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Page 3 of 8 Appendix C-1 7/1/2023
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 $41.
Eligible individual Eligible individual with essential or ineligible spouse Eligible couple SSP categorically needy standard $955 $1,412 $1,453 ($726 for one spouse and $727 for the other spouse) B. Approved for care and living in a nursing facility or Intermediate Care Facility for the Intellectually Disabled (ICF/ID). 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). Refer to OAC 317:35-5-49, 317:35-9-68, 317:35-17-9, 317:35-19-20. The average daily cost of nursing home care is $224.64. 1. Monthly countable income must be equal to or less than the Categorically Needy Standard of $2,742 (300 percent of Federal Benefit Rate). Maximum monthly countable income for a Medicaid Income Pensions Trust cannot exceed $6,833. 2. Monthly maintenance standards are the amount of money the client may retain for his or her own needs. The maintenance standard for individuals residing in a nursing facility or ICF/ID is $75 per month. 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. The maintenance standard for individuals who remain approved for care in a nursing facility or ICF/ID since 1973 is $75 per OAC 340:15-1-5 . The maintenance standard for individuals residing in an ADvantage assisted living facility is $1,371 (150 percent of the Federal Benefit Rate).
C. Deeming income to blind or disabled minor children. Monthly countable income must be less than the following Federal Benefit Rates.
Individual Couple Ineligible child allocation $914 $1,371 $458