| 
           Residing in:  | 
        
           Individual  | 
        
           Couple  | 
      
| 
           An independent living arrangement  | 
        $967.00 | $1450.00 | 
| 
           The household of another:  | 
        $644.67 | $966.67 | 
| 
           A domiciliary care facility:  | 
        $967.00 | $1450.00 | 
| 
           A personal care boarding home:  | 
        $967.00 | $1450.00 | 
| 
           A nursing home:  | 
        
           $30.00  | 
        
           $60.00  | 
      
| 
           Residing in:  | 
        
           Individual  | 
        
           Couple  | 
      
| 
           An independent living arrangement  | 
        $943.00 | $1415.00 | 
| 
           The household of another:  | 
        $628.67 | $943.34 | 
| 
           A domiciliary care facility:  | 
        $943.00 | $1415.00 | 
| 
           A personal care boarding home:  | 
        $943.00 | $1415.00 | 
| 
           A nursing home:  | 
        
           $30.00  | 
        
           $60.00  | 
      
State Supplementary Payment Levels (Jul. 1, 2022)
| 
           Residing in:  | 
        
           Individual  | 
        
           Couple  | 
      
| 
           An independent living arrangement  | 
        
           $22.10  | 
        
           $33.30  | 
      
| 
           The household of another:  | 
        
           $25.53  | 
        
           $38.44  | 
      
| 
           $634.30  | 
        
           $1347.40  | 
      |
| 
           $639.30  | 
        
           $1357.40  | 
      
| 
           Residing in:  | 
        
           Individual  | 
        
           Couple  | 
      
| 
           An independent living arrangement  | 
        $914.00 | $1371.00 | 
| 
           The household of another:  | 
        $609.34 | $914.00 | 
| 
           A domiciliary care facility:  | 
        $914.00 | $1371.00 | 
| 
           A personal care boarding home:  | 
        $914.00 | $1371.00 | 
| 
           A nursing home:  | 
        
           $30.00  | 
        
           $60.00  | 
      
| 
           Residing in:  | 
        
           Individual  | 
        
           Couple  | 
      
| 
           An independent living arrangement  | 
        $841.00 | $1261.00 | 
| 
           The household of another:  | 
        $560.67 | $841.00 | 
| 
           A domiciliary care facility:  | 
        $841.00 | $1261.00 | 
| 
           A personal care boarding home:  | 
        $841.00 | $1261.00 | 
| 
           A nursing home:  | 
        
           $30.00  | 
        
           $60.00  | 
      
| 
           Residing in:  | 
        
           Individual  | 
        
           Couple  | 
      
| 
           An independent living arrangement  | 
        $794.00 | $1191.00 | 
| 
           The household of another:  | 
        $530.00 | $794.00 | 
| 
           A domiciliary care facility:  | 
        $794.00 | $1191.00 | 
| 
           A personal care boarding home:  | 
        $794.00 | $1191.00 | 
| 
           A nursing home:  | 
        
           $30.00  | 
        
           $60.00  | 
      
| 
           Residing in:  | 
        
           Individual  | 
        
           Couple  | 
      
| 
           An independent living arrangement  | 
        
           $783.00  | 
        
           $1175.00  | 
      
| 
           The household of another:  | 
        
           $522.00  | 
        
           $783.34  | 
      
| 
           A domiciliary care facility:  | 
        
           $783.00  | 
        
           $1175.00  | 
      
| 
           A personal care boarding home:  | 
        
           $783.00  | 
        
           $1175.00  | 
      
| 
           A nursing home:  | 
        
           $30.00  | 
        
           $60.00  | 
      
| 
           Residing in:  | 
        
           Individual  | 
        
           Couple  | 
      
| 
           An independent living arrangement  | 
        
           $22.10  | 
        
           $33.30  | 
      
| 
           The household of another:  | 
        
           $25.53  | 
        
           $38.44  | 
      
| 
           $434.30  | 
        
           $947.40  | 
      |
| 
           $439.30  | 
        
           $957.40  | 
      
Updated January 2, 2025, replacing June 17, 2024