Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 332 - MAINECARE ELIGIBILITY MANUAL › 144-332-3 - SSI - RELATED INCOME STANDARDS, ALLOCATIONS AND DISREGARDS

Current through 2024-29, July 17, 2024
Chart 3 SSI - RELATED INCOME STANDARDS, ALLOCATIONS AND
				  DISREGARDS
Chart 3.1 - Disregards
(eff. 7/1/87)
$20.00 Federal disregard
$55.00 State disregard for Individual
$80.00 State disregard for Couple
Chart 3.2 - Maximum Allocations
Ineligible child living allowance Maximum Federal
					 Supplemental Security Income (SSI) payment amount for an eligible individual,
					 divided by 2.
									One parent - living in the household Maximum Federal
					 Supplemental Security Income (SSI) payment amount for an eligible
					 individual
									Two parents living in the household Maximum Federal
					 Supplemental Security Income (SSI) payment amount for an eligible
					 couple.
Chart 3.3 - Maximum Income-in-Kind
Individual living alone or with others Maximum Federal
					 Supplemental Security Income (SSI) payment amount for an eligible individual,
					 divided by 3, plus $20.
									 Individual living in the household of another Maximum
					 Federal Supplemental Security Income (SSI) payment amount for an eligible
					 individual, divided by 3.
									Couple Living alone or with others Maximum Federal
					 Supplemental Security Income (SSI) payment amount for an eligible couple,
					 divided by 3, plus $20.
									Couple living in the household of another Maximum
					 Federal Supplemental Security Income (SSI) payment amount for an eligible
					 couple, divided by 3.
Chart 3.4 - Maximum Countable Income
Individual living alone or with others Maximum Federal
					 Supplemental Security Income (SSI) payment amount for an eligible individual,
					 plus $10.
									 Individual living in the household of another Maximum
					 Federal Supplemental Security Income (SSI) payment amount for an eligible
					 individual, plus $8.
									Couple living alone or with others Maximum Federal
					 Supplemental Security Income (SSI) payment amount for an eligible couple, plus
					 $15.
									 Couple living in the household of another Maximum
					 Federal Supplemental Security Income (SSI) payment amount for an eligible
					 couple, plus $12.
Chart 3.5 - Ineligible Spouse Standard
Ineligible spouse in the deeming process Maximum Federal
				  Supplemental Security Income (SSI) payment amounts for an eligible individual,
				  divided by 2.
Chart 3.6 - SSI and State Supplement Maximum Income and
				  Payment Amounts
SSI Countable Income Limit & Maximum Benefit for
				  an Individual
:
Living Arrangement A, D, E, F, G, I: Maximum Federal
					 Supplemental Security Income (SSI) payment amount for an eligible
					 individual
									Living Arrangement C: Divide the Maximum Federal
					 Supplemental Security Income (SSI) payment amount for an eligible individual by
					 3. Multiply the result by 2.
SSI Countable Income Limit & Maximum Benefit for
				  a Couple:
Living Arrangement A, D, E, F, G, I: Maximum Federal
					 Supplemental Security Income (SSI) payment amount for an eligible
					 couple
									Living Arrangement C: Divide the Maximum Federal
					 Supplemental Security Income (SSI) payment amount for an eligible couple by 3.
					 Multiply the quotient by 2.
INDIVIDUAL
COUPLE
Living Arrangements from Part 11
A
State
Supplement
Benefit
$10.00
Supplement
Countable
Income Limit
Sum of Column B and C
State
Supplement
Benefit
$15.00
Supplement
Countable
Income
Limit
Sum of Column E and F
C
$8.00
Sum of Column B and C
$12.00
Column E and F
D
$49.00
Sum of Column B and C
$273.00
Sum of Column E and F
E
$217.00
Sum of Column B and C
$590.00
Column E and F
F
G
$234.00
$234.00
Sum of Column B and C Sum of Column B and C
$636.00
$636.00
Sum of Column E and F
Sum of Column E and F
H
$10.00
Sum of Column B and C
$20.00
Column E and F
I
$10.00
Sum of Column B and C
$15.00
Sum of Column E and F
If countable income is less than the SSI limit plus $20.00
				  for a particular "Living Arrangement," the individual should apply for SSI in
				  order to get the SSI benefit and State Supplement. If more, but less than the
				  "State Supplement Income Limit" (plus $75 for living arrangements A and C), the
				  individual can apply at Department of Health and Human Services for the State
				  Supplement only.
Chart 3.7 - Income Limit for Adult Family Care
				  Homes
This rate is set by the Office of MaineCare Sevices.
Previous year's rate plus the product of the previous year's
				  rate multiplied by the current Social Security Administration's Cost of Living
				  Adjustment (COLA) percentage increase.
Chart 3.8 - Premiums for Special Benefits Waiver [Maine
				  Section 1115 Health Care Reform Demonstration for Individuals with
				  HlV/AlDS]
These premiums are set by the Office of MaineCare Services
				  under the 1115 Health Care Reform Demonstration for Individuals with HIV/AIDS.
				  This is a waiver agreement with the Centers for Medicare and Medicaid Services,
				  and is set to expire December 31, 2028. There is an annual 5% increase in
				  premium amounts
200.01% -250% of Federal Poverty Level (See Chart 6)
				  $71.85
Demonstration Year (DY).
Actual Premium, Income Level <150%
							 FPU
Actual Premium, Income Level 150-200%
							 FPU
Actual Premium, Income Level 200-250%
							 FPU
DY17
1/2019- 12/2019
$0
$35.93
$71.85
DY18/1
2020 - 12/2020
$0
$37 73
$75 44
DY19
1/2021- 12/2021
$0
$39.61
$79.22
DY20
1/2022 - 12/2022
$0
$41.59
$83.18
DY21
1/7073-17/7073
$0
$43.67
$87.34
DY22
1/2024 - 12/2024
$0
$45.85
$91.71
DY23
1/2025 - 12/2025
$0
$48.14
$96.30
DY24
1/2026 - 12/2026
$0
$50.55
$101.12
DY25
1/2027 - 12/2027
$0
$53.08
$106.18
DY26
1/2028 - 12/2028
$0
$55.73
$111.49
Chart 3.9 - Spousal Living Allowance for SSI
				  Recipients
The difference between 100% of the Federal Poverty Level for
				  a single individual and the Federal Supplemental Security Income (SSI) payment
				  amount for an eligible individual, plus $ 55
Note:
For non-SSI recipients the amount of the
				  Living Allowance is the difference between countable income and 100% federal
				  poverty level.
Chart 3.10 - Premiums for MaineCare Katie Beckett
				  Coverage Group
Family Income as a % of FPL Federal Poverty
							 Level
Monthly Premium with Private
							 Insurance
Monthly Premium without Private
							 insurance
150 - 200%
$11
$30
201 - 250%
$14
$40
251 - 300%
$18
$50
301 - 350%
$21
$60
351 - 400%
$25
$70
401 - 450%
$30
$85
451 - 500%
$35
$100
501 - 550%
$40
$115
551 - 600%
$46
$130
601 - 700%
$51
$145
701 - 800%
$61
$175
801 - 900%
$72
$205
901 - 1000%
$84
$240
1001-1200%
$96
$275
1201-1400%
$117
$335
1401-1600%
$138
$395
1601-1800%
$159
$455
1801-2000%
$182
$520
2001-2500%
$ 207
$590
2501%+
$ 263
$750