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Income standards for Qualified Medicare Beneficiary (QMB), Specified Low-Income Medicare Beneficiary (SLMB), Qualified Disabled Worker (QDW), and Qualified Individual (QI) are based on the Federal Poverty Income Guidelines. The size of the AG determines the income standard to be used. If countable income exceeds the standard, the applicant/ member is not financially eligible.14

3010.35.05 QMB INCOME STANDARDS (MED 4)

This chart lists the monthly income standards to be used for the QMB (MA L) category of assistance effective March 1, 2026. This standard is based on 150% of the Federal Poverty Income Guidelines.

AG SIZE NET INCOME STANDARD AG SIZE NET INCOME STANDARD 1 $1995.00 5 $4835.00 2 $2705.00 6 $5545.00 3 $3415.00 7 $6255.00 4 $4125.00 8 $6965.00 For each additional member, add $710.00

3010.35.10 SLMB INCOME STANDARDS (MED 4)

This chart lists the monthly income standards to be used for the SLMB category of assistance effective March 1, 2026. This standard is based on 170% of the Federal Poverty Income Guidelines.

AG SIZE NET INCOME STANDARD AG SIZE NET INCOME STANDARD 1 $2261.00 5 $5480.00 2 $3066.00 6 $6285.00 3 $3871.00 7 $7089.00 4 $4675.00 8 $7894.00 For each additional member, add $805.00

3010.35.15 QDW INCOME STANDARDS (MED 4)

This chart lists the monthly income standards to be used for the QDW (MA G) category of assistance effective March 1, 2026. This standard is based on 200% of the Federal Poverty Income Guidelines.

AG SIZE NET INCOME STANDARD AG SIZE NET INCOME STANDARD