Appendix B: COLA Desk Reference

1.

January 2016 COLA = 0% (MA Handbook Chapter 372, Appendix A).

January 2015 COLA = 1.7% (MA Handbook Chapter 372, Appendix A)

2.

SSI Program Benefit Levels (MA Handbook Chapter 368, Appendix B; Chapter 387, Appendix A; & LTC Chapter 489 Appendix A

2016

2015

a.

Individual eligible for domiciliary care supplement.

$1,167.30

$1,167.30

b.

Individual eligible for PCH supplement.

$1,172.30

$1,172.30

c.

Couple eligible for domiciliary care supplement.

$2,047.40

$2,047.40

d.

Couple eligible for PCH supplement.

$2,057.40

$2,057.40

e.

Individual in independent living arrangement.

$755.10

$755.10

f.

Couple in independent living arrangement.

$1,133.30

$1,133.30

g.

Essential individual to an individual or couple.

$367.00

$367.00

h.

Individual living in the household of another and getting income-in-kind (one-third reduction cases).

$480.67

$480.67

i.

Couple living in the household of another and getting income-in-kind (one-third reduction cases).

$721.34

$721.34

j.

Essential individual to individual or couple living in the household of another and receiving income-in-kind (one-third reduction cases).

$367.00

$367.00

k.

Personal care allowance deduction for individual in MA long-term care institution ($90 for a couple in an MA institution).

$45.00

$45.00

l.

Special income level for aged, blind, and disabled individuals in institutions.

$2,199.00

$2,199.00

m.

HCBS programs using 300% of the federal benefit rate.

$2,199.00

$2,199.00

3.

Medically Needy Only income limits (MA Handbook Chapter 369, Appendix A).

1 individual
2 individuals
3 individuals
4 individuals
5 individuals

6 individuals  
Each additional individual

6 Months
$2,550
$2,650
$2,800
$3,400
$4,050
$4,550
$ 550

Monthly
$425
$442
$467
$567
$675
$758
$ 92

4.

Medicare premiums

Part A: $411.00 a month; paid by individuals who have not had enough work credits under Social Security to get the benefit premium free.(2016)

Part A: $407.00 a month; paid by individuals who have not had enough work credits under Social Security to get the benefit premium free. (2015)

Part B: $104.90 a month for 2016 (no change from 2015) (MA Handbook Chapter 387, Appendix A).

5.

Medicare Inpatient Hospital Care Deductible and Coinsurance Amounts.

a.

A $1,288.00 deduction for the first 60 days in 2016.

A $1,260.00 deduction for the first 60 days in 2015.

b.

A $322.00 deduction for the 61st day through the 90th day in 2016.

A $315.00 per day for the 61st day through the 90th day in 2015.

c.

A $644.00 per day beyond 90 days in 2016.

A $630.00 per day beyond 90 days in 2015.

d.

A $161.00 per day for the 21st day through the 100th day of extended care services in a skilled nursing facility in 2016.

A $157.50 per day for the 21st day through the 100th day of extended care services in a skilled nursing facility in 2015.

For the 1st day through the 20th day, Medicare will make full payment for care in a skilled nursing facility.

6.

Medicare deductibles.

Part A: $1,288.00 (2016)   $1,260.00 in 2015.

Part B: $166.00 for 2016   $147.00 in 2015.