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MEDICAID ELIGIBILITY MANUAL Revised 03/01/2025 1/1/2024 3/1/2024 1/1/2025 3/1/2025 Part A $505.00 N/A $518.00 N/A Part B $174.70 N/A $185.00 N/A SSI Individual FBR Own Household (LA-A) $943.00 N/A $967.00 N/A Title XIX Facility (LA-D) $30.00 N/A $30.00 N/A SSI Couple FBR Own Household (LA-A) $1,415.00 N/A $1,450.00 N/A Deeming Allocation-Ineligible Child $472.00 N/A $483.00 N/A Presumed Maximum Value (PMV) Individual $334.33 N/A $342.33 N/A Couple $491.67 N/A $503.33 N/A SSI RESOURCE LIMITS Individual $2,000.00 N/A $2,000.00 N/A Couple $3,000.00 N/A $3,000.00 N/A Individual $4,000.00 N/A $4,000.00 N/A Couple $6,000.00 N/A $6,000.00 N/A Individual $24,000.00 N/A $24,000.00 N/A Couple $26,000.00 N/A $26,000.00 N/A Individual N/A $1,255.00 N/A $1,305.00 Couple N/A $1,704.00 N/A $1,763.00 Individual N/A $1,695.00 N/A $1,761.00 Couple N/A $2,300.00 N/A $2,380.00 Individual N/A $1,506.00 N/A $1,565.00 Couple N/A $2,044.00 N/A $2,115.00 Individual N/A $1,695.00 N/A $1,761.00 Couple N/A $2,300.00 N/A $2,380.00 Individual N/A $5,085.00 N/A $5,283.00 Couple N/A $6,879.00 N/A $7,115.00 Individual N/A $2,510.00 N/A $2,609.00 Couple N/A $3,407.00 N/A $3,525.00 Working Disabled (WD) Individual N/A $6,341.00 N/A $6,587.00 Gross earnings limit Couple N/A $8,583.00 N/A $8,879.00 Working Disabled (WD) Individual N/A $3,138.00 N/A $3,261.00 Need Standard 250% FPL Couple N/A $4,259.00 N/A $4,407.00 Working Disabled (WD) Individual N/A $1,695.00 N/A $1,761.00 Unearned income limit 135% FPL Couple N/A $2,300.00 N/A $2,380.00 Qualifying Individuals (QI) 135% FPL Qualified Working Disabled Individuals Gross earnings limit Qualified Working Disabled Individuals (QWDI) 200% FPL LIBERALIZED RESOURCE LIMITS WORKING DISABLED RESOURCE LIMITS (liberalized) FEDERAL POVERTY LIMITS Qualified Medicare Beneficiaries (QMB) 100% FPL Healthier MS Waiver 135% FPL Specified Low-Income Medicare Beneficiaries (SLMB) 120% FPL RESOURCE LIMITS APPENDIX A-1-h CHART OF ABD AT-HOME NEED STANDARDS AND RESOURCE LIMITS EFFECTIVE DATE MEDICARE PREMIUMS SSI FEDERAL BENEFIT RATES