DSS Program Standards Chart INCOME LIMITS & STANDARDS FOR DSS BENEFIT PROGRAMS As of 1/1/2026 MMNA Minimum CSPA* Maximum CSPA W01 Individual $75 AABD/MAABD $1,600 S05 $20,000 July 1, 2024 W01/L01 $1,600 July 1, 2025 $262 $66 Single $48,798 Married $65,064 $994 $400 $1,014 $200 $1,491 $1,511 $50,000 Excess home equity limit for institutionalized indiv.: $1,130,000 * as of 07/01/2022 the Min. CSPA in CT is $50,000 SSI Federal Payment Amounts eff. 1/1/2026 Couple SSI Individual $3,013 F95, F99, P95, P99 $100 each additional person $3,000 for 2 Categorically eligible No asset limit 2024 $154,140 $3,209 Lottery or Gambling winnings $4,500 / single game Vehicle Excluded HUSKY A, B, D - no asset test for most groups Exclusions Excluded Irrevocable Burial Up To: $10,000 (CT funeral contracts only) SSI/SSA Couple Combo $6,000 N01 Income Limit Max Rental Diversion 138% FPL Living alone Shared Living $650 $400 $157,920 $3,948.00 $4,066.50 $162,660 2025 2026 SSI/SSA Combo eff. 1/1/26 $4,072 SSI Couple $15,526 $2,000 for 1 Q03/SLMB (231% FPL) Special Needs SAGA Cash Benefit Level Therapeutic Diet $36.20 Maximum Benefit State Funded M03 eff. 1/1/26 Transitional no shelter exp MEDICARE SAVINGS PROGRAMS (MSP) eff. 3/1/2025 Part A (40+ qtrs) $0.00 Community Individual Excluded Insurance Face Value: ≤ $1,500 Q01/QMB (211% FPL) $2,752 $3,719 Medicare Premiums AABD Shelter Allowances Single $565 Q04/ALMB (246% FPL) $311 Shared Living $629.90 $2,400 Part A (<30 qtrs) Part B premium (buy-in) $202.90 New Horizons $156.82 Unearned Income $562 Couple Community Shared AABD / MAABD / LTSS No asset test if 18-21, single, living with own family who is active TFA, and lost TFA eligibility due to age Personal Needs Allowance Disregards Married $198.55 Boarding Home $469.70 $4,336 Part A (30-39 qtrs) Individual $197.35 Earned Income minus $65/half MEDICAL Boarding Home $34.75 Earned Income (Blind) minus $85/half $2,982 $14,939 SNF Average Cost of Care $30,000 See CSPA Married couple $1,000 Telephone Allowance (TUA) $36 Household size 6+ $299 Individual $500 Limited Utility Allowance (LUA) $430 Household size 5 $261 SAGA CASH $50,000 $50,000 Age 60 or older OR disabled w/ gross income over 200% FPL $4,500 asset limit eff. 1/1/25 Standard Utility Allowance (SUA) $976 Household size 4 $223 $3,853.50 Max Homeless Shelter Hardship $198.99 Household size 1-3 $209 Vehicle $9,500 (equity) eff. 1/1/24 Max Shelter Hardship $744 Standard Deduction Household 14,576 STANDARDS ASSET LIMITS OTHER PROGRAM INCOME LIMITS & STANDARDS SNAP TFA SNAP LTSS Amounts 2,883 6,228 9,071 11,868 6,228 11,462 4,513 2,483 7,718 10,380 1,813 1,667 8,149 10,663 5,595 10,298 13,095 8 5,867 9,025 4,513 1,789 6,935 9,327 1,629 1,498 2,591 5,595 4,963 9,134 11,615 7 5,271 8,109 4,055 1,571 4,055 2,231 1,444 1,328 2,296 4,963 7,228 9,458 6 4,675 7,192 3,596 1,421 3,596 1,978 6,150 8,271 6,806 8,654 5 4,079 6,275 3,138 1,183 4,583 6,164 1,077 990 1,713 3,698 10,135 2,004 4,330 6,307 8,252 4,330 7,970 3,138 1,726 5,366 7,218 970 3,015 4,055 709 652 3,065 1,222 3,798 5,109 1,260 1,159 5,641 7,174 4 3,483 5,359 2,680 994 2,680 1,474 893 821 1,420 3,065 4,464 5,841 5,386 7,047 3,698 3 2,888 4,442 2,221 785 2,221 3,430 1,800 3,313 4,213 2 2,292 3,525 1,763 546 2,232 3,002 525 483 835 1,800 5,693 1,128 2,433 3,543 4,636 2,433 4,477 1,763 to report income changes Income Limit Income Limit Benefit Earnings 100% 2,622 2,609 1,305 298 1,305 718 eff. 3/1/2025 eff. 3/1/2025 eff. 03/01/2025 eff. 03/01/2025 FPL FPL TFA Pymt Std FPL FPL FPL FPL eff. 10/1/2025 eff. 10/1/2025 eff. 10/1/2025 eff. 10/1/2025 eff. 3/1/2025 eff. 3/1/2025 eff. 3/1/2025 eff. 3/1/2025 Pymt Std eff. 3/1/2025 eff. 3/1/2025 eff. 3/1/2025 eff. 3/1/2025 eff. 3/1/2025 323% FPL FPL FPL FPL FPL FPL FPL S.O.N. 159% of 138% 201% 263% 138% 254% 100% 55% 171% 230% 73% of TFA 92% of TFA 130% 200% Adults Ages 19 to 64 Children <19 and State HB ages 0-15 Children <19 and State HB ages 0-15 of Need (S.O.N.) Earnings Disregard (No Reduction) Earnings Disregard (20% Reduction) Standard with Housing Subsidy Medically Needy Income Limit (MNIL) HUSKY D HUSKY B HUSKY B Size Threshold Gross Net Max Max TFA TFA TFA HUSKY C HUSKY A HUSKY A Medicaid Medicaid/State Medical Medicaid/CHIP Medicaid CHIP/State Medical Band 1 CHIP/State Medical Band 2 Standard Increased Increased Medicaid Waiver Income Limit eff. 1/1/26 SNF Waiver (W01) eff. 3/1/25 PNA Amount 200% FPL $2,609 Household SNAP SNAP SNAP SNAP TFA TFA TFA HUSKY A/B Payment Grant Medicaid Parents and Caretakers Children <19 and State HA ages 0-15 Pregnancy and HB Prenatal 1 1,696

DSS Program Standards Chart INCOME LIMITS & STANDARDS FOR DSS BENEFIT PROGRAMS As of 7/1/2026 MMNA Minimum CSPA* Maximum CSPA W01 Individual $75 AABD/MAABD $1,600 S05 $30,000 July 1, 2025 W01/L01 $1,600 July 1, 2026 Single $48,798 Married $65,064 $994 $400 $1,014 $200 $1,491 $1,511 Medicaid Waiver Income Limit eff. 1/1/26 SNF Waiver (W01) eff. 3/1/26 PNA Amount 200% FPL $2,660 Household SNAP SNAP SNAP SNAP TFA TFA TFA HUSKY A/B Payment Grant Medicaid Parents and Caretakers Children <19 and State HA ages 0-15 Pregnancy and HB Prenatal 1 1,696 HUSKY D HUSKY B HUSKY B Size Threshold Gross Net Max Max TFA TFA TFA HUSKY C HUSKY A HUSKY A Medicaid Medicaid/State Medical Medicaid/CHIP Medicaid CHIP/State Medical Band 1 CHIP/State Medical Band 2 Standard Increased Increased Adults Ages 19 to 64 Children <19 and State HB ages 0-15 Children <19 and State HB ages 0-15 of Need (S.O.N.) Earnings Disregard (No Reduction) Earnings Disregard (20% Reduction) Standard with Housing Subsidy Medically Needy Income Limit (MNIL) 323% FPL FPL FPL FPL FPL FPL FPL S.O.N. 159% of 138% 201% 263% 138% 254% 100% 55% 171% 230% 73% of TFA 92% of TFA 130% 200% FPL FPL TFA Pymt Std FPL FPL FPL FPL eff. 10/1/2025 eff. 10/1/2025 eff. 10/1/2025 eff. 10/1/2025 eff. 3/1/2026 eff. 3/1/2026 eff. 3/1/2026 eff. 3/1/2026 Pymt Std eff. 3/1/2026 eff. 3/1/2026 eff. 3/1/2026 eff. 3/1/2026 eff. 3/1/2026 to report income changes Income Limit Income Limit Benefit Earnings 100% 2,674 2,609 1,305 298 1,330 732 eff. 3/1/2026 eff. 3/1/2026 eff. 03/01/2026 eff. 03/01/2026 3,498 1,836 3,379 4,296 2 2,292 3,525 1,763 546 2,275 3,059 535 492 851 1,836 5,825 1,153 2,489 3,625 4,743 2,489 4,581 1,804 5,783 7,354 4 3,483 5,359 2,680 994 2,750 1,513 915 841 1,455 3,142 4,577 5,988 5,528 7,233 3,795 3 2,888 4,442 2,221 785 2,277 7,416 993 3,085 4,150 725 667 3,142 1,253 3,894 5,238 1,296 1,192 8,504 6,985 8,883 5 4,079 6,275 3,138 1,183 4,703 6,325 1,105 1,016 1,757 3,795 10,412 2,061 4,449 6,479 8,478 4,449 8,188 3,224 1,774 5,514 5,102 9,390 11,941 7 5,271 8,109 4,055 1,571 4,170 2,294 1,485 1,366 2,362 5,102 7,431 9,723 6 4,675 7,192 3,596 1,421 3,697 2,034 6,322 1,866 1,716 8,382 10,968 5,755 10,592 13,470 8 5,867 9,025 4,513 1,789 7,131 9,591 1,675 1,541 2,664 5,755 Max Shelter Hardship $744 Standard Deduction Household 14,998 STANDARDS ASSET LIMITS OTHER PROGRAM INCOME LIMITS & STANDARDS SNAP TFA SNAP LTSS Amounts 2,967 6,408 9,334 12,212 6,408 11,795 4,644 2,555 7,942 10,682 Limited Utility Allowance (LUA) $430 Household size 5 $261 SAGA $50,000 $50,000 Age 60 or older OR disabled w/ gross income over 200% FPL $4,500 asset limit eff. 1/1/25 Standard Utility Allowance (SUA) $976 Household size 4 $223 $3,853.50 Max Homeless Shelter Hardship $198.99 Household size 1-3 $209 Vehicle $9,500 (equity) eff. 1/1/24 Married couple $1,000 Telephone Allowance (TUA) $36 Household size 6+ $299 Individual $500 AABD / MAABD / LTSS No asset test if 18-21, single, living with own family who is active TFA, and lost TFA eligibility due to age Personal Needs Allowance Disregards Married $198.55 Boarding Home $469.70 $4,437 Part A (30-39 qtrs) Individual $197.35 Earned Income minus $65/half MEDICAL Boarding Home $34.75 Earned Income (Blind) minus $85/half $2,982 $15,526 SNF Average Cost of Care $45,000 See CSPA Shared Living $629.90 $2,400 Part A (<30 qtrs) Part B premium (buy-in) $202.90 New Horizons $156.82 Unearned Income $562 Couple Community Shared Payment Standard $269 Special Needs SAGA Benefit Level Therapeutic Diet $36.20 State Funded M03 eff. 1/1/26 MEDICARE SAVINGS PROGRAMS (MSP) eff. 3/1/2026 Part A (40+ qtrs) $0.00 Community Individual Excluded Insurance Face Value: ≤ $1,500 Q01/QMB (211% FPL) $2,807 $3,806 Medicare Premiums AABD Shelter Allowances Single $565 Q04/ALMB (246% FPL) $311 $6,000 N01 Income Limit Max Rental Diversion 138% FPL Living alone Shared Living $650 $400 $157,920 $3,948.00 $4,066.50 $162,660 2025 2026 SSI/SSA Combo eff. 1/1/26 $4,166 SSI Couple $15,992 $2,000 for 1 Q03/SLMB (231% FPL) $3,073 F95, F99, P95, P99 $100 each additional person $3,000 for 2 Categorically eligible No asset limit 2024 $154,140 $3,272 Lottery or Gambling winnings $4,500 / single game Vehicle Excluded HUSKY A, B, D - no asset test for most groups Exclusions Excluded Irrevocable Burial Up To: $10,000 (CT funeral contracts only) SSI/SSA Couple Combo $50,000 Excess home equity limit for institutionalized indiv.: $1,130,000 * as of 07/01/2022 the Min. CSPA in CT is $50,000 SSI Federal Payment Amounts eff. 1/1/2026 Couple SSI Individual