|
Income Limits |
|||
|
NMP-SSI Related Monthly Special Gross Income Limit--Effective 1/1/2025 (300% of Federal Benefit Rate) |
$2,901.00 |
||
|
NMP-SSI Related Monthly Special Gross Income Limit-- Effective 1/1/2024 (300% of Federal Benefit Rate) |
$2,829.00 | ||
|
MNO 6-Month Limit - 1 Person |
$2,550.00 |
||
|
SSI Monthly 1 Person Limit -- Effective 1/1/2025 |
$989.10 |
||
|
Deductions |
|||
|
|
|
||
|
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) (No CS) - Effective 1/1/2025 |
$989.10 |
||
|
Disabled/Blind Child Maintenance Limit (SSI Limit) (No CS) - Effective 1/1/2024 |
$965.10 |
||
|
Low Income Subsidy Benchmark-Effective 1/1/2025 |
$48.36 |
||
|
Low Income Subsidy Benchmark-Effective 1/1/2024 |
$40.16 |
||
|
LIFE Capitated Rate |
|
|
LIFE Capitated Rate for MA only (Non-Dual) Recipients- Effective 1/01/2023-6/30/2025 |
$5,204.81 |
|
LIFE Capitated Rate for MA only (Non-Dual) Recipients- Effective 7/01/2021-6/30/2022 |
$5,053.21 |
|
LIFE Capitated Rate for Dual Eligible Recipients- Effective 1/01/2023-6/30/2025 |
$3,944.22 |
|
LIFE Capitated Rate for Dual Eligible Recipients- Effective 7/01/2021-6/30/2022 |
$3,829.34 |
|
Deductions |
|
|
Personal Needs Allowance Deduction |
$60.00 |
| Personal Needs Allowance Deduction (No therapeutic activity earnings) 7/1/2007-12/31/2024 |
$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 |
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) Effective 7/1/2024 |
$2,555.00 |
|
Maximum Monthly Maintenance Needs Allowance (MaxMMNA) Effective 1/1/2025 |
$3,948.50 |
|
Maximum Monthly Maintenance Needs Allowance (MaxMMNA) Effective 1/1/2024 |
$3,853.50 |
|
Excess Monthly Shelter Standard Effective 7/1/2025 |
$794.00 |
|
Excess Monthly Shelter Standard Effective 7/1/2024 |
$767.00 |
|
Dependent Living with Community Spouse Allowance Effective 7/1/2025 |
$2,644.00 |
|
Dependent Living with Community Spouse Allowance Effective 7/1/2024 |
$2,555.00
|
|
Protected Share |
|
|
Maximum Protected Share Effective 1/1/2025 |
$157,920.00 |
|
Maximum Protected Share Effective 1/1/2024 |
$154,140.00 |
|
Minimum Protected Share Effective 1/1/2025 |
$31,584.00 |
|
Minimum Protected Share Effective 1/1/2024 |
$30,828.00 |
|
Private Pay Rates |
|
|
Determining a Penalty Period Effective 1/1/2025 |
|
|
Average Monthly Private Pay Rate |
$12,160.58 |
|
Average Daily Private Pay Rate |
$399.80 |
|
Determining a Penalty Period Effective 1/1/2024 |
|
|
Average Monthly Private Pay Rate |
$11,547.69 |
|
Average Daily Private Pay Rate |
$379.65 |
|
Excess Home Equity Limits
|
|
|
Excess Home Equity Limit Effective 1/1/2025 |
$730,000 |
|
Excess Home Equity Limit Effective 1/1/2024 |
$713,000 |
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 August 26, 2025, replacing June 3, 2025