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The monthly income standards listed in this section are used in the eligibility determination. These standards are effective March 1, 2026.

$1330 - unmarried applicant/member of any age; or applicant/member not living with a spouse $1804- married couple, either or both of whom are applicants/members.

3010.20.05.05 ADDITIONAL ELIGIBILITY INCOME STANDARDS (MED 1)

The monthly income standards listed in this section are used in the eligibility determination. These standards are effective January 1, 2026.

$498: A dependent child; applicable for a child not in an MA assistance group or one who is in an MA assistance group other than MA B or MA D. $498: An essential person. $994: One parent of the child applicant/member. $1491: Two parents of the child applicant/member; and $498: Stepparent.

3010.20.10 POST-ELIGIBILITY STANDARDS (MED 1)

The policies stated in this section apply only to the MA A, MA B, and MA D and MEDWorks members residing in Medicaid certified long-term care (LTC) facilities.

The purpose of post-eligibility is to determine the institutionalized applicant's/member's liability to the facility. This determination also establishes the amount of the institutionalized applicant's/member's income which is allocated to meet the needs of his community spouse and certain other family members. The following standards are used in the post-eligibility calculation:

Personal needs allowance: • $525 Effective 7-1-02 ($50 effective 7-1-99) this is the minimum amount allowed for all applicants/members.

If the person is receiving long term care services through a home-and-community based waiver (HCBS), the personal needs allowance is equal to the Special Income Level (SIL). Refer to 3010.20.15.

• In specific situations, an additional individual amount for increased personal needs is to be deducted. Refer to Section 3455.15.10.

For those on the MEDWorks program (MADW and MADI) and residing in a Medicaid certified long-term care (LTC) facility, the member will have a standard patient liability