Page 8

Program Descriptions by FPL Enclosure 3

400+% FPL = Unsubsidized Coverage $35.00 = Maintenance Need for Resident in LTC Facility

Notes: “=” means: eligible if budget unit income is equal to or less than income limit “<” means: eligible if budget unit income is less than income limit “>” means: eligible if budget unit income is greater than income limit

• MSP includes Qualified Medicare Beneficiary (QMB), Specified Low-Income Beneficiary (SLMB) and Qualified Individual (QI-1) Programs.

• For applicants and recipients of the Medicare Savings Programs (MSPs) not receiving RSDI Title II Income, the FPL figures are effective January 1, 2025.

• For applicants and recipients of MSPs receiving RSDI Title II income, the new FPL figures are effective March 1, 2025.