Appendix A: SSI Payment Levels

Individual

Couple

Essential Person

Independent Living Arrangement—own home, rent, or room & board (A Living Arrangement)

$989.10

$1,483.30

$484.00

Another Individual’s Home (B Living Arrangement)

$670.20

$1005.11

$484.00

Domiciliary Care

$1,601.30

$2,797.40

Personal Care Boarding Home

$1,606.30

$2,807.40

MA Institution

$60.00

$120.00

NOTE:  The above amounts include the following state supplements:

A Living Arrangement

$22.10

$33.30

B Living Arrangement

$25.53

$38.44

Domiciliary Care 2016

$634.30

$1347.40

Personal Care Boarding Home  

$639.30

$1357.40

MA Institution

$15.00

$30.00

SSI Resource Limits

                            $2,000

$3,000

Individual

Couple

Essential Person

Independent Living Arrangement—own home, rent, or room & board (A Living Arrangement)

$965.10

$1,448.30

$472.00

Another Individual’s Home (B Living Arrangement)

$654.20

$981.78

$472.00

Domiciliary Care

$1,577.30

$2,762.40

Personal Care Boarding Home

$1,582.30

$2,772.40

MA Institution

$45.00

$90.00

NOTE:  The above amounts include the following state supplements:

A Living Arrangement

$22.10

$33.30

B Living Arrangement

$25.53

$38.44

Domiciliary Care 2016

$434.30

$947.40

Personal Care Boarding Home  

$439.30

$957.40

MA Institution

$15.00

$30.00

SSI Resource Limits

                            $2,000

$3,000

Individual

Couple

Essential Person

Independent Living Arrangement—own home, rent, or room & board (A Living Arrangement)

$936.10

$1,404.30

$458.00

Another Individual’s Home (B Living Arrangement)

$635.53

$952.44

$458.00

Domiciliary Care

$1,548.30

$2,718.40

Personal Care Boarding Home

$1,553.30

$2,728.40

MA Institution

$45.00

$90.00

NOTE:  The above amounts include the following state supplements:

A Living Arrangement

$22.10

$33.30

B Living Arrangement

$25.53

$38.44

Domiciliary Care 2016

$434.30

$947.40

Personal Care Boarding Home  

$439.30

$957.40

MA Institution

$15.00

$30.00

SSI Resource Limits

$2,000

$3,000

Individual

Couple

Essential Person

Independent Living Arrangement—own home, rent, or room & board (A Living Arrangement)

$863.10

$1,294.30

$421.00

Another Individual’s Home (B Living Arrangement)

$583.10

$874.30

$421.00

Domiciliary Care

$1,275.30

$2,208.40

Personal Care Boarding Home

$1,280.30

$2,218.40

MA Institution

$45.00

$90.00

NOTE:  The above amounts include the following state supplements:

A Living Arrangement

$22.10

$33.30

B Living Arrangement

$25.53

$38.44

Domiciliary Care 2016

$434.30

$947.40

Personal Care Boarding Home  

$439.30

$957.40

MA Institution

$15.00

$30.00

SSI Resource Limits

$2,000

$3,000

Individual

Couple

Essential Person

Independent Living Arrangement—own home, rent, or room & board (A Living Arrangement)

$816.10

$1,224.30

$397.00

Another Individual’s Home (B Living Arrangement)

$555.53

$832.44

$397.00

Domiciliary Care

$1,228.30

$2,138.40

Personal Care Boarding Home

$1,233.30

$2,148.40

MA Institution

$45.00

$90.00

NOTE:  The above amounts include the following state supplements:

A Living Arrangement

$22.10

$33.30

B Living Arrangement

$25.53

$38.44

Domiciliary Care 2016

$434.30

$947.40

Personal Care Boarding Home  

$439.30

$957.40

MA Institution

$15.00

$30.00

SSI Resource Limits

$2,000

$3,000

Individual

Couple

Essential Person

Independent Living Arrangement—own home, rent, or room & board (A Living Arrangement)

$805.10

$1,208.30

$392.00

Another Individual’s Home (B Living Arrangement)

$547.53

$821.78

$392.00

Domiciliary Care

$1,217.30

$2,122.40

Personal Care Boarding Home

$1,222.30

$2,132.40

MA Institution

$45.00

$90.00

NOTE:  The above amounts include the following state supplements:

A Living Arrangement

$22.10

$33.30

B Living Arrangement

$25.53

$38.44

Domiciliary Care 2016

$434.30

$947.40

Personal Care Boarding Home  

$439.30

$957.40

MA Institution

$15.00

$30.00

SSI Resource Limits

$2,000

$3,000