All Federal Amounts Increased from COLA. Some SSP payment amounts increased from 2021, shown in red. Federal State Total Federal State Total Federal Payment Standard Federal Maximum Payment State Total Federal State Total Federal Payment Standard for Medicaid Federal Maximum Payment State Total (Cash Payment) Federal State Total Individual $841.00 $128.82 $969.82 $841.00 $39.26 $880.26 $841.00 $560.67 $104.36 $665.03 $841.00 $293.00 $1,134.00 $841.00 $30.00 $42.80 $72.80 $841.00 $454.00 $1,295.00 Spouse $630.50 $100.86 $731.36 $630.50 $100.86 $731.36 $630.50 $420.34 $107.90 $528.24 $630.50 $503.50 $1,134.00 $630.50 $30.00 $42.80 $72.80 $630.50 $340.50 $971.00 Individual $841.00 $149.74 $990.74 $841.00 $149.74 $990.74 $841.00 $560.67 $430.07 $990.74 $841.00 $149.74 $990.74 $841.00 $30.00 $42.80 $72.80 $841.00 $454.00 $1,295.00 Spouse $630.50 $360.24 $990.74 $630.50 $360.24 $990.74 $630.50 $420.34 $570.40 $990.74 $630.50 $360.24 $990.74 $630.50 $30.00 $42.80 $72.80 $630.50 $340.50 $971.00 Individual $841.00 $114.39 $955.39 $841.00 $30.40 $871.40 $841.00 $560.67 $87.58 $648.25 $841.00 $293.00 $1,134.00 $841.00 $30.00 $42.80 $72.80 $841.00 $454.00 $1,295.00 Spouse $630.50 $90.03 $720.53 $630.50 $90.03 $720.53 $630.50 $420.34 $97.09 $517.43 $630.50 $503.50 $1,134.00 $630.50 $30.00 $42.80 $72.80 $630.50 $340.50 $971.00 Payment Issuer: Federal State Total Federal State Total Federal Payment Standard Federal Net Payment State Total Federal State Total Federal (for MA eligibility) Federal (for cash SSP payment) State Total (Cash Payment) Federal State Total Aged/ Disabled Spouse $630.50 $95.45 $725.95 $630.50 $95.45 $725.95 $630.50 $420.34 $102.50 $522.83 $630.50 $503.50 $1,134.00 $630.50 $30.00 $42.80 $72.80 $630.50 $340.50 $971.00 Aged/ Blind Spouse $630.50 $230.55 $861.05 $630.50 $230.55 $861.05 $630.50 $420.34 $339.15 $759.49 $630.50 $431.87 $1,062.37 $630.50 $30.00 $42.80 $72.80 $630.50 $340.50 $971.00 Blind/ Disabled Spouse $630.50 $225.14 $855.64 $630.50 $225.14 $855.64 $630.50 $420.34 $333.75 $754.08 $630.50 $431.87 $1,062.37 $630.50 $30.00 $42.80 $72.80 $630.50 $340.50 $971.00 Blind Disabled Mixed Couple Payment Amounts Eligible SSI couples may be in different payment categories; the Spouse payment amounts shown above are combined and divided by two in order to pay each member of the couple half of the total payment, shown below. Household of Another Rest Home Medicaid Facility Assisted Living Payment Issuer: Aged State Living Arrangement: SLA A SLA B SLA C SLA E SLA F SLA G Full Cost of Living Shared Expenses Massachusetts State Supplement Calendar Year 2022 Payment Levels Federal Living Arrangement: FLA A (Living Independently) and C (Child) FLA B* FLA A (Living Independently) FLA D** FLA A (Living Independently) sla-payment-standard-2022 UPDATED: 10/25/2021

Federal State Total Federal State Total Federal Payment Standard Federal Maximum Payment State Total Federal State Total Federal Payment Standard for Medicaid Federal Maximum Payment State Total (Cash Payment) Federal State Total Individual $967.00 $128.82 $1,095.82 $967.00 $39.26 $1,006.26 $967.00 $644.67 $104.36 $749.03 $967.00 $293.00 $1,260.00 $967.00 $30.00 $42.80 $72.80 $967.00 $454.00 $1,421.00 Spouse $725.00 $100.86 $825.86 $725.00 $100.86 $825.86 $725.00 $483.34 $107.90 $591.24 $725.00 $535.00 $1,260.00 $725.00 $30.00 $42.80 $72.80 $725.00 $340.50 $1,065.50 Individual $967.00 $149.74 $1,116.74 $967.00 $149.74 $1,116.74 $967.00 $644.67 $472.07 $1,116.74 $967.00 $149.74 $1,116.74 $967.00 $30.00 $42.80 $72.80 $967.00 $454.00 $1,421.00 Spouse $725.00 $391.74 $1,116.74 $725.00 $391.74 $1,116.74 $725.00 $483.34 $633.40 $1,116.74 $725.00 $391.74 $1,116.74 $725.00 $30.00 $42.80 $72.80 $725.00 $340.50 $1,065.50 Individual $967.00 $114.39 $1,081.39 $967.00 $30.40 $997.40 $967.00 $644.67 $87.58 $732.25 $967.00 $293.00 $1,260.00 $967.00 $30.00 $42.80 $72.80 $967.00 $454.00 $1,421.00 Spouse $725.00 $90.03 $815.03 $725.00 $90.03 $815.03 $725.00 $483.34 $97.09 $580.43 $725.00 $535.00 $1,260.00 $725.00 $30.00 $42.80 $72.80 $725.00 $340.50 $1,065.50 Payment Issuer: Federal State Total Federal State Total Federal Payment Standard Federal Net Payment State Total Federal State Total Federal (for MA eligibility) Federal (for cash SSP payment) State Total (Cash Payment) Federal State Total Aged/ Disabled Spouse $725.00 $95.45 $820.45 $725.00 $95.45 $820.45 $725.00 $483.34 $102.50 $585.83 $725.00 $535.00 $1,260.00 $725.00 $30.00 $42.80 $72.80 $725.00 $340.50 $1,065.50 Aged/ Blind Spouse $725.00 $246.30 $971.30 $725.00 $246.30 $971.30 $725.00 $483.34 $370.65 $853.99 $725.00 $463.37 $1,188.37 $725.00 $30.00 $42.80 $72.80 $725.00 $340.50 $1,065.50 Blind/ Disabled Spouse $725.00 $240.89 $965.89 $725.00 $240.89 $965.89 $725.00 $483.34 $365.25 $848.58 $725.00 $463.37 $1,188.37 $725.00 $30.00 $42.80 $72.80 $725.00 $340.50 $1,065.50 Massachusetts State Supplement Calendar Year 2025 Payment Levels Federal Living Arrangement: FLA A (Living Independently) and C (Child) FLA B* FLA A (Living Independently) FLA D** FLA A (Living Independently) State Living Arrangement: SLA A SLA B SLA C SLA E SLA F SLA G Full Cost of Living Shared Expenses ** FLA-D: The full federal payment amount is used to determine Medicaid eligibility; however, the lesser amount (Federal rate of $30 [2025] + State rate of $42.80) is used to determine the cash SSP benefit. Household of Another Rest Home Medicaid Facility Assisted Living Payment Issuer: Aged Blind Disabled Mixed Couple Payment Amounts Eligible SSI couples may be in different payment categories; the Spouse payment amounts shown above are combined and divided by two in order to pay each member of the couple half of the total payment, shown below. * FLA-B published Federal rate is the same as other SLAs, however, to reduce the benefit rate for in-kind support and maintenance, SSA increases the net countable unearned income in the SDX file by $322.33 for individuals and $241.66 for each member of an eligible couple (2025 amounts). Rates shown above are reduced by that amount and are the rates used to determine the cash benefits. This approach and the reduction amount are determined by SSA. sla-payment-standard-2025.xlsx UPDATED: 10/29/2024

Federal State Total Federal State Total Federal Payment Standard Federal Maximum Payment State Total Federal State Total Federal Payment Standard for Medicaid Federal Maximum Payment State Total (Cash Payment) Federal State Total Individual $994.00 $128.82 $1,122.82 $994.00 $39.26 $1,033.26 $994.00 $662.67 $104.36 $767.03 $994.00 $293.00 $1,287.00 $994.00 $30.00 $42.80 $72.80 $994.00 $454.00 $1,448.00 Spouse $745.50 $100.86 $846.36 $745.50 $100.86 $846.36 $745.50 $497.00 $107.90 $604.90 $745.50 $541.50 $1,287.00 $745.50 $30.00 $42.80 $72.80 $745.50 $340.50 $1,086.00 Individual $994.00 $149.74 $1,143.74 $994.00 $149.74 $1,143.74 $994.00 $662.67 $481.07 $1,143.74 $994.00 $149.74 $1,143.74 $994.00 $30.00 $42.80 $72.80 $994.00 $454.00 $1,448.00 Spouse $745.50 $398.24 $1,143.74 $745.50 $398.24 $1,143.74 $745.50 $497.00 $646.74 $1,143.74 $745.50 $398.24 $1,143.74 $745.50 $30.00 $42.80 $72.80 $745.50 $340.50 $1,086.00 Individual $994.00 $114.39 $1,108.39 $994.00 $30.40 $1,024.40 $994.00 $662.67 $87.58 $750.25 $994.00 $293.00 $1,287.00 $994.00 $30.00 $42.80 $72.80 $994.00 $454.00 $1,448.00 Spouse $745.50 $90.03 $835.53 $745.50 $90.03 $835.53 $745.50 $497.00 $97.09 $594.09 $745.50 $541.50 $1,287.00 $745.50 $30.00 $42.80 $72.80 $745.50 $340.50 $1,086.00 Payment Issuer: Federal State Total Federal State Total Federal Payment Standard Federal Net Payment State Total Federal State Total Federal (for MA eligibility) Federal (for cash SSP payment) State Total (Cash Payment) Federal State Total Aged/ Disabled Spouse $745.50 $95.45 $840.95 $745.50 $95.45 $840.95 $745.50 $497.00 $102.50 $599.50 $745.50 $541.50 $1,287.00 $745.50 $30.00 $42.80 $72.80 $745.50 $340.50 $1,086.00 Aged/ Blind Spouse $745.50 $249.55 $995.05 $745.50 $249.55 $995.05 $745.50 $497.00 $377.32 $874.33 $745.50 $469.87 $1,215.37 $745.50 $30.00 $42.80 $72.80 $745.50 $340.50 $1,086.00 Blind/ Disabled Spouse $745.50 $244.14 $989.64 $745.50 $244.14 $989.64 $745.50 $497.00 $371.92 $868.92 $745.50 $469.87 $1,215.37 $745.50 $30.00 $42.80 $72.80 $745.50 $340.50 $1,086.00 Blind clients in SLA E are considered both Blind and Disabled and by default are paid at the higher of the two rates. ** FLA-D: The full federal payment amount is used to determine Medicaid eligibility; however, the lesser amount (Federal rate of $30 [2026] + State rate of $42.80) is used to determine the cash SSP benefit. Household of Another Rest Home Medicaid Facility Assisted Living Payment Issuer: Aged Blind Disabled Mixed Couple Payment Amounts Eligible SSI couples may be in different payment categories; the Spouse payment amounts shown above are combined and divided by two in order to pay each member of the couple half of the total payment, shown below. * FLA-B: The published Federal rate is the same as other SLAs, however, to reduce the benefit rate for in-kind support and maintenance, SSA increases the net countable unearned income in the SDX file by $331.33 for individuals and $248.50 for each member of an eligible couple (2026 amounts). Rates shown above are reduced by that amount and are the rates used to determine the cash benefits. This approach and the reduction amount are determined by SSA. State Living Arrangement: SLA A SLA B SLA C SLA E SLA F SLA G Full Cost of Living Shared Expenses Massachusetts State Supplement Calendar Year 2026 Payment Levels Federal Living Arrangement: FLA A (Living Independently) and C (Child) FLA B* FLA A (Living Independently) FLA D** FLA A (Living Independently) sla-payment-standard-2026 UPDATED: 11/4/2025