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MEDICAID ELIGIBILITY MANUAL Revised 07/01/2021 1/1/2020 7/1/2020 1/1/2021 7/1/2021 $2,349 N/A $2,382 N/A $128,640 N/A $130,380 N/A $4,000 N/A $4,000 N/A $595,000 N/A $603,000 N/A $6,832 $6,832 $6,832 $6,893 $224 $224 $224 $226 $347.50 N/A $353.00 N/A $3,216.00 N/A $3,259.50 N/A $2,113.75 $2,155.00 $2,155.00 $2,177.50 $362.79 $215.14 $215.14 $215.14 per plate $678.44 $678.44 $678.44 $678.44 full pair $1,356.88 $1,356.88 $1,356.88 $1,356.88 $270.00 $270.00 $270.00 $270.00 for one $1,777.40 $1,777.40 $1,777.40 $1,777.40 for both $3,377.40 $3,377.40 $3,377.40 $3,377.40 Eyeglasses - per occurrence for lenses, frames, dispensing fee Dentures Denture Repair - per occurrence Hearing Aids Daily Rate MEDICAID INCOME DEDUCTION MAXIMUMS Earned Income Disregard (Work Deduction) Community Spouse Monthly Maintenance Needs Allowance Other Family Members Needs Allowance (Living with CS or Dependent Child Under Age 18 - No CS) NON-COVERED MEDICAL EXPENSE LIMITS Monthly Rate APPENDIX A- 2-f CHART OF INSTITUTIONAL LIMITS & TRANSFER OF ASSETS DIVISORS INSTITUTIONAL INCOME LIMITS Federal Maximum SPOUSAL IMPOVERISHMENT MAXIMUMS Federal Resource Maximum - Community Spouse Limit LIBERALIZED RESOURCE LIMITS Single Individual and Institutional Spouse Limit SUBSTANTIAL HOME EQUITY LIMIT Federal Equity Minimum Limit Used by DOM TRANSFER OF ASSETS DIVISOR RATES