Page 3
Page 3 of 8 7/1/2026 Appendix C-1 Schedule VII.A - Qualifying Individuals - Group One (QI-1s) Monthly countable income and resources must be equal to or less than the following income (135 percent of Federal Poverty Guidelines plus $20*) and resource standards (full benefit Medicare Part D low income subsidy resource standards). Refer to OAC 317:35-7-46. * $20 = amount of the monthly SSI Income Disregard Income standard Resource standard Individual $1,816 $9,950 Individual and spouse $2,455 $14,910 Schedule VIII - Aged, Blind, or Disabled Individuals
A. State Supplemental Payment (SSP) not living in an institution. Monthly countable income must be less than the following standards. SSP amount is determined by deducting countable income from the appropriate standard, but cannot exceed $40. Eligible individual Eligible individual with essential or ineligible spouse Eligible couple SSP categorically needy standard $1,034 $1,532 $1,571 ($785 for one spouse and $786 for the other spouse)
B. Approved for care and living in a nursing facility or Intermediate Care Facility/Individuals with Intellectual Disabilities (ICF/IID). Also includes individuals who receive services through the ADvantage Waiver or other Home and Community Based Waiver, patients 65 years of age or older in a mental hospital, and children eligible for services through the Tax Equity and Financial Responsibility Act (TEFRA). The average daily cost of nursing home care is $251.07.
1. Monthly countable income must be equal to or less than the Categorically Needy Standard of $2,982 (300 percent of Federal Benefit Rate). Maximum monthly countable income for a Medicaid Income Pensions Trust cannot exceed $7,637.
2. Monthly maintenance standards are the amount of money the client may retain for his or her own needs.
o The maintenance standard for individuals residing in a nursing facility or ICF/ID is $75 per month.
o The maintenance standard for individuals receiving a veteran's reduced pension because of admittance in a nursing facility or ICF/ID is the $90 veteran's reduced pension standard in addition to the $75 nursing facility or ICF/ID maintenance standard. Refer to OAC 317:35-5-49, 317:35-9-68, 317:35-17-9, 317:35-19-20.