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3-2021
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| 2021 Income and Resource Reference Chart | ||
|---|---|---|
| Income | Limits | Effective Date |
| CCAD Title XX Individual Income Limit | $2,382 | 01/01/2021 |
| CCAD Title XX Couple Income Limit | $4,764 | 01/01/2021 |
| Title XX Home Delivered Meals* | N/A | N/A |
| CAS, Waiver, Institutional Individual Income Limit | $2,382 | 01/01/2021 |
| CAS, Waiver, Institutional Couple Income Limit | $4,764 | 01/01/2021 |
| SSI Individual Income Limit | $794 | 01/01/2021 |
| SSI Couple Income Limit | $1,191 | 01/01/2021 |
| QMB Individual Income Limit | $1,064 | 03/01/2020 |
| QMB Couple Income Limit | $1,437 | 03/01/2020 |
| SLMB Individual Income Limit | $1,064.01 to < $1,276 | 03/01/2020 |
| SLMB Couple Income Limit | $1,437.01 to < $1,724 | 03/01/2020 |
| QI-1 Individual Income Limit | $1,276 to < $1,436 | 03/01/2020 |
| QI-1 Couple Income Limit | $1,724 to < $1,940 | 03/01/2020 |
| QDWI Individual Income Limit | $2,127 | 03/01/2020 |
| QDWI Couple Income Limit | $2,874 | 03/01/2020 |
| Resource | Limits | Effective Date |
|---|---|---|
| CCAD Title XX Individual Resource Limit | $5,000 | 01/01/2021 |
| CCAD Title XX Couple Resource Limit | $6,000 | 01/01/2021 |
| CAS, Waiver, Institutional Individual Resource Limit | $2,000 | 01/01/2021 |
| CAS, Waiver, Institutional Couple Resource Limit | $3,000 | 01/01/2021 |
| SSI & MAO Individual Resource Limit | $2,000 | 01/01/2021 |
| SSI & MAO Couple Resource Limit | $3,000 | 01/01/2021 |
| QMB/SLMB/QI Individual Resource Limit | $7,970 | 01/01/2021 |
| QMB/SLMB/QI Couple Resource Limit | $11,960 | 01/01/2021 |
| QDWI Individual Resource Limit | $4,000 | 01/01/2021 |
| QDWI Couple Resource Limit | $6,000 | 01/01/2021 |
| Medicare Part B Standard Premium | $148.50 | 01/01/2021 |
*Title XX Home Delivered Meals recipients are not subject to income and resource limits.
*CMPAS recipients are not subject to resource limits.
Shared Appendix 07
This appendix appears in the following handbooks:
Case Worker Community Care for Aged and Disabled Handbook (CW-CCAD): Appendix XI
STAR Kids Handbook (SKH): Appendix X
STAR Kids Program Support Unit Operational Procedures Handbook (SKOPH): Appendix X
STAR+PLUS Handbook (SPH): Appendix VIII
STAR+PLUS Program Support Unit Operational Procedures Handbook (SPOPH): Appendix VIII