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Medicaid Financial Eligibility for Seniors and People with Disabilities: Findings from a 50-State Survey

Appendix Table 1: State Adoption of Key Optional Pathways to Full Medicaid Eligibility Based on Old Age or Disability, 2018

Appendix Table 2: Medicaid Eligibility for SSI Beneficiaries and Optional Pathway for Seniors and People with Disabilities Up to 100% FPL, 2018

Appendix Table 3: Medicaid Eligibility Through the Medically Needy Pathway, 2018

Appendix Table 4: Medicaid Eligibility for Working People with Disabilities, 2018

Appendix Table 5: Medicaid Special Income Rule for Long-Term Services and Supports Eligibility, 2018

Appendix Table 6: Medicaid Long-Term Services and Supports Trusts and Home Equity Limits, 2018

Appendix Table 7: Medicaid Long-Term Services and Supports Post-Eligibility Treatment of Income and Spousal Impoverishment Standards, 2018

Appendix Table 8: Eligibility for Medicaid’s Medicare Savings Programs, 2018

Appendix Table 9: State Adoption of Selected ACA Streamlined Medicaid Eligibility Renewal Provisions, 2018

Appendix Table 1: State Adoption of Key Optional Pathways to Full Medicaid Eligibility Based on Old Age or Disability, 2018
State Seniors and People with Disabilities up to 100% FPL Medically Needy Katie Beckett Children with Significant Disabilities Living at Home4 Family Opportunity Act Buy-in for Children with Significant Disabilities Buy-in for Working People with Disabilities Section 1915 (i) HCBS as an Independent Eligibility Pathway7
TOTAL 21 34 50 6 45 2
Alabama ✓, waiver
Alaska ✓, SPA
Arizona ✓, waiver
Arkansas 1, 2 ✓, waiver
California ✓, waiver
Colorado ✓, both
Connecticut ✓, waiver
Delaware ✓, SPA
DC ✓, SPA
Florida 1 ✓, waiver
Georgia ✓, SPA
Hawaii ✓, waiver
Idaho ✓, SPA
Illinois ✓, waiver
Indiana ✓, waiver
Iowa ✓, SPA
Kansas ✓, waiver
Kentucky ✓, waiver
Louisiana ✓, waiver
Maine ✓, SPA
Maryland ✓, waiver
Massachusetts ✓, SPA 6
Michigan ✓, waiver
Minnesota ✓, SPA
Mississippi ✓, SPA
Missouri ✓, waiver
Montana ✓, waiver
Nebraska ✓, both
Nevada ✓, SPA
New Hampshire ✓, SPA
New Jersey ✓, waiver
New Mexico ✓, waiver
New York ✓, both
North Carolina ✓, waiver
North Dakota ✓, waiver
Ohio ✓, waiver
Oklahoma ✓, SPA
Oregon ✓, waiver
Pennsylvania ✓, waiver
Rhode Island ✓, both
South Carolina ✓, SPA
South Dakota ✓, SPA
Tennessee 3 5
Texas 3 ✓, waiver
Utah ✓, waiver
Vermont ✓, SPA
Virginia 1 ✓, waiver
Washington ✓, waiver
West Virginia ✓, SPA
Wisconsin ✓, waiver
Wyoming ✓, waiver
NOTES: Unless otherwise indicated, table excludes Medicaid eligibility pathways available through HCBS waivers. 1 AR, FL, and VA do not elect the maximum of 100% FPL. 2 AR extends coverage beyond SSI limits for seniors only. 3 In TN and TX, the medically needy pathway is limited to pregnant women and children and does not include seniors and people with disabilities. 4 States can cover Katie Beckett children through state plan amendments (SPAs) and/or comparable waivers. 5 TN provides waiver coverage to “medically eligible” children in households with incomes at or above 211% FPL, although enrollment in this pathway is currently closed except for rollovers for those losing coverage under traditional groups; recent legislation directs the state to establish a Katie Beckett-like waiver program. 6 Massachusetts has a Section 1115 waiver program comparable to the FOA option. 7 Other states use Section 1915 (i) to offer HCBS to people who are otherwise Medicaid eligible.
SOURCE: Kaiser Family Foundation, Medicaid Financial Eligibility Survey for Seniors and People with Disabilities, 2018.
Appendix Table 2: Medicaid Eligibility for SSI Beneficiaries and Optional Pathway for Seniors and People with Disabilities Up To 100% FPL, 2018
State Monthly Income Limit Income Disregard % FPL Asset Limit
Individual Couple Individual Couple
MEDIAN $750 $1,125 $20 74% $2,000.00 $3,000.00
Alabama $750 $1,125 $20 74% $2,000 $3,000
Alaska $750 $1,125 $20 74% $2,000 $3,000
Arizona $1,012 $1,372 $20 100% No limit No limit
Arkansas $804 $1,083 $20 80% $7,560 $11,340
California $1,012 $1,372 $230 individual/ $310 couple 100% $2,000 $3,000
Colorado $750 $1,125 $20 74% $2,000 $3,000
Connecticut1,2 $523 $696 $339 63% $1,600 $2,400
Delaware $750 $1,125 $20 74% $2,000 $3,000
DC $1,012 $1,372 $20 individual/ $100 couple 100% $4,000 $6,000
Florida $891 $1,208 $20 88% $5,000 $6,000
Georgia $750 $1,125 $20 74% $2,000 $3,000
Hawaii1 $1,164 $1,578 $20 100% Hawaii poverty line $2,000 $3,000
Idaho $803 $1,145 $20 80%3 $2,000 $3,000
Illinois1 $1,012 $1,372 $25 100% $2,000 $3,000
Indiana $1,012 $1,372 $20 100% $2,000 $3,000
Iowa $750 $1,125 $20 74% $2,000 $3,000
Kansas $750 $1,125 $20 74% $2,000 $3,000
Kentucky $750 $1,125 $20 74% $2,000 $3,000
Louisiana $750 $1,125 $20 74% $2,000 $3,000
Maine $1,012 $1,372 $75 100% $2,000 $3,000
Maryland $750 $1,125 $20 74% $2,000 $3,000
Massachusetts $1,012 $1,372 $20 100% $2,000 $3,000
Michigan $1,012 $1,372 $20 100% $2,000 $3,000
Minnesota1 $1,012 $1,372 $20 100% $3,000 $6,000
Mississippi $750 $1,125 $20 74% $2,000 $3,000
Missouri1 $880 $1,186 $20 87%3 $3,000 $6,000
Montana $750 $1,125 $20 74% $2,000 $3,000
Nebraska $1,012 $1,372 $20 100% $4,000 $6,000
Nevada $750 $1,125 $20 74% $2,000 $3,000
New Hampshire1 $750 $1,125 $13 individual/
$20 couple
74% $1,500 $1,500
New Jersey $1,012 $1,372 $20 100% $4,000 $6,000
New Mexico $750 $1,125 $20 74% $2,000 $3,000
New York $837 $1,229 $20 83%3 $2,000 $3,000
North Carolina $1,012 $1,372 $20 100% $2,000 $3,000
North Dakota1 $750 $1,125 $20 74% $3,000 $6,000
Ohio $750 $1,125 $20 74% $2,000 $3,000
Oklahoma $1,012 $1,372 $20 100% $2,000 $3,000
Oregon $750 $1,125 $20 74% $2,000 $3,000
Pennsylvania $1,012 $1,372 $20 100% $2,000 $3,000
Rhode Island $1,012 $1,372 $20 100% $4,000 $6,000
South Carolina $1,012 $1,372 $20 100% $7,560 $11,340
South Dakota $750 $1,125 $20 74% $2,000 $3,000
Tennessee $750 $1,125 $20 74% $2,000 $3,000
Texas $750 $1,125 $20 74% $2,000 $3,000
Utah $1,012 $1,372 $20 100% $2,000 $3,000
Vermont $750 $1,125 $20 74% $2,000 $3,000
Virginia1 $810 $1,098 $20 81% $2,000 $3,000
Washington $750 $1,125 $20 74% $2,000 $3,000
West Virginia $750 $1,125 $20 74% $2,000 $3,000
Wisconsin $834 $1,257 $20 83%3 $2,000 $3,000
Wyoming $750 $1,125 $20 74% $2,000 $3,000
NOTES: States generally must provide Medicaid to SSI beneficiaries (equivalent to 74% FPL in 2018) and have the option to extend eligibility for seniors and people with disabilities up to 100% FPL. 1 Eight states elect the Section 209 (b) option, which allows states to use financial and functional eligibility criteria that differ from the federal SSI rules, as long as they are no more restrictive than the rules the state had in place in 1972. 2 Table includes data for regions B & C. Region A income limit is $633/single and $805/couple. All regions offer a boarding home disregard of $246.70 and a shared living disregard of $406.90. 3 In ID, MO, NY, and WI, the effective SSI income limit is higher than 74% FPL due to state supplemental payments and/or additional income disregards.
SOURCE: Kaiser Family Foundation, Medicaid Financial Eligibility Survey for Seniors and People with Disabilities, 2018.
Appendix Table 3: Medicaid Eligibility Through the Medically Needy Pathway, 2018
State Medically Needy Populations Covered Monthly Income Limit % FPL4 Asset Limit Budget Period Benefit Package Includes Nursing Facility Services
Pregnant Women Children Seniors People with Disabilities Low-Income Parents Individual Couple Individual Couple
TOTAL/MEDIAN 34 34 32 32 26 $488 $559 48% $2,000 $3,000 N/A 25
Arkansas $108 $217 11% $2,000 $3,000 3 months No response
California $600 $934 59% $2,000 $3,000 1 month
Connecticut1,2 $523 $696 52% $1,600 $2,400 6 months
DC $652 $652 64% $4,000 $6,000 1-6 months
Florida $180 $241 18% $5,000 $6,000 1 month
Georgia $317 $375 32% $2,000 $4,000 1 month
Hawaii $469 $632 40% $2,000 $3,000 1 month
Illinois $1,012 $1,372 100% $2,000 $3,000 1 month
Iowa $483 $483 48% $10,000 $10,000 2 months
Kansas $475 $475 47% $2,000 $3,000 6 months
Kentucky $235 $291 24% $2,000 $4,000 1-3 months
Louisiana 1,3 $100 $192 10% $2,000 $3,000 3 months
Maine $315 $341 32% $2,000 $3,000 6 months
Maryland $350 $392 35% $2,500 $3,000 6 months
Massachusetts $522 $650 52% $2,000 $3,000 6 months
Michigan $1,012 $1,372 100% $2,000 $3,000 1 month
Minnesota $810 $1,098 80% $3,000 $6,000 6 months
Montana $525 $525 52% $2,000 $3,000 1 month
Nebraska $392 $392 39% $4,000 $6,000 1 month
New Hampshire $591 $675 58% $2,500 $4,000 1 or 6 months
New Jersey $367 $434 37% $4,000 $6,000 6 months
New York $842 $1,233 84% $15,150 $22,200 6 months
North Carolina $242 $317 24% $2,000 $3,000 6 months
North Dakota $840 $1,139 83% $3,000 $6,000 1 month
Pennsylvania $425 $442 42% $2,400 $3,200 6 months
Rhode Island $903 $947 88% $4,000 $6,000 6 months
Tennessee $241 $258 24% $2,000 $3,000 1 month
Texas $104 $216 11% $2,000 $3,000 1-3 months
Utah $1,012 $1,372 100% $2,000 $3,000 1 month
Vermont1 $1,041 $1,041 110% $2,000 $3,000 1 or 6 months5
Virginia1 $493 $659 49% $2,000 $3,000 1 or 6 months 5
Washington $750 $750 75% $2,000 $3,000 3 or 6 months
West Virginia $200 $275 20% $2,000 $3,000 6 months
Wisconsin $592 $592 59% $2,000 $3,000 6 months
NO PROGRAM                        
Alabama
Alaska
Arizona
Colorado
Delaware
Idaho
Indiana
Mississippi
Missouri
Nevada
New Mexico
Ohio
Oklahoma
Oregon
South Carolina
South Dakota
Wyoming
NOTES: 1 CT, LA, VA, and VT vary their medically needy income standard by region. 2 Table includes data for regions B & C. Region A income limit is $633/individual and $805.09/couple. 3 Table includes data for urban regions. Rural income limit is $92/individual and $192/couple. 4 States reported a single income limit across populations. 5 Budget period of 6 months applies to those living in the community.
SOURCE: Kaiser Family Foundation, Medicaid Financial Eligibility Survey for Seniors and People with Disabilities, 2018.
Appendix Table 4: Medicaid Eligibility for Working People with Disabilities, 2018
State Monthly Income Limit % FPL Asset Limit Monthly Income at Which Premiums Begin Monthly Premium Amount
Individual Couple
MEDIAN $2,530 250% $10,000 $15,000 N/A N/A
Alaska $3,163 313% $10,000 $15,000 100% FPL No more than 10% of annual family income
Arizona $2,530 250% None None 50% FPL ($500) $10 – $35
Arkansas None None None None No response No response
California $2,530 250% $2,000 $3,000 0% FPL $20/individual; $30/couple
Colorado $4,553 450% None None 41% FPL $25 – $200
Connecticut $3,083 305% $10,000 $15,000 200% FPL 10% of income, minus any health insurance premiums between 200-250% FPL; No more than 7.5% of income above 250% FPL
Delaware $2,782 275% None None 100% FPL $25
DC $3,036 300% None None No premium No premium
Florida $2,024 200% $5,000 $6,000 No premium No premium
Georgia $3,036 300% $4,000 $6,000 150% FPL $35
Idaho $5,080 502% $10,000 $15,000 133% FPL $10-259
Illinois $3,433 339% $25,000 $25,000 25% FPL ($251) $19
Indiana $2,024 200% $2,000 $3,000 150% FPL $48
Iowa $2,530 250% $12,000 $13,000 > 150% FPL $34/$47/$56
Kansas $3,035 300% $15,000 $15,000 100% FPL $55 – $205
Kentucky $2,530 250% $5,000 $10,000 No premium No premium
Louisiana $1,012 100% $10,000 $10,000 No premium No premium
Maine $2,530 250% $8,000 $12,000 150% $10 -$20
Maryland $3,036 300% $10,000 $15,000 101% $25/$40/$55
Massachusetts None None None None > 150% FPL Varies based on income
Michigan $2,023 200% $4,000 Excludes spouse No premium No premium
Minnesota None None $20,000 Excludes spouse 0% FPL $35 minimum
Mississippi $2,530 250% $24,000 $26,000 150% FPL 5% of countable income
Montana $2,530 250% $15,000 $30,000 100% FPL or less $35 and above
Nebraska $2,530 250% $4,000 $6,000 200% FPL Sliding scale based on income
Nevada $2,529 250% $15,000 $15,000 0% FPL Sliding scale based on income
New Hampshire $2,530 250% $28,568 $42,849 150% FPL No more than 7.5% of total income
New Jersey $2,530 250% $20,000 $30,000 150% FPL $25
New Mexico $1,519 150% $10,000 $15,000 No premium No premium
New York $2,530 250% $20,000 $30,000 No premium No premium
North Carolina $2,024 200% $2,000 $3,000 150% FPL No response
North Dakota $2,277 225% $13,000 $16,000 225% FPL 5% of gross income
Ohio $2,530 250% $11,901 Excludes spouse 150% FPL Varies by family size and income
Oregon $2,530 250% $5,000 Excludes spouse 75% FPL $50
Pennsylvania $2,530 250% $10,000 $10,000 0% FPL 5% of net income2
Rhode Island $2,529 250% $10,000 $20,000 150% FPL No response
South Dakota $2,530 250% $8,000 Excludes spouse No premium No premium
Texas $2,530 250% $5,000 Excludes spouse 150% FPL $20
Utah $2,529 250% $15,000 $15,000 100% FPL 5%-15% of countable net income
Vermont $2,530 250% $10,000 $15,000 No premium No premium
Virginia1 $810 80% $2,000 $3,000 No premium No premium
Washington $2,226 220% None None 6.5% FPL ($65) No more than 7.5% of total income
West Virginia $2,530 250% $2,000 $3,000 0% FPL $15 – $129.50
Wisconsin $2,529 250% $15,000 Excludes spouse 150% FPL Depends on income
Wyoming $2,250 222% None None 0% FPL ($1) Premium based on 7.5% of gross monthly income
NO PROGRAM            
Alabama
Hawaii
Missouri
Oklahoma
South Carolina
Tennessee
NOTES: 1 To enter VA’s buy-in, individuals must have incomes at or below 80% FPL and assets limited to $2,000. However, once enrolled, individuals can have earnings up to $75,00 per year or ($6,250 per month) as long as they are deposited in a qualifying account. 2 In PA, the premium does not have to be paid if it is calculated to be less than $10 per month or if the individual shows good cause not to pay it.
SOURCE: Kaiser Family Foundation, Medicaid Financial Eligibility Survey for Seniors and People with Disabilities, 2018.
Appendix Table 5: Medicaid Special Income Rule for Long-Term Services and Supports Eligibility, 2018
State Special Income Rule Special Income Rule Asset Limit
Applies to Institutions Applies to HCBS Individual Couple
TOTAL/MEDIAN 42 43 $2,000 $3,000
Alabama $2,000 $3,000
Alaska $2,000 $3,000
Arizona $2,000 $3,000
Arkansas $2,000 $3,000
Colorado $2,000 $3,000
Connecticut $1,600 $2,400
Delaware1 $2,000 $3,000
DC $4,000 $6,000
Florida $2,000 $3,000
Georgia $2,000 $3,000
Idaho $2,000 $3,000
Indiana $2,000 $3,000
Iowa $2,000 $3,000
Kansas $2,000 N/A2
Kentucky $2,000 N/A2
Louisiana $2,000 $3,000
Maine $2,000 $3,000
Maryland $2,000 $3,000
Massachusetts $2,000 N/A3
Michigan $2,000 $3,000
Minnesota ✓ Aged only $3,000 $6,000
Mississippi $4,000 $6,000
Missouri1 Varies by program Varies by program
Nevada $2,000 $3,000
New Hampshire $2,500 N/A2
New Jersey $2,000 $3,000
New Mexico $2,000 N/A2
Ohio $2,000 $3,000
Oklahoma $2,000 $3,000
Oregon $2,000 N/A2
Pennsylvania $2,000 $3,000
Rhode Island $4,000 $6,000
South Carolina $2,000 N/A2
South Dakota $2,000 $3,000
Tennessee $2,000 N/A2
Texas $2,000 $3,000
Utah $2,000 $3,000
Vermont $2,000 $3,000
Virginia $2,000 N/A2
Washington $2,000 $3,000
West Virginia $2,000 $3,000
Wisconsin $2,000 $3,000
Wyoming $2,000 $3,000
NO PROGRAM
California
Hawaii
Illinois
Montana
Nebraska
New York
North Carolina
North Dakota
NOTES: 1 All but two states (DE & MO) reported setting the eligibility standard at 300% of SSI ($2,250 per month). DE’s limit is 250% of SSI and in MO, the limit varies by program. 2 All institutionalized individuals are single person households once eligibility is established.3 In MA, the asset limit for a couple is the aggregate of the $2,000 limit for the applicant and the community spouse limit of $123,600.
SOURCE: Kaiser Family Foundation, Medicaid Financial Eligibility Survey for Seniors and People with Disabilities, 2018.
Appendix Table 6: Medicaid Long-Term Services and Supports Trusts and Home Equity Limits, 2018
State Miller Trust (maximum amount, if any) Supplemental Needs Trust Is Trust Amount Limited? Pooled Income Trust Is Trust Amount Limited? ABLE Program (maximum lifetime amount) Home Equity Limit
For Institutional Care For HCBS
TOTAL/MEDIAN 25 22 48 21 48 19 51 $572,000
Alabama ✓, $400,000 $572,000
Alaska No limit No limit ✓, no response $572,000
Arizona ✓, $7,134 urban; $6,307 rural ✓, $7,134 urban; $6,307 rural No limit No limit ✓, $486,000 $572,000
Arkansas ✓, $366,000 $572,000
California ✓, $529,000 No Limit on Principal Residence
Colorado ✓, regional caps ✓, regional caps ✓, $350,000 $572,000
Connecticut Varies Varies ✓, $300,000 $858,000
Delaware1 No limit No limit ✓, 350,000 $572,000
DC ✓, $500,000 $858,000
Florida ✓, $418,000 $572,000
Georgia No limit No limit ✓, $468,000 $572,000
Hawaii ✓, $305,000 $858,000
Idaho ✓, no response $858,000
Illinois ✓, $400,000 $572,000
Indiana ✓, $450.000 $572,000
Iowa ✓, 125% of avg. cost of facility No limit ✓, $420,000 $572,000
Kansas ✓, $365,000 $572,000
Kentucky ✓, $2,250 ✓, $2,250 ✓, $468,000 $572,000
Louisiana ✓, $500,000 $572,000
Maine ✓, $400,000 $858,000
Maryland ✓, $350,000 $572,000
Massachusetts No limit No limit ✓, $400,000 $858,000
Michigan ✓, $500,000 $572,000
Minnesota No limit No limit ✓, $350,000 $572,000
Mississippi ✓, income cannot exceed cost of private pay rate for nursing facility ✓, $3,035 No limit No limit ✓, $235,000 $572,000
Missouri1 ✓, varies ✓, varies Varies Varies ✓, $468,000 $572,000
Montana No limit No limit ✓, $400,000 $572,000
Nebraska No limit No limit ✓, $400,000 $572,000
Nevada ✓, $370,000 $572,000 – 858,000
New Hampshire ✓, $468,000 $572,000
New Jersey ✓, $305,000 $858,000
New Mexico ✓, $468,000 $572,000
New York ✓, $100,000 $858,000
North Carolina ✓, $420,000 $572,000
North Dakota No limit No limit ✓, $269,000 $572,000
Ohio ✓, $468,000 $572,000
Oklahoma ✓, $4,365 ✓, $4,365 ✓, $468,000 $572,000
Oregon No limit No limit ✓, $400,000 $572,000
Pennsylvania No limit No limit ✓, $511,758 $572,000
Rhode Island ✓, $395,000 $572,000
South Carolina ✓, $462,000 $572,000
South Dakota ✓, $2,250 ✓, $2,250 No limit No limit ✓, $350,000 $572,000
Tennessee No limit ✓, $350,000 $572,000
Texas No limit No limit ✓, $370,000 $572,000
Utah No limit No limit ✓, $416,000 $572,000
Vermont No limit No limit ✓, $468,000 $572,000
Virginia ✓, $500,000 $572,000
Washington No limit No limit ✓, $500,000 $572,000
West Virginia No limit No limit ✓, $468,000 $572,000
Wisconsin ✓, $330,000 $750,000
Wyoming No limit No limit ✓, $464,000 $572,000
SOURCE: Kaiser Family Foundation, Medicaid Financial Eligibility Survey for Seniors and People with Disabilities, 2018.
Appendix Table 7: Medicaid Long-Term Services and Supports Post-Eligibility Treatment of Income and Spousal Impoverishment Standards, 2018
State Monthly Personal Needs Allowance Spousal Impoverishment Standards for Institutional Care
For Institutional Care For HCBS Monthly Community Spouse Needs Allowance 4 Community Spouse Asset Limit 5 Applies to HCBS Waiver Participants Will Apply to HCBS if ACA § 2404 Expires 6
TOTAL/MEDIAN $50 $2,024 $3,090 $123,600 51 49
Alabama $30 $2,250 $2,058 $25,000 – 123,600
Alaska $1,396 $1,656 $3,090 $123,600
Arizona $113 $2,250 $2,058 $123,600
Arkansas $40 $2,250 $2,058 – 3,090 $24,720 – 123,600 ✓ Some
California $35 $600 $3,090 $123,600
Colorado $84 $2,250 $2,058 $123,600
Connecticut $60 $2,024 $2,058 – 3,090 $24,720 – 123,600
Delaware $50 $2,030 $2,058 – 3,090 $25,000
DC $70 $2,250 $3,090 $24,720 – 123,600
Florida $130 $1,012 $2,058 $123,600
Georgia $65 $750 $3,090 $123,600
Hawaii $50 $469 or $1,164 $3,090 $123,600
Idaho $40 $750 or $1,3501 $2,058 – 3,090 $24,720 – 123,600
Illinois $60 N/A2 $3,090 $123,600 ✓ Some ✓ Some
Indiana $52 $2,250 $2,058 $24,720 – 123,600
Iowa $50 $2,250 $3,090 $24,720 – 123,600
Kansas $62 $727 $2,058 – 3,090 $24,720 – 123,600
Kentucky $40 $770 $2,058 $24,720
Louisiana $38 $2,250 $3,090 $123,600
Maine $40 $2,024 $2,058 $123,600
Maryland $80 Varies by waiver $2,058 – 3,090 $24,720 – 123,600
Massachusetts $73 $2,250 $2,058 – 3,090 $123,600
Michigan $60 $2,250 $2,058 – 3,090 $24,720 – 123,600
Minnesota $99 $1,003 $2,058 $123,600 ✓ Some
Mississippi $44 $2,250 $3,090 $123,600
Missouri $50 N/A $2,058 – 3,090 $24,720 – 123,600
Montana $50 $100 $2,058 $24,720 – 123,600
Nebraska $60 $392 $2,058 – 3,090 $24,720 – 123,600
Nevada $35 $2,250 $2,058 – 3,090 $24,720 – 123,600
New Hampshire $70 $70-$2,250 3 $3,090 $24,720 – 123,600
New Jersey $50 $112 or $2,250 $2,058 $24,720 – 123,600
New Mexico $72 N/A $2,058 $31,290
New York $50 $842 $3,090 $123,600
North Carolina $30 N/A $3,090 $24,720 – 123,600
North Dakota $65 $840 $2,550 $24,720 – 123,600
Ohio $50 $1,463 $3,090 $24,720 – 123,600
Oklahoma $50 $1,101 $3,090 $25,000 – 123,600
Oregon $61 $750 or $1,750 $2,058 – 3,090 $24,720 – 123,600
Pennsylvania $45 $2,250 $2,058 – 3,090 $24,720 – 123,600
Rhode Island $50 $1,012 $3,090 $24,720 – 123,600
South Carolina $30 $2,250 $3,090 $66,480
South Dakota $60 $750 $2,058 $123,600
Tennessee $50 $2,250 $2,058 – 3,090 $24,720 – 123,600
Texas $60 $2,250 $3,090 $24,720 – 123,600
Utah $45 $1,012 $2,058 $24,720
Vermont $48 $1,125 $2,058 – 3,090 $123,600
Virginia $40 $1,238 $2,058 $24,720 – 123,600
Washington $58 $1,012 $3,090 $123,600
West Virginia $50 $2,250 $2,058 – 3,090 $24,720 – 123,600
Wisconsin $45 $930 $2,743 – 3,090 $50,000 – 123,600
Wyoming $50 $2,250 $3,090 $123,600
NOTES: 1 In ID, amounts vary by marital status and housing situation; single (not responsible for rent/mortgage): $750; single (responsible for rent/mortgage): $1,350; married (not responsible for rent/mortgage): $1,125; married (responsible for rent/mortgage): $1,350. 2 With the exception of IL’s Section 1915 (c) waiver for seniors, IL does not recognize a monthly personal needs allowance for waiver enrollees who remain in their homes.3 NH amount varies by waiver and living situation. 4 CMS uses $2,057.50, while most states reported the minimum as $2,058. 5 States with an asset limit range apply a formula that allows the community spouse to retain an amount of protected assets that is the greater of either the federal minimum ($24,720) or one-half of the couple’s total combined resources but not to exceed the federal maximum ($123,600). 6 States reported plans about whether to continue to apply spousal impoverishment rules to HCBS waivers if ACA § 2404 expired in Dec. 2018; Congress subsequently extended ACA § 2404 through Sept. 2019.
SOURCE: Kaiser Family Foundation, Medicaid Financial Eligibility Survey for Seniors and People with Disabilities, 2018.
Appendix Table 8: Eligibility for Medicaid’s Medicare Savings Programs, 2018
State Qualified Medicare Beneficiaries (QMB) Specified Low-Income Savings Programs (SLMB) Qualified Individuals (QI)
Monthly Income Limit % FPL Asset Limit Monthly Income Limit % FPL Asset Limit Monthly Income Limit % FPL Asset Limit
Individual Couple Individual Couple Individual Couple Individual Couple Individual Couple Individual Couple
MEDIAN $1,012 $1,372 100% $7,560 $11,340 $1,214 $1,646 120% $7,560 $11,340 $1,366 $1,852 135% $7,560 $11,340
Alabama $1,012 $1,392 100% none none $1,214 $1,646 120% none none $1,366 $1,852 135% none none
Alaska $1,265 $1,715 100% $7,560 $11,340 $1,518 $2,058 120% $7,560 $11,340 $1,708 $2,316 135% $7,560 $11,340
Arizona $1,012 $1,372 100% none none $1,214 $1,646 120% none none $1,366 $1,852 135% none none
Arkansas $1,012 $1,372 100% $7,560 $11,340 $1,214 $1,646 120% $7,560 $11,340 $1,366 $1,852 135% $7,560 $11,340
California $1,012 $1,372 100% $7,560 $11,340 $1,214 $1,646 120% $7,560 $11,340 $1,366 $1,852 135% $7,560 $11,340
Colorado $1,012 $1,372 100% $9,060 $14,340 $1,214 $1,646 120% $9,060 $14,340 $1,366 $1,852 135% $9,060 $14,340
Connecticut $2,136 $2,895 211% none none $2,338 $3,170 231% none none $2,490 $3,376 246% none none
Delaware $1,012 $1,372 100% none none $1,214 $1,646 120% none none $1,366 $1,852 135% none none
DC1 $3,035 $4,115 300% none none N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
Florida $1,012 $1,372 100% $7,560 $11,340 $1,214 $1,646 120% $7,560 $11,340 $1,366 $1,852 135% $7,560 $11,340
Georgia $1,012 $1,372 100% $7,560 $11,340 $1,214 $1,646 120% $7,560 $11,340 $1,366 $1,852 135% $7,560 $11,340
Hawaii $1,164 $1,578 100% $7,560 $11,340 $1,396 $1,893 120% $7,560 $11,340 $1,571 $2,130 135% $7,560 $11,340
Idaho $1,012 $1,392 100% $7,560 $11,340 $1,214 $1,646 120% $7,560 $11,340 $1,366 $1,852 135% $7,560 $11,340
Illinois $1,012 $1,372 100% $7,560 $11,340 $1,214 $1,646 120% $7,560 $11,340 $1,366 $1,852 135% $7,560 $11,340
Indiana2 $1,518 $2,058 150% $7,560 $11,340 $1,720 $2,332 170% $7,560 $11,340 $1,872 $2,538 185% $7,560 $11,340
Iowa $1,012 $1,372 100% $7,560 $11,340 $1,214 $1,646 120% $7,560 $11,340 $1,366 $1,852 135% $7,560 $11,340
Kansas $1,012 $1,372 100% $7,560 $11,340 $1,214 $1,646 120% $7,560 $11,340 $1,366 $1,852 135% $7,560 $11,340
Kentucky $1,012 $1,372 100% $7,560 $11,340 $1,214 $1,646 120% $7,560 $11,340 $1,366 $1,852 135% $7,560 $11,340
Louisiana $1,012 $1,372 100% $7,560 $11,340 $1,214 $1,646 120% $7,560 $11,340 $1,366 $1,852 135% $7,560 $11,340
Maine3 $1,417 $1,921 140% $58,000 $87,000 $1,619 $2,195 160% $58,000 $87,000 $1,771 $2,401 175% $58,000 $87,000
Maryland $1,012 $1,372 100% $7,560 $11,340 $1,214 $1,646 120% $7,560 $11,340 $1,366 $1,852 135% $7,560 $11,340
Massachusetts $1,012 $1,372 100% $7,560 $11,340 $1,214 $1,636 120% $7,560 $11,340 $1,366 $1,852 135% $7,560 $11,340
Michigan $1,012 $1,372 100% $7,560 $11,340 $1,214 $1,646 120% $7,560 $11,340 $1,366 $1,852 135% $7,560 $11,340
Minnesota $1,012 $1,372 100% $10,000 $18,000 $1,214 $1,646 120% $10,000 $18,000 $1,366 $1,852 135% $10,000 $18,000
Mississippi $1,012 $1,372 100% none none $1,214 $1,646 120% none none $1,366 $1,852 135% none none
Missouri $1,012 $1,372 100% $7,560 $11,340 $1,214 $1,646 120% $7,560 $11,340 $1,366 $1,852 135% $7,560 $11,340
Montana $1,012 $1,372 100% $7,560 $11,340 $1,215 $1,647 120% $7,560 $11,340 $1,366 $1,852 135% $7,560 $11,340
Nebraska $1,012 $1,372 100% $7,560 $11,340 $1,214 $1,646 120% $7,560 $11,340 $1,366 $1,852 135% $7,560 $11,340
Nevada $1,012 $1,372 100% $7,560 $11,340 $1,214 $1,646 120% $7,560 $11,340 $1,366 $1,852 135% $7,560 $11,340
New Hampshire $1,012 $1,372 100% $7,560 $11,340 $1,214 $1,646 120% $7,560 $11,340 $1,366 $1,852 135% $7,560 $11,340
New Jersey $1,012 $1,372 100% $7,560 $11,340 $1,214 $1,646 120% $7,560 $11,340 $1,366 $1,852 135% $7,560 $11,340
New Mexico $1,012 $1,372 100% 9,060 $14,340 $1,214 $1,646 120% 9,060 $14,340 $1,366 $1,852 135% $9,060 $14,340
New York $1,012 $1,372 100% none none $1,214 $1,646 120% none none $1,366 $1,852 135% none none
North Carolina $1,012 $1,372 100% $7,560 $11,340 $1,214 $1,646 120% $7,560 $11,340 $1,366 $1,852 135% $7,560 $11,340
North Dakota $1,012 $1,372 100% $7,560 $11,340 $1,214 $1,646 120% $7,560 $11,340 $1,366 $1,852 135% $7,560 $11,340
Ohio $1,012 $1,372 100% $7,560 $11,340 $1,214 $1,646 120% $7,560 $11,340 $1,366 $1,852 135% $7,560 $11,340
Oklahoma $1,012 $1,372 100% $7,560 $11,340 $1,214 $1,646 120% $7,560 $11,340 $1,366 $1,852 135% $7,560 $11,340
Oregon $1,012 $1,372 100% none none $1,214 $1,646 120% none none $1,366 $1,852 135% none none
Pennsylvania $1,012 $1,372 100% $7,560 $11,340 $1,214 $1,646 120% $7,560 $11,340 $1,366 $1,852 135% $7,560 $11,340
Rhode Island $1,012 $1,372 100% $7,560 $11,340 $1,214 $1,646 120% $7,560 $11,340 $1,366 $1,852 135% $7,560 $11,340
South Carolina $1,012 $1,372 100% $7,560 $11,340 $1,214 $1,646 120% $7,560 $11,340 $1,366 $1,852 135% $7,560 $11,340
South Dakota $1,012 $1,372 100% $7,560 $11,340 $1,214 $1,646 120% $7,560 $11,340 $1,366 $1,852 135% $7,560 $11,340
Tennessee $1,012 $1,372 100% $7,560 $11,340 $1,214 $1,646 120% $7,560 $11,340 $1,366 $1,852 135% $7,560 $11,340
Texas $1,012 $1,372 100% $7,560 $11,340 $1,214 $1,646 120% $7,560 $11,340 $1,366 $1,852 135% $7,560 $11,340
Utah $1,012 $1,372 100% $7,560 $11,340 $1,214 $1,646 120% $7,560 $11,340 $1,366 $1,852 135% $7,560 $11,340
Vermont $1,012 $1,372 100% none none $1,214 $1,646 120% none none $1,366 $1,852 135% none none
Virginia $1,012 $1,372 100% $7,560 $11,340 $1,214 $1,646 120% $7,560 $11,340 $1,366 $1,852 135% $7,560 $11,340
Washington $1,012 $1,372 100% $7,560 $11,340 $1,214 $1,646 120% $7,560 $11,340 $1,366 $1,852 135% $7,560 $11,340
West Virginia $1,012 $1,372 100% $7,560 $11,340 $1,214 $1,646 120% $7,560 $11,340 $1,366 $1,852 135% $7,560 $11,340
Wisconsin $1,012 $1,372 100% $7,560 $11,340 $1,214 $1,646 120% $7,560 $11,340 $1,366 $1,852 135% $7,560 $11,340
Wyoming $1,012 $1,372 100% $7,560 $11,340 $1,214 $1,646 120% $7,560 $11,340 $1,366 $1,852 135% $7,560 $11,340
NOTES: Most state have a standard $20 general income disregard; exceptions include: Maine ($75), Mississippi ($50), and Illinois ($25). 1DC’s disregard effectively increases the QMB income limit to 300% FPL; as a result, the SLMB and QI categories are moot. 2IN disregards the amount of income from 100-150% FPL for QMBs, 120-170% for SLMBs, and 135-185% FPL for QIs.3ME’s MSP income thresholds are at the federal limits, but the state’s disregards are updated annually to effectively increase the income limit to 140% FPL for QMBs, 160% FPL for SLMBs, and 175% FPL for QIs; asset limits are for liquid assets only.
SOURCE: Kaiser Family Foundation, Medicaid Financial Eligibility Survey for Seniors and People with Disabilities, 2018.
Appendix Table 9: State Adoption of Selected ACA Streamlined Medicaid Eligibility Renewal Provisions, 2018
State Sends Pre-populated Forms for Age and Disability-Related Pathway Eligibility Renewals Offers Reconsideration Period for Age and Disability Eligibility Pathway Renewals
TOTAL 30 43
Alabama
Alaska
Arizona
Arkansas ✓ (for MSP categories)
California In development
Colorado
Connecticut No response
Delaware
DC ✓, 30 days
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana ✓, 90 days
Iowa ✓, 90 days
Kansas
Kentucky
Louisiana
Maine
Maryland ✓, 120 days
Massachusetts
Michigan
Minnesota
Mississippi
Missouri In development
Montana
Nebraska
Nevada ✓, 90 days
New Hampshire
New Jersey ✓, 90 days
New Mexico ✓, only for waivers
New York
North Carolina
North Dakota In development
Ohio ✓, 90 days
Oklahoma
Oregon
Pennsylvania
Rhode Island No response No response
South Carolina In development ✓, 90 days
South Dakota
Tennessee In development
Texas
Utah ✓, 90 days
Vermont ✓, 90 days
Virginia
Washington
West Virginia
Wisconsin
Wyoming ✓, 90 days
SOURCE: Kaiser Family Foundation, Medicaid Financial Eligibility Survey for Seniors and People with Disabilities, 2018.
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