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Kansas Medical Assistance Standards 4 of 9

F-8

07-26

Income Standards for Presumptive Medicaid Disability: SI-Related - Updated 1/1/26 Program 1 person Eligible individual In Own Home $994 Eligible Individual with eligible spouse in home $1,491 Eligible individual in household of another $662.67 Eligible individual in Medicaid funded LTC placement $30.00 Eligible individual with eligible spouse - both in household of another $994.00

To be eligible, the total countable income must not exceed the applicable SSI federal benefit rate for the appropriate size household.

Income Standards for MediKan Number of Persons in Plan Monthly 300% Poverty Level Index 1 $250 2 $325

The MediKan program shall include either a single adult or a married couple living together as noted in Medical KEESM 4310 and 7430 (6).