|
Income Limits |
|
|
NMP-SSI Related Monthly Special Gross Income Limit--Effective 1/1/2026 (300% of Federal Benefit Rate) |
$2982.00 |
|
NMP-SSI Related Monthly Special Gross Income Limit--Effective 1/1/2025 (300% of Federal Benefit Rate) |
$2,901.00 |
|
MNO 6-Month Limit - 1 Person |
$2,550.00 |
|
SSI Monthly 1 Person Limit -- Effective 1/1/2026 |
$1016.10 |
|
Social Security Cost-of-Living Adjustments |
|
|
RSDI, SSI and RR Tier One Benefit Effective 1/1/2026 |
2.8% |
|
RRB Tier Two Benefit Effective 1/1/2026 |
0.9% |
|
Low Income Subsidy Benchmark-Effective 1/1/2026 |
$32.71 |
|
Low Income Subsidy Benchmark-Effective 1/1/2025 |
$48.36 |
|
LIFE Capitated Rate |
|
|
LIFE Capitated Rate for MA only (Non-Dual) Recipients |
$5,646.18 |
|
LIFE Capitated Rate for MA only (Non-Dual) Recipients |
$5,204.81 |
|
LIFE Capitated Rate for Dual Eligible Recipients |
$4,278.69 |
|
LIFE Capitated Rate for Dual Eligible Recipients |
$3,944.22 |
|
Deductions |
|
|
Personal Needs Allowance Deduction |
$60.00 |
|
Personal Needs Allowance Deduction |
$45.00 |
|
Shelter Cost -Effective 10/1/2025: |
|
|
Heating Standard (2025) |
$857.00 |
|
Heating Standard (2024) |
$758.00 |
|
Non-Heating Standard (2025) |
$488.00 |
|
Non- Heating Standard (2024) |
$402.00 |
|
Homeless Standard (2025) |
$199.00 |
|
Homeless Standard (2024) |
$190.00 |
|
Limited SUA (2025) |
$128.00 |
|
Limited SUA (2024) |
$72.00 |
|
Phone only (2025) |
$107.00 |
|
Phone only (2024) |
$34.00 |
|
Dependent Living without a Community Spouse Allowance |
||
|
|
|
|
|
Dependent Child Maintenance Limit (No CS) |
Schedule 1 |
$215.00 |
|
|
Schedule 2 |
$205.00 |
|
|
Schedule 3 |
$195.00 |
|
|
Schedule 4 |
$174.00 |
|
Disabled/Blind Child Maintenance Limit (SSI Limit) |
$1016.10 |
|
|
Disabled/Blind Child Maintenance Limit (SSI Limit) |
$989.10 |
|
Determining Payment toward the Cost of LTC Facility Services: Spousal Impoverishment Provisions
|
Monthly Maintenance Needs Allowance |
|
|
Minimum Monthly Maintenance Needs Allowance (MinMMNA) Effective 7/1/2025 |
$2,644.00 |
|
Minimum Monthly Maintenance Needs Allowance (MinMMNA) |
$2,555.00 |
|
Maximum Monthly Maintenance Needs Allowance (MaxMMNA) Effective 1/1/2026 |
$4066.50 |
|
Maximum Monthly Maintenance Needs Allowance (MaxMMNA) Effective 1/1/2025 |
$3,948.50 |
|
Excess Monthly Shelter Standard |
$794.00 |
|
Excess Monthly Shelter Standard |
$767.00 |
|
Dependent Living with Community Spouse Allowance |
|
|
Dependent Living with Community Spouse Allowance |
$2,644.00 |
|
Dependent Living with Community Spouse Allowance |
$2,555.00
|
|
Protected Share |
|
|
Maximum Protected Share |
$162,660.00 |
|
Maximum Protected Share |
$157,920.00 |
|
Minimum Protected Share |
$32,532.00 |
|
Minimum Protected Share |
$31,584.00 |
Determining Payment toward the Cost of LTC Facility Services: Penalty Periods
|
Private Pay Rates |
|
|
Determining a Penalty Period |
|
|
Average Monthly Private Pay Rate |
$12,811.50 |
|
Average Daily Private Pay Rate |
$421.20 |
|
Determining a Penalty Period |
|
|
Average Monthly Private Pay Rate |
$12,160.58 |
|
Average Daily Private Pay Rate |
$399.80 |
|
Excess Home Equity Limit |
|
|
Excess Home Equity Limit |
$752,000 |
|
Excess Home Equity Limit |
$730,000 |
NOTE: When the CAO needs to process a retroactive opening for LTC and the start date entered on the Program Request screen is two months or more prior to the date changes for COLA or Mass Change take effect, the caseworker must use a two-step process. See the “Mass Changes” section of the LTC Procedural Desk Guide for the processing steps for a retroactive opening.
Updated November 26, 2025, replacing August 26, 2025