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1. |
January 2026 COLA = 2.8% (MA Handbook Chapter 372, Appendix A) January 2025 COLA = 2.5% (MA Handbook Chapter 372, Appendix A) |
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2. |
SSI Program Benefit Levels (MA Handbook Chapter 368, Appendix B; Chapter 387, Appendix A; & LTC Chapter 489 Appendix A |
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2026 |
2025 |
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a. |
Individual eligible for domiciliary care supplement. |
$1,628.30 |
$1,601.30 |
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b. |
Individual eligible for PCH supplement. |
$1,633.30 |
$1,606.30 |
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c. |
Couple eligible for domiciliary care supplement. |
$2,838.40 |
$2,797.40 |
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d. |
Couple eligible for PCH supplement. |
$2,848.40 |
$2,807.40 |
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e. |
Individual in independent living arrangement. |
$1,016.10 |
$989.10 |
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f. |
Couple in independent living arrangement. |
$1,524.30 |
$1,483.30 |
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g. |
Essential individual to an individual or couple. |
$498.00 |
$484.00 |
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h. |
Individual living in the household of another and getting income-in-kind (one-third reduction cases). |
$662.67 |
$670.13 |
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i. |
Couple living in the household of another and getting income-in-kind (one-third reduction cases). |
$994.00 |
$1,005.01 |
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j. |
Essential individual to individual or couple living in the household of another and receiving income-in-kind (one-third reduction cases). |
$484.00 |
$484.00 |
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k. |
Personal care allowance deduction for individual in MA long-term care institution ($90 for a couple in an MA institution). |
$60.00 |
$60.00 |
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l. |
Special income level for aged, blind, and disabled individuals in institutions. |
$2,982.00 |
$2,901.00 |
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m. |
HCBS programs using 300% of the federal benefit rate. |
$2,982.00 |
$2,901.00 |
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3. |
Medically Needy Only income limits (MA Handbook Chapter 369, Appendix A). |
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6 individuals |
6 Months |
Monthly |
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4. |
Medicare premiums |
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Part A: $565.00 a month; paid by individuals who have not had enough work credits under Social Security to get the benefit premium free. (2026)
Part A: $518.00 a month; paid by individuals who have not had enough work credits under Social Security to get the benefit premium free. (2025) |
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Part B: $202.90 a month for 2026.
Part B: $185.00 a month for 2025.
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5. |
Medicare Inpatient Hospital Care Deductible and Coinsurance Amounts. |
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a. |
A $1,736.00 deductible for each benefit period in 2026. A $1,676.00 deductible for each benefit period in 2025. |
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b. |
A $434.00 coinsurance for the 61st day through the 90th day in 2026. A $419.00 coinsurance for the 61st day through the 90th day in 2025. |
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c. |
A $868.00 per day beyond 90 days in 2026. A $838.00 per day beyond 90 days in 2025. |
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d. |
A $217.00 per day for the 21st day through the 100th day of extended care services in a skilled nursing facility in 2026. A $209.00 per day for the 21st day through the 100th day of extended care services in a skilled nursing facility in 2025. |
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For the 1st day through the 20th day, Medicare will make full payment for care in a skilled nursing facility. |
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6. |
Medicare deductibles. |
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Part A: $1,736.00 in 2026 / $1,676.00 in 2025. |
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Part B: $283.00 in 2026 / $257.00 in 2025. |
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Updated January 27, 2026, Replacing January 23, 2025