Appendix XI, Monthly Income/Resource Limits

6-2021

2021 Income and Resource Reference Chart

Income Limits Effective Date
CCAD Title XX Individual Income Limit $2,382 01/01/2021
CCAD Title XX Couple Income Limit $4,764 01/01/2021
Title XX Home Delivered Meals* N/A N/A
CAS, Waiver, Institutional Individual Income Limit $2,382 01/01/2021
CAS, Waiver, Institutional Couple Income Limit $4,764 01/01/2021
SSI Individual Income Limit $794 01/01/2021
SSI Couple Income Limit $1,191 01/01/2021
QMB Individual Income Limit $1,074 03/01/2021
QMB Couple Income Limit $1,452 03/01/2021
SLMB Individual Income Limit $1,074.01 to < $1,288 03/01/2021
SLMB Couple Income Limit $1,452.01 to < $1,742 03/01/2021
QI-1 Individual Income Limit $1,288 to < $1,449 03/01/2021
QI-1 Couple Income Limit $1,742 to < $1,960 03/01/2021
QDWI Individual Income Limit $2,147 03/01/2021
QDWI Couple Income Limit $2,904 03/01/2021

 

Resource Limits Effective Date
CCAD Title XX Individual Resource Limit $5,000 01/01/2021
CCAD Title XX Couple Resource Limit $6,000 01/01/2021
CAS, Waiver, Institutional Individual Resource Limit $2,000 01/01/2021
CAS, Waiver, Institutional Couple Resource Limit $3,000 01/01/2021
SSI & MAO Individual Resource Limit $2,000 01/01/2021
SSI & MAO Couple Resource Limit $3,000 01/01/2021
QMB/SLMB/QI Individual Resource Limit $7,970 01/01/2021
QMB/SLMB/QI Couple Resource Limit $11,960 01/01/2021
QDWI Individual Resource Limit $4,000 01/01/2021
QDWI Couple Resource Limit $6,000 01/01/2021
Medicare Part B Standard Premium $148.50 01/01/2021

*Title XX Home Delivered Meals recipients are not subject to income and resource limits.

*CMPAS recipients are not subject to resource limits.

Also Appears In:

  • STAR+PLUS Handbook
  • STAR Kids Handbook
  • STAR Kids Program Support Unit Operational Procedures Handbook
  • STAR+PLUS Program Support Unit Operational Procedures Handbook

Appears in

  • Community Care Services Eligibility Handbook
  • STAR Kids Handbook
  • STAR Kids Program Support Unit Operational Procedures Handbook
  • STAR+PLUS Handbook
  • STAR+PLUS Program Support Unit Operational Procedures Handbook