SSI Recipients - 100 % FBR
Aged, blind or disabled individuals who receive Supplemental Security
Income (SSI)
|
Income Limits
|
Resource Limits
|
- Individual - $564 per month ($6,768 per year)
- Couple - $846 per month ($10,152 per year)
|
- Individual - $2,000
- Couple - $3,000
|
Nursing Homes - 300 % FBR
Aged, blind or disabled individuals who live in nursing homes and
have low income and limited assets.
|
Income Limits
|
Resource Limits
|
- Individual - $2,000
- Couple - $3,000
|
- $1,692 per month ($20,302 per year)
|
Community Care - 300 % FBR
Aged, blind or disabled individuals who need regular nursing care
and personal services but can stay at home with special community
care services.
|
Income Limits
|
Resource Limits
|
-
Individual - $2,000
-
Couple - $3,000
|
- $1,692 per month ($20,302 per year)
|
Qualified Medicare Beneficiaries (QMB) - 100 % FPL
Aged, blind or disabled individuals who have Medicare Part A (hospital)
insurance, and have income less than 100 percent of the federal
poverty level and limited resources. Medicaid will pay the Medicare
premiums (A&B), coinsurance and deductibles only.
|
Income Limits
|
Resource Limits
|
-
Individual - $759 per month ($9,108 per year)
-
Couple - $1,015 per month ($12,180 per year)
|
-
Individual - $4,000
-
Couple - $6,000
|
Hospice - 300 % FBR
Terminally ill individuals who are not expected to live more than
six months may be eligible for coverage. Recipients must agree to
receive hospice services through a Medicaid participating hospice
care provider.
|
Income Limits
|
Resource Limits
|
-
Individual - $2,000
-
Couple - $3,000
|
- $1,692 per month ($20,302 per year)
|
Low-Income Medicaid (LIM) - Set by Statute, Fixed
Adults and children who meet the standards of the old AFDC (Aid
to Families with Dependent Children) program.
|
Family Size
|
Income Limits
|
1 |
$235 per month ($2,820 per year) |
2 |
$356 per month ($4,272 per year) |
3 |
$424 per month ($5,088 per year) |
4 |
$500 per month ($6,000 per year) |
|
Right from the Start Medicaid for Pregnant Women (RSM Adults) - 235 % FPL
Pregnant women with family income at or below 235 percent of the
federal poverty level.
|
Family Size
|
Income Limits
|
1 |
$1,736 per month ($20,832 per year) |
2 |
$2,339 per month ($28,068 per year) |
3 |
$2,942 per month ($35,304 per year) |
4 |
$3,545 per month ($42,540 per year) |
Each additional person: $604 per month ($7,248 per year) |
Right from the Start Medicaid (RSM Children) - 185 % FPL
Children under 1 whose family income is at or below 185 percent
of the federal poverty level
|
Family Size
|
Income Limits
|
1 |
$1,336 per month ($16,392 per year) |
2 |
$1,841 per month ($22,092 per year) |
3 |
$2,316 per month ($27,792 per year) |
4 |
$2,791 per month ($33,492 per year) |
Each additional family member: $476 per month ($5,712
per year) |
Right from the Start Medicaid (RSM Children) - 133 % FPL
Children between 1 and 6 whose family income is at or below 133
percent of the federal poverty level.
|
Family Size
|
Income Limits
|
1 |
$982 per month ($11,784 per year) |
2 |
$1,324 per month ($15,888 per year) |
3 |
$1,665 per month ($19,980 per year) |
4 |
$2,007 per month ($24,084 per year) |
Each additional family member: $342 per month ($4,104 per year) |
Right from the Start Medicaid (RSM Children) - 100 % FPL
Children between 6 and 19 whose family income is at or below 100
percent of the federal poverty level.
|
Family Size
|
Income Limits
|
1 |
$739 per month ($8,868 per year) |
2 |
$995 per month ($11,940 per year) |
3 |
$1,252 per month ($15,024 per year) |
4 |
$1,509 per month ($18,108 per year) |
Each additional family member: $257 per month ($3,084
per year) |
Medically Needy - Set by Statute, Fixed
Pregnant women, children, aged, blind, and disabled individuals
whose family income exceeds the established income limit may be
eligible under the Medically Needy program. The Medically Needy
program allows a person to use incurred/unpaid medical bills to
"spend down" the difference between their income and the
income limit to become eligible.
|
Pregnant Women and Children |
|
|
Income Limits |
Resource Limits |
Family Size
|
|
1 |
$208 per month ($2,496 per year) |
2 |
$317 per month ($3,804 per year) |
3 |
$375 per month ($4,500 per year) |
4 |
$442 per month ($5,304 per year) |
|
Family Size
|
|
1 |
$2,000 |
2 |
$4,000 |
(Add $100 per additional family member) |
|
Income Limits
|
Resource Limits
|
- Individual: $317 per month ($3,804 per year)
- Couple: $375 per month ($4,500 per year)
|
- Individual: $2,000
- Couple: $4,000
|