Table A, Income Limits SR 04-18, 07/04 (AAM-A)

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Exceptions:

• HCBC, see Table B;

• QMB, see Table C;

• SLMB and SLMB135, * see Table D

• QDWI, see Table E; and

• MEAD, see Table F, Medicaid for Employed Adults with Disabilities.

Living Arrangement

Assistance

Group Size

Financial Assistance

Categorically Needy MA

Medically Needy MA

Independent Living

• individual

• & spouse or needy essential person

• couple and needy essential person

 

1

 

2

 

3

 

$578

 

$847

 

$1,116

 

$578

 

$675

 

$683

Residential Care Facility

 

1

 

$758

 

$578

Community Residence

• Subsidized

• Unsubsidized

• Enhanced Family Care

 

1

1

 

1

 

$640

$700

 

$758

 

$578

$578

 

$578

Nursing Facility

The facility must be licensed and certified for the individual to be entitled to these income limits.

Individuals residing in licensed but uncertified facilities are treated as independent living.

1

N/A

$1,250

Gross monthly income must be equal to or less than the "CAP" limit listed here.

Net income must be equal to or less than the monthly Medicaid rate for the nursing facility. See Appendix A of the Medical Assistance Manual.

Compare net income to the PIL for In and Out MA if net income is over the rate of the facility.