MAGI MEDICAID INCOME ELIGIBILITY STANDARDS – FPL BASED
Effective 3/01/2015
Household Size
Pregnant Women
Children-Under age 19
With Insurance
Children-Under age 19
Without Insurance
1
200% of FPL
$2,454
177% of FPL
$2,172
203% of FPL
$2,491
2
$3,320
$2,939
$3,370
3
$4,187
$3,706
$4,250
4
$5,054
$4,473
$5,130
5
$5,920
$5,240
$6,009
6
$6,787
$6,007
$6,889
7
$7,654
$6,774
$7,769
8
$8,520
$7,541
$8,648
Each Additional
$867
$767
$880
MAGI MEDICAID INCOME ELIGIBILITY STANDARDS – COLA BASED
Parents / Caretaker Relatives and Under 21
Household Size
Income Standard
Effective 1/01/14
Income Standard
Effective 1/01/15
1
2
3
4
5
6
7
8
9
10
$1,352
$2,110
$2,525
$2,939
$3,354
$3,768
$4,182
$4,596
$5,011
$5,425
$1,487
$2,370
$2,904
$3,437
$3,972
$4,505
$5,038
$5,571
$6,105
$6,638
Each Additional
$390
$534
MAGI MEDICAID INCOME DISREGARD
5% of FPL
1
2
3
4
5
6
7
8
9
10
Monthly Income Limit
Effective 3/1/2015
$62
$83
$105
$127
$148
$170
$192
$213
$235
$257
Each Additional
$22
Household Size
rev 02/2015
FPL = Federal Poverty Level for Alaska
OLD AGE AND DISABLED INCOME ELIGIBILITY STANDARDS
Effective 3/01/2015
HOUSEHOLD SIZE WORKING DISABLED
1
250% of FPL
$3,067
2
$4,150
3
$5,234
4
5
$6,317
$7,400
6
$8,484
7
$9,567
8
$10,650
Each Additional
$1,084
QMB
SLMB Base
100% of FPL 120% of FPL
$1,227
$1,472
$1,660
SLMB Plus
QDWI
135% of FPL
$1,656
200% of FPL
$2,454
$2,241
$3,320
$1,992
2013 - 2015 SELF-EMPLOYMENT INCOME ANNUALIZATION STANDARDS (185% of FPL)
Household
Size
1
Income Standard
Effective 3/01/2013
$26,548
Income Standard
Effective 3/01/2014
$26,973
2
$35,853
$36,371
Income Standard
Effective 3/01/2015
$27,232
$36,852
3
$45,159
$45,769
$46,472
4
$54,464
$55,167
$56,092
5
$63,770
$64,565
$65,712
6
$73,075
$73,963
$75,332
7
$82,381
$83,361
$84,952
8
$91,686
$92,759
$94,572
Each Additional
$9,306
$9,398
$9,620
2013 – 2015 SSI PAYMENT STANDARDS
SSI COLA INCREASE
HOUSEHOLD TYPE
1.7%
1/01/2013
1.5%
1/01/2014
1.7%
1/01/2015
A Individual
$710
$721
$733
B Individual
A Couple, Both Eligible
B Couple, Both Eligible
NH Personal Needs Allowance
$473.34
$1,066
$710
$30
$480.67
$1,082
$721
$30
$488.67
$1,100
$733
$30
1/01/2014
$2,163
$200
$1,656
$1,396
$117,240
$2,931
$977
1/01/2015
$2,199
$200
$1,656
$1,396
$119,220
$2,980.50
$993.50
2013 – 2015 LONG TERM CARE STANDARDS
NH, HCB Waiver, TEFRA Income Standard
Alaska NH Personal Needs Allowance
Alaska HCB Personal Needs Allowance
Alaska ALH Personal Needs Allowance
Maximum Community Spouse Resource Allowance
Community Spouse Monthly Income Maintenance Standard
Monthly Income Standard for Additional Household Members
rev 02/2015
1/01/2013
$2,130
$200
$1,656
$1,396
$115,920
$2,898
$966
FPL = Federal Poverty Level for Alaska
HISTORICAL
HISTORICAL MAGI MEDICAID INCOME ELIGIBILITY STANDARDS – FPL BASED
Effective 3/01/14 – 2/28/15
Household Size
Pregnant Women
Children-Under age 19
With Insurance
Children-Under age 19
Without Insurance
1
200% of FPL
$2,430
177% of FPL
$2,151
203% of FPL
$2,467
2
$3,277
$2,900
$3,326
3
$4,124
$3,650
$4,186
4
$4,970
$4,399
$5,045
5
$5,817
$5,148
$5,904
6
$6,664
$5,898
$6,764
7
$7,510
$6,647
$7,623
8
$8,357
$7,396
$8,483
Each Additional
$847
$750
$860
HISTORICAL MAGI MEDICAID INCOME DISREGARD – 5% of FPL
Effective 3/01/14 – 2/28/15
Household Size
Monthly Income Limit
1
2
3
4
5
6
7
8
9
10
$61
$82
$104
$125
$146
$167
$188
$209
$231
$252
Each Additional
$22
HISTORICAL FAMILY MEDICAID INCOME ELIGIBILITY STANDARDS
Effective 1/01/13 – 12/31/13
Household
Size
Parents / Other
Caretakers
and
Gross
Net
Adult Not
Included
Pregnant
Women
Children-Under
age 19 With
Insurance
150% of FPL
Children-Under
age 19 Without
Insurance
175% of FPL
Gross
Net
175% of FPL
$752
$924
$2,093
$2,827
$1,794
$1,369
$1,391
$1,709
$2,423
$2,093
$2,827
$2,850
$1,541
$2,027
$1,096
$3,560
$3,052
$3,560
4
$3,169
$1,713
$2,345
$1,268
$4,294
$3,680
$4,294
5
$3,487
$1,885
$2,664
$1,440
$5,027
$4,309
$5,027
6
$3,805
$2,057
$2,980
$1,611
$5,761
$4,938
$5,761
7
$4,123
$2,229
$3,298
$1,783
$6,494
$5,567
$6,494
Each
$318
$172
$318
$172
$734
$629
$734
1
$1,585
$857
2
$2,532
3
rev 02/2015
FPL = Federal Poverty Level for Alaska
HISTORICAL
HISTORICAL OLD AGE AND DISABLED INCOME ELIGIBILITY STANDARDS
Effective 3/01/14 – 2/28/15
HOUSEHOLD SIZE WORKING DISABLED
QMB
SLMB Base
SLMB Plus
QDWI
250% of FPL
100% of FPL
120% of FPL
135% of FPL
200% of FPL
1
$3,038
$1,215
$1,458
$1,641
$2,430
2
$4,096
$1,639
$1,966
$2,212
$3,277
3
$5,155
4
$6,213
5
$7,271
6
$8,330
7
$9,388
8
$10,446
Each Additional
$1,059
HISTORICAL OLD AGE AND DISABLED INCOME ELIGIBILITY STANDARDS
Effective 3/01/13 – 2/28/2014
HOUSEHOLD SIZE WORKING DISABLED
1
2
3
250% of FPL
$2,990
$4,038
$5,086
4
5
6
7
8
Each Additional
$6,134
$7,182
$8,230
$9,278
$10,326
$1,048
rev 02/2015
QMB
SLMB Base
SLMB Plus
QDWI
100% of FPL
$1,196
$1,615
120% of FPL
$1,435
$1,938
135% of FPL
$1,615
$2,181
200% of FPL
$2,392
$3,230
FPL = Federal Poverty Level for Alaska