22-01 Version of 39.4 Elderly, Blind, or Disabled Assets and Income Tables

39.4.1 Elderly, Blind, or Disabled Assets and Income Table

The values in the following table were effective January 1, 2022.

Group Size
Category		1		2
SSI-Related Categorically Needy Limits	Assets	$2,000.00	Assets	$3,000.00
SSI-Related Categorically Needy Limits	Income	$924.78	Income	$1,393.05
SSI-Related Medically Needy Limits	Assets	$2,000.00	Assets	$3,000.00
SSI-Related Medically Needy Limits	Income	$1,132.50 (effective 2/1/2022)	Income	$1,525.83 (effective 2/1/2022)
SSISupplemental Security Income. A program based on financial need operated by the Social Security Administration that provides monthly income to low income people who are age 65 or older, blind, or disabled. Payment Level
Federal SSI Payment Level	Income	$794.00	Income	$1,191.00
SSPState Supplementary Payment	Income	$83.78	Income	$132.05
Total	Income	$877.78	Income	$1,323.05
SSI Payment Level + E Supplement	Income	$1,020.77 (Home Maintenance Maximum Allowance)		$1,668.41
SSI E Supplement	Income	$95.99		$345.36
Community Waivers Special Income Limit	Income	$2,523.00
Institutions Categorically Needy Income Limit	Income	$2,523.00
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	At or below 100% FPL
SLMB	Income	At least 100% FPL but less than 120% FPL
SLMB+	Income	At least 120% FPL but less than 135% FPL
QMB, SLMB, SLMB+	Assets	$8,400.00		$12,600.00
QDWI	Income	At or below 200%
QDWI	Assets	$4,000.00		$6,000.00

The cost-of-living adjustments in the following table were effective January 1, 2022.

Description		Amount
Personal Needs Allowance (effective 7/1/01)		$45.00
EBD Maximum Personal Maintenance Allowance		$2,523.00
EBD Deeming Amount to an Ineligible MinorA minor is a person less than age 18.		$420.00
Community Waivers Basic Needs Allowance		$1,021.00
Parental Living Allowance for Disabled Minors	1 Parent 2 Parent	$841.00 $1,261.00

The spousal impoverishment values in the following table were effective July 1, 2021.

Description	Amount
Community spouseSomeone who is 1) Married to an institutionalized person and 2) Not living in a nursing home or other medical institution for 30 or more consecutive days. Lower Income Allocation Limit	$2,903.34
Community Spouse Excess Shelter Cost Limit	$871.00
Community Spouse Maximum Income Allocation (monthly)	The lesser of $3,435.00 (as of 1/2022) or the Lower Income Allocation Limit plus excess shelter expenses
Family Member Income Allowance	$725.84
Community spouseSomeone who is 1) Married to an institutionalized person and 2) Not living in a nursing home or other medical institution for 30 or more consecutive days. asset share (CSAS) maximum	$137,400.00 as of 1/2022

The values in the following table were effective January 1, 2021.

Description	Amount
Daily Average Private Pay Nursing Home Rate	$307.40
Monthly Average Private Pay Nursing Home Rate	$9,350.08
Monthly Rate for State Centers for Persons with Developmental Disabilities	$28,028.96

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: 22-01
Release Date: 04/04/2022
Effective Date: 04/04/2022