Page 11
MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MAABD MEDICAL GROUPS (Cont’d.) GC1 GC3 GC9 Group Care Income < SSI payment level; Resource limit $2,000 Individuals receiving SSI and residing in group care; Facility retains a portion of the SSI payment for room and board. HC1 Home and Community based waiver for the Elderly (Frail Elderly Waiver) Income < 300% SSI payment level; Resource limit $2,000 Over 65 years of age; Meets the level of care assessment; Requires spousal resource assessment. AL1 Assisted Living Waiver Income < 300% SSI payment level; Resource limit $2,000 Over 65 years of age; Residing in approved assisted living facility; Requires spousal resource assessment. Over 65 years of age, blind or disabled; HD1 HD3 HD9 Home and Community based waiver for the aged, blind or disabled Income < 300% SSI payment level; Resource limit $2,000 Meets the level of care assessment; Requires spousal resource assessment. Over 65 years of age or blind; HG1 HG3 HG9 Group Care Waiver for the aged or blind Income < 300% SSI payment level; Resource limit $2,000 Meets the level of care assessment; Requires spousal resource assessment. HR1 HR3 HR9 Home and Community based waiver for individuals with intellectual or developmental disabilities. Income < 300% SSI payment level; Resource limit $2,000 Intellectual or developmental disabilities; Living in a community setting; Requires spousal resource assessment. APPENDIX A INCOME RESOURCE CHARTS MAABD MEDICAL GROUPS (CONT’D) Division of Social Services Medical Assistance Manual 25 July MTL 06/25