Table B, Income Limits for HCBC Individuals SR 05-22, 05/05 (AAM-A)

Living Arrangement

AG Size

Financial Assistance

Categorically Needy MA

Medically Needy MA

HCBC-DD/ABD/IHS (May be eligible under any category of DFA financial or medical assistance)

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

Net income must be less than or equal to the monthly cost of HCBC-DD/ABD/IHS services. See Form 517-B, Area Agency Information Release to DFA District Office, Home and Community-Based Care Waiver.

Compare net income to the PIL for In and Out MA when net income exceeds the cost of HCBC-DD/ABD/IHS services.

Community Residence

• Subsidized

• Unsubsidized

• Enhanced Family Care

Independent Living

1

1

1

1

$655

$715

$773

$593

$1,250

$1,250

$1,250

$1,250

HCBC-ECI (Must be OAA, ANB, APTD, or MEAD eligible)

1

$593

Net monthly income must be less than or equal to $2,451.

Compare net income to the PIL for In and Out MA when net income exceeds the medically needy income limit above.