$2,000.00 |
Assets |
$3,000.00 |
|
Income |
$877.78 |
Income |
$1,323.05 |
|
|
SSI-Related Medically Needy Limits |
Assets |
$2,000.00 |
Assets |
$3,000.00 |
|
Income |
$1,073.33 (effective 2/1/2021) |
Income |
$1,451.67 (effective 2/1/2021) |
|
|
SSI Payment Level |
||||
|
Federal SSI Payment Level |
Income |
$794.00 |
Income |
$1,191.00 |
|
SSP |
Income |
$83.78 |
Income |
$132.05 |
|
Total |
Income |
$877.78 |
Income |
$1,323.05 |
|
SSI Payment Level + E Supplement |
Income |
$973.77 |
|
$1,668.41 |
|
SSI E Supplement |
Income |
$95.99 |
|
$345.36 |
|
Community Waivers Special Income Limit |
Income |
$2,382.00 |
|
|
|
Institutions Categorically Needy Income Limit |
Income |
$2,382.00 |
|
|
|
Substantial Gainful Activity Limit (non-blind individuals) |
Income |
$1,310.00 |
|
|
|
Substantial Gainful Activity Limit (blind individuals) |
Income |
$2,190.00 |
|
|
|
Medicaid Savings Programs |
||||
|
QMB |
Income |
|
|
|
|
SLMB |
Income |
|
|
|
|
SLMB+ |
Income |
|
|
|
|
QMB, SLMB, SLMB+ |
Assets |
$7,970 |
|
$11,960 |
|
QDWI |
Income |
|
|
|
|
Assets |
$4,000 |
|
$6,000 |
|
The cost-of-living adjustments in the following table were effective January 1, 2021.
|
Description |
Amount |
|
|
Personal Needs Allowance (effective 7/1/01) |
$45.00 |
|
|
EBD Maximum Personal Maintenance Allowance |
$2,382.00 |
|
|
EBD Deeming Amount to an Ineligible Minor |
$397.00 |
|
|
Community Waivers Basic Needs Allowance |
$974.00 |
|
|
Parental Living Allowance for Disabled Minors |
1 Parent 2 Parent |
$794.00 $1,191.00 |
The spousal impoverishment values in the following table were effective July 1, 2020.
|
Description |
Amount |
|
Community Spouse Lower Income Allocation Limit |
$2,873.34 |
|
Community Spouse Excess Shelter Cost Limit |
$862.00 |
|
Community Spouse Maximum Income Allocation (monthly) |
The lesser of $3,259.50 (as of 1/2021) or the Lower Income Allocation Limit plus excess shelter expenses |
|
Family Member Income Allowance |
$718.34 |
|
Community Spouse asset share (CSAS) maximum |
$130,380.00 as of 1/2021 |
The values in the following table were effective January 1, 2021.
| Description |
Amount |
| Daily Average Private Pay Nursing Home Rate |
$303.38 |
| Monthly Average Private Pay Nursing Home Rate |
$9,227.81 |
| Monthly Rate for State Centers for Persons with Developmental Disabilities |
$25,709.69 |
The values in the following table were effective February 1, 2021.
| Description |
Amount |
| Maximum Cost Share Amount for an individual in Group B+ for Family Care, Family Care Partnership, or PACE |
$2,903.45 |
This page last updated in Release Number: 21-01
Release Date: 03/29/2021
Effective Date: 01/01/2021
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