Appendix B: State Supplementary and Federal Benefit Rate (FBR) Payment Levels

Federal Benefit Rate (FBR) Payment Levels (Jan. 1, 2015 – Dec. 31, 2016)

Residing in:	Individual	Couple
An independent living arrangement	$733.00	$1100.00
The household of another:	$488.67	$733.34
A domiciliary care facility:	$733.00	$1100.00
A personal care boarding home:	$733.00	$1100.00
A nursing home:	$30.00	$60.00

Federal Benefit Rate (FBR) Payment Levels (Jan. 1, 2014 – Dec. 31, 2014)

Residing in:	Individual	Couple
An independent living arrangement	$721.00	$1082.00
The household of another:	$480.67	$721.34
A domiciliary care facility:	$721.00	$1082.00
A personal care boarding home:	$721.00	$1082.00
A nursing home:	$30.00	$60.00

Federal Benefit Rate (FBR) Payment Levels (Jan. 1, 2013 – Dec. 31, 2013)

Residing in:	Individual	Couple
An independent living arrangement	$710.00	$1066.00
The household of another:	$473.34	$710.67
A domiciliary care facility:	$710.00	$1066.00
A personal care boarding home:	$710.00	$1066.00
A nursing home:	$30.00	$60.00

Federal Benefit Rate (FBR) Payment Levels (Jan. 1, 2012 – Dec. 31, 2012)

Residing in:	Individual	Couple
An independent living arrangement	$698.00	$1048.00
The household of another:	$465.34	$698.67
A domiciliary care facility:	$698.00	$1048.00
A personal care boarding home:	$698.00	$1048.00
A nursing home:	$30.00	$60.00

Federal Benefit Rate (FBR) Payment Levels (Jan. 1, 2009 – Dec. 31, 2011)

Residing in:	Individual	Couple
An independent living arrangement	$674.00	$1,011.00
The household of another:	$449.34	$674.00
A domiciliary care facility:	$674.00	$1,011.00
A personal care boarding home:	$674.00	$1,011.00
A nursing home:	$30.00	$60.00

State Supplementary Payment Levels (Effective Feb. 1, 2010)

Residing in:	Individual	Couple
An independent living arrangement	$22.10	$33.30
The household of another:	$25.53	$38.44
A domiciliary care facility:	$434.30	$947.40
A personal care boarding home:	$439.30	$957.40

Reissued January 15, 2016, replacing December 10, 2014