Medicaid Policy                                                                 

 

TABLE II–A - Long Term Care Institutional and Waiver Income Limits and Other Important Figures

Effective Date: July 1, 2025

 

Previous Table

 

      Income deductions, allowances and limits

Personal Needs Allowance (PNA)

Institutional Long Term Stay

$45

Institutional Short Term Stay

One person BMS

$382

HCB Waivers

100% of Poverty

All Waivers (Not PDW)

For NCW - Special Income group only

$1,305

Changes each March

Physical Disabilities Waiver or Community Transitions Waiver

When total income is under 300% of SSI

$2,901

Changes each January

When total income is over 300% of SSI

$1,305

Changes each March

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Institutional/Waiver Earned Income Deductions

Aging, Brain Injury, New Choices and Institutional.

$125

 

UCSW, Technology Dependent and Medically Complex Children Disabled (SGA)

$1,620

Changes each January

UCSW, Technology Dependent and Medically Complex Children Blind (SGA)

$2,700

Changes each January

 

HCB Waivers Shelter Deductions

Shelter Deduction (Actual Rent, or Mortgage/Taxes/Insurance)

up to $300

 

Standard Utility Allowance with heating or cooling expense

$500

Changes each October

Non-Heat/Cool Utility Allowance

$420

Changes each October

Telephone Only Allowance

$57

Changes each October

 

Physical Disabilities Waiver

Income Eligibility Limit: 300% SSI rate

$2,901

Changes each January

When income exceeds 300% SSI rate

$1,305

Changes each March

 

New Choices Waiver or Community Transitions Waiver Special Income Group

Income Eligibility Limit (300% of SSI Rate)

$2,901

Changes each January

 

Spousal Impoverishment Information

Spousal Needs Standard

Minimum

$2,644

Changes each July

Maximum

$3,948

Changes each January

Spousal Needs Allowance Calculation

Shelter Standard

$794

Changes each July

Standard Utility Allowance

$500

Changes each October

 

 

 

 

 

Assessment of Assets Limits

Minimum Spousal Asset Share

$31,584

Changes each January

Maximum Spousal Asset Share

$157,920

Changes each January

 

 

 

 

 

 

 

 

 

 

 

 

Transfer of Asset Information 

Average Private-Pay Rate for Nursing Homes

(to determine penalty period)

$7,344

Changes each July

 

 

 

 

 

 

   Home Equity Information

Home Equity Limits

Maximum

$730,000

Changes each January