DEPARTMENT OF HEALTH & HUMAN SERVICES 
Centers for Medicare & Medicaid Services 
7500 Security Boulevard, Mail Stop S2-26-12 
Baltimore, Maryland   21244-1850 
 
 
 
CMCS Informational Bulletin  
 
DATE:   November 14, 2023 
 
FROM:   Daniel Tsai, Deputy Administrator and Director  
Center for Medicaid and CHIP Services (CMCS) 
 
SUBJECT:   2024 SSI, Spousal Impoverishment, and Medicare Savings Program Resource 
Standards  
 
This CMCS Informational Bulletin provides an update on the 2024 Supplemental Security Income 
(SSI) and Spousal Impoverishment Standards as well as the 2024 resource standards for the Medicare 
Savings Program (MSP) groups.  
 
Certain Medicaid income and resource standards are adjusted beginning each January in 
accordance with changes in the SSI federal benefit rate (FBR) and the Consumer Price Index 
(CPI).  Many states offer, for example, categorical eligibility to individuals who are not receiving SSI 
but who meet the financial eligibility requirements of the program, as authorized by section 
1902(a)(10)(A)(ii)(I) of the Social Security Act (the Act).  Similarly, most states have adopted the 
special income level institutional eligibility category authorized under section 
1902(a)(10)(A)(ii)(V) of the Act, the maximum income standard for which is 300% of the SSI FBR.  
Additionally, certain eligibility standards relating to coverage of long-term services and 
supports, including the home equity limitation in section 1917(f) of the Act and elements of the 
spousal impoverishment statute in section 1924 of the Act, are increased each year based on 
increases in the CPI for All Urban Consumers (CPI-U). 
 
Included with this Informational Bulletin is the 2024 SSI and Spousal Impoverishment  
Standards chart that displays the new standards.  These standards are also available on Medicaid.gov 
at https://www.medicaid.gov/medicaid/eligibility/spousal-impoverishment/index.html.  States must 
update their standards in accordance with this information for the changes that become effective on 
January 1, 2024. 
 
The MSP groups are mandatory Medicaid eligibility groups that provide coverage of some or all 
Medicare Part A and B premiums and cost-sharing for low-income Medicare beneficiaries.1 The 
resource standard for the MSP groups are based on the SSI resource standard, which is set forth in 
the statute.2  Three of the four MSP groupsthe Qualified Medicare Beneficiary (QMB), Specified 
Low-Income Beneficiary (SLMB), and Qualified Individual (QI) groupshave the same resource 
standard.  Since 2010, the resource standard for these groups has been set at three times the SSI 
resource standard in 2006 for a single or married individual, as applicable, adjusted each year after 
 
1 Sections 1902(a)(10)(E), 1905(p) and 1905(s) of the Act and 42 C.F.R.  435.123-435.126.  
2 Section 1611(a)(3) of the Act.   2006 by the percentage increase in the CPI-U as of September of such previous year.3  The other 
MSP group, the Qualified Disabled and Working Individual (QDWI) group (described in section 
1905(s) of the Act), has a resource standard of twice the SSI resource standard for a single or married 
individual (as applicable), without annual adjustment, and remains $4,000 for a single individual and 
$6,000 for a married individual.  Effective January 1, 2024, the resource standards for single and 
married QMBs, SLMBs, and QIs will be, respectively, $9,430 and $14,130.4  
If you have any questions or need additional information, please contact Gene Coffey, Technical 
Director, Division of Medicaid Eligibility Policy at 410-786-2234 or Gene.Coffey@cms.hhs.gov. 
 
 
3 Sections 1905(p)(1)(C) and 1860D-14(a)(3)(D) of the Act.  
4 Early in the calendar year following the publication of the new federal poverty levels, CMS publishes an annual 
informational bulletin which includes the Dual Eligible Standards chart for each calendar year. The Dual Eligible 
Standards chart displays each years income and resource standards for all MSP groups. The resource standards for 
the QMBs, SLMBs, and QIs announced in this informational bulletin will be included in the 2024 Dual Eligibles 
Standards Chart.  
2 
  2024 
SSI and Spousal Impoverishment Standards 
Supplemental Security Income (SSI) 
Effective 1-1-24 
SSI Federal  SSI Resource  Income Cap  Earned Income  Unearned Income 
Benefit Rate (FBR)  Standard  Limit (300%)  Break Even Point  Break Even Point 
Individual  943.00  2,000.00  2,829.00  1,971.00  963.00 
Couple  1,415.00  3,000.00  N/A  2,915.00  1,435.00 
Substantial Gainful Activity (SGA) Limit:  1,550.00  (Blind  SGA:  2,590.00) 
CPI Increase for 2024  3.7% 
CPI Increase, Since September 1988:  156.9% 
Spousal Impoverishment 
Effective 1-1-24 Unless Otherwise Noted 
Minimum Monthly Maintenance Needs Allowance (MMMNA):  2,465.00  All States (Except Alaska and Hawaii) 
(Effective 7-1-23)  3,080.00  Alaska 
2,835.00  Hawaii 
Maximum Monthly Maintenance Needs Allowance:  3,853.50 
Community Spouse Monthly Housing Allowance:  739.50  All States (Except Alaska and Hawaii) 
(Effective 7-1-23)  924.00  Alaska 
850.50  Hawaii 
Community Spouse Resources: 
Minimum Resource Standard:  30,828.00 
Maximum Resource Standard  154,140.00 
Home Equity Limits: 
Minimum:  713,000.00 
Maximum:  1,071,000.00