Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 332 - MAINECARE ELIGIBILITY MANUAL › Part 11 - STATE SUPPLEMENT › Section 144-332-11-5 - TYPES OF LIVING ARRANGEMENTS

Current through 2024-29, July 17, 2024
The amount of the State Supplement benefit depends on an
					 individual's living arrangement.
If an individual is eligible for part of a month, they are
					 eligible for a full month benefit.
Codes used by SSI and adopted for State Supplement
					 use:
A.
Individuals in living
				  arrangement A are living alone or with others
. This includes an
				  individual living with their ineligible spouse. It also includes minor children
				  living with their parents. Individuals in this living arrangement receive a
				  State Supplement benefit of $10.00. For a couple, the benefit is $7.50 per
				  individual. This amount does not vary. If eligible for a State Supplement, the
				  benefit amount is $10.00/$7.50.
If an individual in this living arrangement is eligible for
					 a Spousal Living Allowance(SLA), see Part 12, Section 5, the Living Allowance
					 is a State Supplement.
* Instead of $10.00, when the individual is getting SSI,
					 the SLA benefit amount is found in Chart 3.11
* Instead of $10.00, when the individual gets a State
					 Supplement only, the amount of the benefit is determined according to Part 12,
					 Section 5.
B.
[Not
				  in use]
C.
Individuals in this living arrangement are living in the household of
				  another
. They receive a benefit of $8.00. A couple receives $6.00 per
				  person. This benefit amount does not vary. If eligible for a State Supplement,
				  the benefit amount is $8.00/$6.00.
* If an individual in this living arrangement is eligible
					 for a Spousal Living Allowance (see Part 12, Section 5 ), the Living Allowance
					 is a State Supplement. Instead of $8.00, when the individual is getting SSI,
					 the SLA benefit amount is found in Chart 3.11.
* Instead of $8.00, when the individual gets a State
					 Supplement only, the amount of the benefit is determined according to Part 12,
					 Section 5.
D.
Living
				  in a State or Waiver State Adult Foster Home
: The maximum benefit is
				  $49.00. If the individual is eligible for SSI, the maximum is authorized. If
				  the individual is over income for the SSI but under income for the State
				  Supplement, the State Supplement will vary depending upon the individual's
				  countable income.
E.
Living
				  in a Flat Rate Boarding Home
: These facilities are licensed by the State
				  to provide care for up to six individuals. The maximum benefit for an
				  individual is $217.00. If the individual is eligible for SSI, the maximum is
				  authorized. If the individual is over income for SSI, but under income for the
				  State Supplement, the State Supplement will vary depending upon the
				  individual's countable income.
F.
Living in an Adult Family Care Home
: These facilities are licensed
				  by the State to care for up to five people. The maximum State Supplement for
				  individuals is $234.00. If the individual is eligible for SSI, the maximum is
				  authorized. If the individual is over income for SSI but under income for the
				  State Supplement, the State Supplement will vary depending upon the
				  individual's countable income.
G.
Living in a Cost Reimbursed Boarding Home
. These facilities are
				  licensed by the State to care for seven or more individuals. The maximum State
				  Supplement benefit for an individual in this living arrangement is $234.00. If
				  the individual is eligible for SSI, the maximum is authorized. If the
				  individual is over income for SSI but under income for the State Supplement,
				  the State Supplement will vary depending upon the individual's countable
				  income.
H.
Living in a
				  medical institution
: Residing in a medical institution means that the
				  individual is living there for more than thirty consecutive days and is
				  expected to remain. The State Supplement for individuals in this living
				  arrangement is $10.00. For a couple, it is $20.00. This amount does not
				  vary.
I.
Residential Care
				  Facility
: These facilities are licensed by the State to care for seven
				  or more individuals. The State Supplement benefit is $10.00. For a couple the
				  benefit is $7.50 per individual. The amount does not vary.
For those in living arrangements A/C/H, the benefit amount
					 is fixed. Once the individual is eligible for the State Supplement, they get
					 the appropriate State Supplement benefit.
For living arrangements D/E/F/G, the amount of the State
					 Supplement will vary with countable income when the individual is not eligible
					 for SSI. When is eligible for SSI, the individual receives the maximum State
					 Supplement amount.