Medicaid Financial Eligibility for Seniors and People with Disabilities: Findings from a 50-State Survey
Appendix Table 1: State Adoption of Key Optional Pathways to Full Medicaid Eligibility Based on Old Age or Disability, 2018
Appendix Table 2: Medicaid Eligibility for SSI Beneficiaries and Optional Pathway for Seniors and People with Disabilities Up to 100% FPL, 2018
Appendix Table 3: Medicaid Eligibility Through the Medically Needy Pathway, 2018
Appendix Table 4: Medicaid Eligibility for Working People with Disabilities, 2018
Appendix Table 5: Medicaid Special Income Rule for Long-Term Services and Supports Eligibility, 2018
Appendix Table 6: Medicaid Long-Term Services and Supports Trusts and Home Equity Limits, 2018
Appendix Table 7: Medicaid Long-Term Services and Supports Post-Eligibility Treatment of Income and Spousal Impoverishment Standards, 2018
Appendix Table 8: Eligibility for Medicaid’s Medicare Savings Programs, 2018
Appendix Table 9: State Adoption of Selected ACA Streamlined Medicaid Eligibility Renewal Provisions, 2018
| Appendix Table 1: State Adoption of Key Optional Pathways to Full Medicaid Eligibility Based on Old Age or Disability, 2018 | ||||||
| State | Seniors and People with Disabilities up to 100% FPL | Medically Needy | Katie Beckett Children with Significant Disabilities Living at Home4 | Family Opportunity Act Buy-in for Children with Significant Disabilities | Buy-in for Working People with Disabilities | Section 1915 (i) HCBS as an Independent Eligibility Pathway7 |
| TOTAL | 21 | 34 | 50 | 6 | 45 | 2 |
| Alabama | ✓, waiver | |||||
| Alaska | ✓, SPA | ✓ | ||||
| Arizona | ✓ | ✓, waiver | ✓ | |||
| Arkansas | ✓1, 2 | ✓ | ✓, waiver | ✓ | ||
| California | ✓ | ✓ | ✓, waiver | ✓ | ||
| Colorado | ✓, both | ✓ | ✓ | |||
| Connecticut | ✓ | ✓, waiver | ✓ | |||
| Delaware | ✓, SPA | ✓ | ||||
| DC | ✓ | ✓ | ✓, SPA | ✓ | ||
| Florida | ✓1 | ✓ | ✓, waiver | ✓ | ||
| Georgia | ✓ | ✓, SPA | ✓ | |||
| Hawaii | ✓ | ✓ | ✓, waiver | |||
| Idaho | ✓, SPA | ✓ | ||||
| Illinois | ✓ | ✓ | ✓, waiver | ✓ | ||
| Indiana | ✓ | ✓, waiver | ✓ | ✓ | ||
| Iowa | ✓ | ✓, SPA | ✓ | ✓ | ||
| Kansas | ✓ | ✓, waiver | ✓ | |||
| Kentucky | ✓ | ✓, waiver | ✓ | |||
| Louisiana | ✓ | ✓, waiver | ✓ | ✓ | ||
| Maine | ✓ | ✓ | ✓, SPA | ✓ | ||
| Maryland | ✓ | ✓, waiver | ✓ | |||
| Massachusetts | ✓ | ✓ | ✓, SPA | ✓6 | ✓ | |
| Michigan | ✓ | ✓ | ✓, waiver | ✓ | ||
| Minnesota | ✓ | ✓ | ✓, SPA | ✓ | ||
| Mississippi | ✓, SPA | ✓ | ||||
| Missouri | ✓, waiver | |||||
| Montana | ✓ | ✓, waiver | ✓ | |||
| Nebraska | ✓ | ✓ | ✓, both | ✓ | ||
| Nevada | ✓, SPA | ✓ | ||||
| New Hampshire | ✓ | ✓, SPA | ✓ | |||
| New Jersey | ✓ | ✓ | ✓, waiver | ✓ | ||
| New Mexico | ✓, waiver | ✓ | ||||
| New York | ✓ | ✓, both | ✓ | |||
| North Carolina | ✓ | ✓ | ✓, waiver | ✓ | ||
| North Dakota | ✓ | ✓, waiver | ✓ | ✓ | ||
| Ohio | ✓, waiver | ✓ | ✓ | |||
| Oklahoma | ✓ | ✓, SPA | ||||
| Oregon | ✓, waiver | ✓ | ||||
| Pennsylvania | ✓ | ✓ | ✓, waiver | ✓ | ||
| Rhode Island | ✓ | ✓ | ✓, both | ✓ | ||
| South Carolina | ✓ | ✓, SPA | ||||
| South Dakota | ✓, SPA | ✓ | ||||
| Tennessee | ✓3 | 5 | ||||
| Texas | ✓3 | ✓, waiver | ✓ | ✓ | ||
| Utah | ✓ | ✓ | ✓, waiver | ✓ | ||
| Vermont | ✓ | ✓, SPA | ✓ | |||
| Virginia | ✓1 | ✓ | ✓, waiver | ✓ | ||
| Washington | ✓ | ✓, waiver | ✓ | |||
| West Virginia | ✓ | ✓, SPA | ✓ | |||
| Wisconsin | ✓ | ✓, waiver | ✓ | |||
| Wyoming | ✓, waiver | ✓ | ||||
| NOTES: Unless otherwise indicated, table excludes Medicaid eligibility pathways available through HCBS waivers. 1 AR, FL, and VA do not elect the maximum of 100% FPL. 2 AR extends coverage beyond SSI limits for seniors only. 3 In TN and TX, the medically needy pathway is limited to pregnant women and children and does not include seniors and people with disabilities. 4 States can cover Katie Beckett children through state plan amendments (SPAs) and/or comparable waivers. 5 TN provides waiver coverage to “medically eligible” children in households with incomes at or above 211% FPL, although enrollment in this pathway is currently closed except for rollovers for those losing coverage under traditional groups; recent legislation directs the state to establish a Katie Beckett-like waiver program. 6 Massachusetts has a Section 1115 waiver program comparable to the FOA option. 7 Other states use Section 1915 (i) to offer HCBS to people who are otherwise Medicaid eligible. | ||||||
| SOURCE: Kaiser Family Foundation, Medicaid Financial Eligibility Survey for Seniors and People with Disabilities, 2018. | ||||||
| Appendix Table 2: Medicaid Eligibility for SSI Beneficiaries and Optional Pathway for Seniors and People with Disabilities Up To 100% FPL, 2018 | ||||||
| State | Monthly Income Limit | Income Disregard | % FPL | Asset Limit | ||
| Individual | Couple | Individual | Couple | |||
| MEDIAN | $750 | $1,125 | $20 | 74% | $2,000.00 | $3,000.00 |
| Alabama | $750 | $1,125 | $20 | 74% | $2,000 | $3,000 |
| Alaska | $750 | $1,125 | $20 | 74% | $2,000 | $3,000 |
| Arizona | $1,012 | $1,372 | $20 | 100% | No limit | No limit |
| Arkansas | $804 | $1,083 | $20 | 80% | $7,560 | $11,340 |
| California | $1,012 | $1,372 | $230 individual/ $310 couple | 100% | $2,000 | $3,000 |
| Colorado | $750 | $1,125 | $20 | 74% | $2,000 | $3,000 |
| Connecticut1,2 | $523 | $696 | $339 | 63% | $1,600 | $2,400 |
| Delaware | $750 | $1,125 | $20 | 74% | $2,000 | $3,000 |
| DC | $1,012 | $1,372 | $20 individual/ $100 couple | 100% | $4,000 | $6,000 |
| Florida | $891 | $1,208 | $20 | 88% | $5,000 | $6,000 |
| Georgia | $750 | $1,125 | $20 | 74% | $2,000 | $3,000 |
| Hawaii1 | $1,164 | $1,578 | $20 | 100% Hawaii poverty line | $2,000 | $3,000 |
| Idaho | $803 | $1,145 | $20 | 80%3 | $2,000 | $3,000 |
| Illinois1 | $1,012 | $1,372 | $25 | 100% | $2,000 | $3,000 |
| Indiana | $1,012 | $1,372 | $20 | 100% | $2,000 | $3,000 |
| Iowa | $750 | $1,125 | $20 | 74% | $2,000 | $3,000 |
| Kansas | $750 | $1,125 | $20 | 74% | $2,000 | $3,000 |
| Kentucky | $750 | $1,125 | $20 | 74% | $2,000 | $3,000 |
| Louisiana | $750 | $1,125 | $20 | 74% | $2,000 | $3,000 |
| Maine | $1,012 | $1,372 | $75 | 100% | $2,000 | $3,000 |
| Maryland | $750 | $1,125 | $20 | 74% | $2,000 | $3,000 |
| Massachusetts | $1,012 | $1,372 | $20 | 100% | $2,000 | $3,000 |
| Michigan | $1,012 | $1,372 | $20 | 100% | $2,000 | $3,000 |
| Minnesota1 | $1,012 | $1,372 | $20 | 100% | $3,000 | $6,000 |
| Mississippi | $750 | $1,125 | $20 | 74% | $2,000 | $3,000 |
| Missouri1 | $880 | $1,186 | $20 | 87%3 | $3,000 | $6,000 |
| Montana | $750 | $1,125 | $20 | 74% | $2,000 | $3,000 |
| Nebraska | $1,012 | $1,372 | $20 | 100% | $4,000 | $6,000 |
| Nevada | $750 | $1,125 | $20 | 74% | $2,000 | $3,000 |
| New Hampshire1 | $750 | $1,125 | $13 individual/ $20 couple |
74% | $1,500 | $1,500 |
| New Jersey | $1,012 | $1,372 | $20 | 100% | $4,000 | $6,000 |
| New Mexico | $750 | $1,125 | $20 | 74% | $2,000 | $3,000 |
| New York | $837 | $1,229 | $20 | 83%3 | $2,000 | $3,000 |
| North Carolina | $1,012 | $1,372 | $20 | 100% | $2,000 | $3,000 |
| North Dakota1 | $750 | $1,125 | $20 | 74% | $3,000 | $6,000 |
| Ohio | $750 | $1,125 | $20 | 74% | $2,000 | $3,000 |
| Oklahoma | $1,012 | $1,372 | $20 | 100% | $2,000 | $3,000 |
| Oregon | $750 | $1,125 | $20 | 74% | $2,000 | $3,000 |
| Pennsylvania | $1,012 | $1,372 | $20 | 100% | $2,000 | $3,000 |
| Rhode Island | $1,012 | $1,372 | $20 | 100% | $4,000 | $6,000 |
| South Carolina | $1,012 | $1,372 | $20 | 100% | $7,560 | $11,340 |
| South Dakota | $750 | $1,125 | $20 | 74% | $2,000 | $3,000 |
| Tennessee | $750 | $1,125 | $20 | 74% | $2,000 | $3,000 |
| Texas | $750 | $1,125 | $20 | 74% | $2,000 | $3,000 |
| Utah | $1,012 | $1,372 | $20 | 100% | $2,000 | $3,000 |
| Vermont | $750 | $1,125 | $20 | 74% | $2,000 | $3,000 |
| Virginia1 | $810 | $1,098 | $20 | 81% | $2,000 | $3,000 |
| Washington | $750 | $1,125 | $20 | 74% | $2,000 | $3,000 |
| West Virginia | $750 | $1,125 | $20 | 74% | $2,000 | $3,000 |
| Wisconsin | $834 | $1,257 | $20 | 83%3 | $2,000 | $3,000 |
| Wyoming | $750 | $1,125 | $20 | 74% | $2,000 | $3,000 |
| NOTES: States generally must provide Medicaid to SSI beneficiaries (equivalent to 74% FPL in 2018) and have the option to extend eligibility for seniors and people with disabilities up to 100% FPL. 1 Eight states elect the Section 209 (b) option, which allows states to use financial and functional eligibility criteria that differ from the federal SSI rules, as long as they are no more restrictive than the rules the state had in place in 1972. 2 Table includes data for regions B & C. Region A income limit is $633/single and $805/couple. All regions offer a boarding home disregard of $246.70 and a shared living disregard of $406.90. 3 In ID, MO, NY, and WI, the effective SSI income limit is higher than 74% FPL due to state supplemental payments and/or additional income disregards. | ||||||
| SOURCE: Kaiser Family Foundation, Medicaid Financial Eligibility Survey for Seniors and People with Disabilities, 2018. | ||||||
| Appendix Table 3: Medicaid Eligibility Through the Medically Needy Pathway, 2018 | ||||||||||||
| State | Medically Needy Populations Covered | Monthly Income Limit | % FPL4 | Asset Limit | Budget Period | Benefit Package Includes Nursing Facility Services | ||||||
| Pregnant Women | Children | Seniors | People with Disabilities | Low-Income Parents | Individual | Couple | Individual | Couple | ||||
| TOTAL/MEDIAN | 34 | 34 | 32 | 32 | 26 | $488 | $559 | 48% | $2,000 | $3,000 | N/A | 25 |
| Arkansas | ✓ | ✓ | ✓ | ✓ | ✓ | $108 | $217 | 11% | $2,000 | $3,000 | 3 months | No response |
| California | ✓ | ✓ | ✓ | ✓ | ✓ | $600 | $934 | 59% | $2,000 | $3,000 | 1 month | ✓ |
| Connecticut1,2 | ✓ | ✓ | ✓ | ✓ | $523 | $696 | 52% | $1,600 | $2,400 | 6 months | ✓ | |
| DC | ✓ | ✓ | ✓ | ✓ | ✓ | $652 | $652 | 64% | $4,000 | $6,000 | 1-6 months | ✓ |
| Florida | ✓ | ✓ | ✓ | ✓ | ✓ | $180 | $241 | 18% | $5,000 | $6,000 | 1 month | |
| Georgia | ✓ | ✓ | ✓ | ✓ | ✓ | $317 | $375 | 32% | $2,000 | $4,000 | 1 month | |
| Hawaii | ✓ | ✓ | ✓ | ✓ | $469 | $632 | 40% | $2,000 | $3,000 | 1 month | ✓ | |
| Illinois | ✓ | ✓ | ✓ | ✓ | ✓ | $1,012 | $1,372 | 100% | $2,000 | $3,000 | 1 month | ✓ |
| Iowa | ✓ | ✓ | ✓ | ✓ | ✓ | $483 | $483 | 48% | $10,000 | $10,000 | 2 months | ✓ |
| Kansas | ✓ | ✓ | ✓ | ✓ | ✓ | $475 | $475 | 47% | $2,000 | $3,000 | 6 months | ✓ |
| Kentucky | ✓ | ✓ | ✓ | ✓ | ✓ | $235 | $291 | 24% | $2,000 | $4,000 | 1-3 months | |
| Louisiana 1,3 | ✓ | ✓ | ✓ | ✓ | ✓ | $100 | $192 | 10% | $2,000 | $3,000 | 3 months | ✓ |
| Maine | ✓ | ✓ | ✓ | ✓ | ✓ | $315 | $341 | 32% | $2,000 | $3,000 | 6 months | ✓ |
| Maryland | ✓ | ✓ | ✓ | ✓ | ✓ | $350 | $392 | 35% | $2,500 | $3,000 | 6 months | ✓ |
| Massachusetts | ✓ | ✓ | ✓ | ✓ | $522 | $650 | 52% | $2,000 | $3,000 | 6 months | ✓ | |
| Michigan | ✓ | ✓ | ✓ | ✓ | ✓ | $1,012 | $1,372 | 100% | $2,000 | $3,000 | 1 month | ✓ |
| Minnesota | ✓ | ✓ | ✓ | ✓ | ✓ | $810 | $1,098 | 80% | $3,000 | $6,000 | 6 months | ✓ |
| Montana | ✓ | ✓ | ✓ | ✓ | ✓ | $525 | $525 | 52% | $2,000 | $3,000 | 1 month | |
| Nebraska | ✓ | ✓ | ✓ | ✓ | ✓ | $392 | $392 | 39% | $4,000 | $6,000 | 1 month | ✓ |
| New Hampshire | ✓ | ✓ | ✓ | ✓ | ✓ | $591 | $675 | 58% | $2,500 | $4,000 | 1 or 6 months | |
| New Jersey | ✓ | ✓ | ✓ | ✓ | ✓ | $367 | $434 | 37% | $4,000 | $6,000 | 6 months | |
| New York | ✓ | ✓ | ✓ | ✓ | ✓ | $842 | $1,233 | 84% | $15,150 | $22,200 | 6 months | ✓ |
| North Carolina | ✓ | ✓ | ✓ | ✓ | ✓ | $242 | $317 | 24% | $2,000 | $3,000 | 6 months | ✓ |
| North Dakota | ✓ | ✓ | ✓ | ✓ | ✓ | $840 | $1,139 | 83% | $3,000 | $6,000 | 1 month | ✓ |
| Pennsylvania | ✓ | ✓ | ✓ | ✓ | ✓ | $425 | $442 | 42% | $2,400 | $3,200 | 6 months | ✓ |
| Rhode Island | ✓ | ✓ | ✓ | ✓ | ✓ | $903 | $947 | 88% | $4,000 | $6,000 | 6 months | ✓ |
| Tennessee | ✓ | ✓ | $241 | $258 | 24% | $2,000 | $3,000 | 1 month | ✓ | |||
| Texas | ✓ | ✓ | $104 | $216 | 11% | $2,000 | $3,000 | 1-3 months | ||||
| Utah | ✓ | ✓ | ✓ | ✓ | ✓ | $1,012 | $1,372 | 100% | $2,000 | $3,000 | 1 month | ✓ |
| Vermont1 | ✓ | ✓ | ✓ | ✓ | ✓ | $1,041 | $1,041 | 110% | $2,000 | $3,000 | 1 or 6 months5 | ✓ |
| Virginia1 | ✓ | ✓ | ✓ | ✓ | $493 | $659 | 49% | $2,000 | $3,000 | 1 or 6 months 5 | ✓ | |
| Washington | ✓ | ✓ | ✓ | ✓ | $750 | $750 | 75% | $2,000 | $3,000 | 3 or 6 months | ✓ | |
| West Virginia | ✓ | ✓ | ✓ | ✓ | ✓ | $200 | $275 | 20% | $2,000 | $3,000 | 6 months | |
| Wisconsin | ✓ | ✓ | ✓ | ✓ | $592 | $592 | 59% | $2,000 | $3,000 | 6 months | ✓ | |
| NO PROGRAM | ||||||||||||
| Alabama | ||||||||||||
| Alaska | ||||||||||||
| Arizona | ||||||||||||
| Colorado | ||||||||||||
| Delaware | ||||||||||||
| Idaho | ||||||||||||
| Indiana | ||||||||||||
| Mississippi | ||||||||||||
| Missouri | ||||||||||||
| Nevada | ||||||||||||
| New Mexico | ||||||||||||
| Ohio | ||||||||||||
| Oklahoma | ||||||||||||
| Oregon | ||||||||||||
| South Carolina | ||||||||||||
| South Dakota | ||||||||||||
| Wyoming | ||||||||||||
| NOTES: 1 CT, LA, VA, and VT vary their medically needy income standard by region. 2 Table includes data for regions B & C. Region A income limit is $633/individual and $805.09/couple. 3 Table includes data for urban regions. Rural income limit is $92/individual and $192/couple. 4 States reported a single income limit across populations. 5 Budget period of 6 months applies to those living in the community. | ||||||||||||
| SOURCE: Kaiser Family Foundation, Medicaid Financial Eligibility Survey for Seniors and People with Disabilities, 2018. | ||||||||||||
| Appendix Table 4: Medicaid Eligibility for Working People with Disabilities, 2018 | ||||||
| State | Monthly Income Limit | % FPL | Asset Limit | Monthly Income at Which Premiums Begin | Monthly Premium Amount | |
| Individual | Couple | |||||
| MEDIAN | $2,530 | 250% | $10,000 | $15,000 | N/A | N/A |
| Alaska | $3,163 | 313% | $10,000 | $15,000 | 100% FPL | No more than 10% of annual family income |
| Arizona | $2,530 | 250% | None | None | 50% FPL ($500) | $10 – $35 |
| Arkansas | None | None | None | None | No response | No response |
| California | $2,530 | 250% | $2,000 | $3,000 | 0% FPL | $20/individual; $30/couple |
| Colorado | $4,553 | 450% | None | None | 41% FPL | $25 – $200 |
| Connecticut | $3,083 | 305% | $10,000 | $15,000 | 200% FPL | 10% of income, minus any health insurance premiums between 200-250% FPL; No more than 7.5% of income above 250% FPL |
| Delaware | $2,782 | 275% | None | None | 100% FPL | $25 |
| DC | $3,036 | 300% | None | None | No premium | No premium |
| Florida | $2,024 | 200% | $5,000 | $6,000 | No premium | No premium |
| Georgia | $3,036 | 300% | $4,000 | $6,000 | 150% FPL | $35 |
| Idaho | $5,080 | 502% | $10,000 | $15,000 | 133% FPL | $10-259 |
| Illinois | $3,433 | 339% | $25,000 | $25,000 | 25% FPL ($251) | $19 |
| Indiana | $2,024 | 200% | $2,000 | $3,000 | 150% FPL | $48 |
| Iowa | $2,530 | 250% | $12,000 | $13,000 | > 150% FPL | $34/$47/$56 |
| Kansas | $3,035 | 300% | $15,000 | $15,000 | 100% FPL | $55 – $205 |
| Kentucky | $2,530 | 250% | $5,000 | $10,000 | No premium | No premium |
| Louisiana | $1,012 | 100% | $10,000 | $10,000 | No premium | No premium |
| Maine | $2,530 | 250% | $8,000 | $12,000 | 150% | $10 -$20 |
| Maryland | $3,036 | 300% | $10,000 | $15,000 | 101% | $25/$40/$55 |
| Massachusetts | None | None | None | None | > 150% FPL | Varies based on income |
| Michigan | $2,023 | 200% | $4,000 | Excludes spouse | No premium | No premium |
| Minnesota | None | None | $20,000 | Excludes spouse | 0% FPL | $35 minimum |
| Mississippi | $2,530 | 250% | $24,000 | $26,000 | 150% FPL | 5% of countable income |
| Montana | $2,530 | 250% | $15,000 | $30,000 | 100% FPL or less | $35 and above |
| Nebraska | $2,530 | 250% | $4,000 | $6,000 | 200% FPL | Sliding scale based on income |
| Nevada | $2,529 | 250% | $15,000 | $15,000 | 0% FPL | Sliding scale based on income |
| New Hampshire | $2,530 | 250% | $28,568 | $42,849 | 150% FPL | No more than 7.5% of total income |
| New Jersey | $2,530 | 250% | $20,000 | $30,000 | 150% FPL | $25 |
| New Mexico | $1,519 | 150% | $10,000 | $15,000 | No premium | No premium |
| New York | $2,530 | 250% | $20,000 | $30,000 | No premium | No premium |
| North Carolina | $2,024 | 200% | $2,000 | $3,000 | 150% FPL | No response |
| North Dakota | $2,277 | 225% | $13,000 | $16,000 | 225% FPL | 5% of gross income |
| Ohio | $2,530 | 250% | $11,901 | Excludes spouse | 150% FPL | Varies by family size and income |
| Oregon | $2,530 | 250% | $5,000 | Excludes spouse | 75% FPL | $50 |
| Pennsylvania | $2,530 | 250% | $10,000 | $10,000 | 0% FPL | 5% of net income2 |
| Rhode Island | $2,529 | 250% | $10,000 | $20,000 | 150% FPL | No response |
| South Dakota | $2,530 | 250% | $8,000 | Excludes spouse | No premium | No premium |
| Texas | $2,530 | 250% | $5,000 | Excludes spouse | 150% FPL | $20 |
| Utah | $2,529 | 250% | $15,000 | $15,000 | 100% FPL | 5%-15% of countable net income |
| Vermont | $2,530 | 250% | $10,000 | $15,000 | No premium | No premium |
| Virginia1 | $810 | 80% | $2,000 | $3,000 | No premium | No premium |
| Washington | $2,226 | 220% | None | None | 6.5% FPL ($65) | No more than 7.5% of total income |
| West Virginia | $2,530 | 250% | $2,000 | $3,000 | 0% FPL | $15 – $129.50 |
| Wisconsin | $2,529 | 250% | $15,000 | Excludes spouse | 150% FPL | Depends on income |
| Wyoming | $2,250 | 222% | None | None | 0% FPL ($1) | Premium based on 7.5% of gross monthly income |
| NO PROGRAM | ||||||
| Alabama | ||||||
| Hawaii | ||||||
| Missouri | ||||||
| Oklahoma | ||||||
| South Carolina | ||||||
| Tennessee | ||||||
| NOTES: 1 To enter VA’s buy-in, individuals must have incomes at or below 80% FPL and assets limited to $2,000. However, once enrolled, individuals can have earnings up to $75,00 per year or ($6,250 per month) as long as they are deposited in a qualifying account. 2 In PA, the premium does not have to be paid if it is calculated to be less than $10 per month or if the individual shows good cause not to pay it. | ||||||
| SOURCE: Kaiser Family Foundation, Medicaid Financial Eligibility Survey for Seniors and People with Disabilities, 2018. | ||||||
| Appendix Table 5: Medicaid Special Income Rule for Long-Term Services and Supports Eligibility, 2018 | ||||
| State | Special Income Rule | Special Income Rule Asset Limit | ||
| Applies to Institutions | Applies to HCBS | Individual | Couple | |
| TOTAL/MEDIAN | 42 | 43 | $2,000 | $3,000 |
| Alabama | ✓ | ✓ | $2,000 | $3,000 |
| Alaska | ✓ | ✓ | $2,000 | $3,000 |
| Arizona | ✓ | ✓ | $2,000 | $3,000 |
| Arkansas | ✓ | ✓ | $2,000 | $3,000 |
| Colorado | ✓ | ✓ | $2,000 | $3,000 |
| Connecticut | ✓ | ✓ | $1,600 | $2,400 |
| Delaware1 | ✓ | ✓ | $2,000 | $3,000 |
| DC | ✓ | ✓ | $4,000 | $6,000 |
| Florida | ✓ | ✓ | $2,000 | $3,000 |
| Georgia | ✓ | ✓ | $2,000 | $3,000 |
| Idaho | ✓ | ✓ | $2,000 | $3,000 |
| Indiana | ✓ | ✓ | $2,000 | $3,000 |
| Iowa | ✓ | ✓ | $2,000 | $3,000 |
| Kansas | ✓ | ✓ | $2,000 | N/A2 |
| Kentucky | ✓ | ✓ | $2,000 | N/A2 |
| Louisiana | ✓ | ✓ | $2,000 | $3,000 |
| Maine | ✓ | ✓ | $2,000 | $3,000 |
| Maryland | ✓ | ✓ | $2,000 | $3,000 |
| Massachusetts | ✓ | $2,000 | N/A3 | |
| Michigan | ✓ | ✓ | $2,000 | $3,000 |
| Minnesota | ✓ | ✓ Aged only | $3,000 | $6,000 |
| Mississippi | ✓ | ✓ | $4,000 | $6,000 |
| Missouri1 | ✓ | ✓ | Varies by program | Varies by program |
| Nevada | ✓ | ✓ | $2,000 | $3,000 |
| New Hampshire | ✓ | ✓ | $2,500 | N/A2 |
| New Jersey | ✓ | ✓ | $2,000 | $3,000 |
| New Mexico | ✓ | ✓ | $2,000 | N/A2 |
| Ohio | ✓ | ✓ | $2,000 | $3,000 |
| Oklahoma | ✓ | ✓ | $2,000 | $3,000 |
| Oregon | ✓ | ✓ | $2,000 | N/A2 |
| Pennsylvania | ✓ | ✓ | $2,000 | $3,000 |
| Rhode Island | ✓ | ✓ | $4,000 | $6,000 |
| South Carolina | ✓ | ✓ | $2,000 | N/A2 |
| South Dakota | ✓ | ✓ | $2,000 | $3,000 |
| Tennessee | ✓ | ✓ | $2,000 | N/A2 |
| Texas | ✓ | ✓ | $2,000 | $3,000 |
| Utah | ✓ | ✓ | $2,000 | $3,000 |
| Vermont | ✓ | ✓ | $2,000 | $3,000 |
| Virginia | ✓ | ✓ | $2,000 | N/A2 |
| Washington | ✓ | ✓ | $2,000 | $3,000 |
| West Virginia | ✓ | ✓ | $2,000 | $3,000 |
| Wisconsin | ✓ | ✓ | $2,000 | $3,000 |
| Wyoming | ✓ | ✓ | $2,000 | $3,000 |
| NO PROGRAM | ||||
| California | ||||
| Hawaii | ||||
| Illinois | ||||
| Montana | ||||
| Nebraska | ||||
| New York | ||||
| North Carolina | ||||
| North Dakota | ||||
| NOTES: 1 All but two states (DE & MO) reported setting the eligibility standard at 300% of SSI ($2,250 per month). DE’s limit is 250% of SSI and in MO, the limit varies by program. 2 All institutionalized individuals are single person households once eligibility is established.3 In MA, the asset limit for a couple is the aggregate of the $2,000 limit for the applicant and the community spouse limit of $123,600. | ||||
| SOURCE: Kaiser Family Foundation, Medicaid Financial Eligibility Survey for Seniors and People with Disabilities, 2018. | ||||
| Appendix Table 6: Medicaid Long-Term Services and Supports Trusts and Home Equity Limits, 2018 | ||||||||
| State | Miller Trust (maximum amount, if any) | Supplemental Needs Trust | Is Trust Amount Limited? | Pooled Income Trust | Is Trust Amount Limited? | ABLE Program (maximum lifetime amount) | Home Equity Limit | |
| For Institutional Care | For HCBS | |||||||
| TOTAL/MEDIAN | 25 | 22 | 48 | 21 | 48 | 19 | 51 | $572,000 |
| Alabama | ✓ | ✓, $400,000 | $572,000 | |||||
| Alaska | ✓ | ✓ | ✓ | No limit | ✓ | No limit | ✓, no response | $572,000 |
| Arizona | ✓, $7,134 urban; $6,307 rural | ✓, $7,134 urban; $6,307 rural | ✓ | No limit | ✓ | No limit | ✓, $486,000 | $572,000 |
| Arkansas | ✓ | ✓ | ✓ | ✓ | ✓, $366,000 | $572,000 | ||
| California | ✓ | ✓ | ✓, $529,000 | No Limit on Principal Residence | ||||
| Colorado | ✓, regional caps | ✓, regional caps | ✓ | ✓ | ✓, $350,000 | $572,000 | ||
| Connecticut | ✓ | Varies | ✓ | Varies | ✓, $300,000 | $858,000 | ||
| Delaware1 | ✓ | ✓ | ✓ | No limit | ✓ | No limit | ✓, 350,000 | $572,000 |
| DC | ✓ | ✓ | ✓, $500,000 | $858,000 | ||||
| Florida | ✓ | ✓ | ✓ | ✓ | ✓, $418,000 | $572,000 | ||
| Georgia | ✓ | ✓ | ✓ | No limit | ✓ | No limit | ✓, $468,000 | $572,000 |
| Hawaii | ✓, $305,000 | $858,000 | ||||||
| Idaho | ✓ | ✓ | ✓ | ✓ | ✓, no response | $858,000 | ||
| Illinois | ✓, $400,000 | $572,000 | ||||||
| Indiana | ✓ | ✓ | ✓ | ✓ | ✓, $450.000 | $572,000 | ||
| Iowa | ✓ | ✓, 125% of avg. cost of facility | ✓ | No limit | ✓ | ✓, $420,000 | $572,000 | |
| Kansas | ✓ | ✓ | ✓, $365,000 | $572,000 | ||||
| Kentucky | ✓, $2,250 | ✓, $2,250 | ✓ | ✓ | ✓, $468,000 | $572,000 | ||
| Louisiana | ✓ | ✓ | ✓, $500,000 | $572,000 | ||||
| Maine | ✓ | ✓ | ✓, $400,000 | $858,000 | ||||
| Maryland | ✓ | ✓ | ✓, $350,000 | $572,000 | ||||
| Massachusetts | ✓ | No limit | ✓ | No limit | ✓, $400,000 | $858,000 | ||
| Michigan | ✓ | ✓ | ✓, $500,000 | $572,000 | ||||
| Minnesota | ✓ | No limit | ✓ | No limit | ✓, $350,000 | $572,000 | ||
| Mississippi | ✓, income cannot exceed cost of private pay rate for nursing facility | ✓, $3,035 | ✓ | No limit | ✓ | No limit | ✓, $235,000 | $572,000 |
| Missouri1 | ✓, varies | ✓, varies | ✓ | Varies | ✓ | Varies | ✓, $468,000 | $572,000 |
| Montana | ✓ | No limit | ✓ | No limit | ✓, $400,000 | $572,000 | ||
| Nebraska | ✓ | No limit | ✓ | No limit | ✓, $400,000 | $572,000 | ||
| Nevada | ✓ | ✓ | ✓ | ✓, $370,000 | $572,000 – 858,000 | |||
| New Hampshire | ✓ | ✓ | ✓, $468,000 | $572,000 | ||||
| New Jersey | ✓ | ✓ | ✓ | ✓ | ✓, $305,000 | $858,000 | ||
| New Mexico | ✓ | ✓ | ✓ | ✓ | ✓, $468,000 | $572,000 | ||
| New York | ✓ | ✓ | ✓, $100,000 | $858,000 | ||||
| North Carolina | ✓ | ✓ | ✓, $420,000 | $572,000 | ||||
| North Dakota | ✓ | No limit | ✓ | No limit | ✓, $269,000 | $572,000 | ||
| Ohio | ✓ | ✓ | ✓ | ✓ | ✓, $468,000 | $572,000 | ||
| Oklahoma | ✓, $4,365 | ✓, $4,365 | ✓ | ✓ | ✓, $468,000 | $572,000 | ||
| Oregon | ✓ | ✓ | ✓ | No limit | ✓ | No limit | ✓, $400,000 | $572,000 |
| Pennsylvania | ✓ | No limit | ✓ | No limit | ✓, $511,758 | $572,000 | ||
| Rhode Island | ✓ | ✓ | ✓, $395,000 | $572,000 | ||||
| South Carolina | ✓ | ✓ | ✓ | ✓ | ✓, $462,000 | $572,000 | ||
| South Dakota | ✓, $2,250 | ✓, $2,250 | ✓ | No limit | ✓ | No limit | ✓, $350,000 | $572,000 |
| Tennessee | ✓ | ✓ | ✓ | No limit | ✓ | ✓, $350,000 | $572,000 | |
| Texas | ✓ | ✓ | ✓ | No limit | ✓ | No limit | ✓, $370,000 | $572,000 |
| Utah | ✓ | No limit | ✓ | No limit | ✓, $416,000 | $572,000 | ||
| Vermont | ✓ | No limit | ✓ | No limit | ✓, $468,000 | $572,000 | ||
| Virginia | ✓ | ✓ | ✓, $500,000 | $572,000 | ||||
| Washington | ✓ | No limit | ✓ | No limit | ✓, $500,000 | $572,000 | ||
| West Virginia | ✓ | No limit | ✓ | No limit | ✓, $468,000 | $572,000 | ||
| Wisconsin | ✓ | ✓ | ✓, $330,000 | $750,000 | ||||
| Wyoming | ✓ | ✓ | No limit | ✓ | No limit | ✓, $464,000 | $572,000 | |
| SOURCE: Kaiser Family Foundation, Medicaid Financial Eligibility Survey for Seniors and People with Disabilities, 2018. | ||||||||
| Appendix Table 7: Medicaid Long-Term Services and Supports Post-Eligibility Treatment of Income and Spousal Impoverishment Standards, 2018 | ||||||
| State | Monthly Personal Needs Allowance | Spousal Impoverishment Standards for Institutional Care | ||||
| For Institutional Care | For HCBS | Monthly Community Spouse Needs Allowance 4 | Community Spouse Asset Limit 5 | Applies to HCBS Waiver Participants | Will Apply to HCBS if ACA § 2404 Expires 6 | |
| TOTAL/MEDIAN | $50 | $2,024 | $3,090 | $123,600 | 51 | 49 |
| Alabama | $30 | $2,250 | $2,058 | $25,000 – 123,600 | ✓ | ✓ |
| Alaska | $1,396 | $1,656 | $3,090 | $123,600 | ✓ | ✓ |
| Arizona | $113 | $2,250 | $2,058 | $123,600 | ✓ | ✓ |
| Arkansas | $40 | $2,250 | $2,058 – 3,090 | $24,720 – 123,600 | ✓ | ✓ Some |
| California | $35 | $600 | $3,090 | $123,600 | ✓ | ✓ |
| Colorado | $84 | $2,250 | $2,058 | $123,600 | ✓ | ✓ |
| Connecticut | $60 | $2,024 | $2,058 – 3,090 | $24,720 – 123,600 | ✓ | ✓ |
| Delaware | $50 | $2,030 | $2,058 – 3,090 | $25,000 | ✓ | ✓ |
| DC | $70 | $2,250 | $3,090 | $24,720 – 123,600 | ✓ | ✓ |
| Florida | $130 | $1,012 | $2,058 | $123,600 | ✓ | ✓ |
| Georgia | $65 | $750 | $3,090 | $123,600 | ✓ | ✓ |
| Hawaii | $50 | $469 or $1,164 | $3,090 | $123,600 | ✓ | ✓ |
| Idaho | $40 | $750 or $1,3501 | $2,058 – 3,090 | $24,720 – 123,600 | ✓ | ✓ |
| Illinois | $60 | N/A2 | $3,090 | $123,600 | ✓ Some | ✓ Some |
| Indiana | $52 | $2,250 | $2,058 | $24,720 – 123,600 | ✓ | ✓ |
| Iowa | $50 | $2,250 | $3,090 | $24,720 – 123,600 | ✓ | ✓ |
| Kansas | $62 | $727 | $2,058 – 3,090 | $24,720 – 123,600 | ✓ | ✓ |
| Kentucky | $40 | $770 | $2,058 | $24,720 | ✓ | ✓ |
| Louisiana | $38 | $2,250 | $3,090 | $123,600 | ✓ | ✓ |
| Maine | $40 | $2,024 | $2,058 | $123,600 | ✓ | |
| Maryland | $80 | Varies by waiver | $2,058 – 3,090 | $24,720 – 123,600 | ✓ | ✓ |
| Massachusetts | $73 | $2,250 | $2,058 – 3,090 | $123,600 | ✓ | ✓ |
| Michigan | $60 | $2,250 | $2,058 – 3,090 | $24,720 – 123,600 | ✓ | ✓ |
| Minnesota | $99 | $1,003 | $2,058 | $123,600 | ✓ | ✓ Some |
| Mississippi | $44 | $2,250 | $3,090 | $123,600 | ✓ | ✓ |
| Missouri | $50 | N/A | $2,058 – 3,090 | $24,720 – 123,600 | ✓ | ✓ |
| Montana | $50 | $100 | $2,058 | $24,720 – 123,600 | ✓ | ✓ |
| Nebraska | $60 | $392 | $2,058 – 3,090 | $24,720 – 123,600 | ✓ | ✓ |
| Nevada | $35 | $2,250 | $2,058 – 3,090 | $24,720 – 123,600 | ✓ | ✓ |
| New Hampshire | $70 | $70-$2,250 3 | $3,090 | $24,720 – 123,600 | ✓ | |
| New Jersey | $50 | $112 or $2,250 | $2,058 | $24,720 – 123,600 | ✓ | ✓ |
| New Mexico | $72 | N/A | $2,058 | $31,290 | ✓ | ✓ |
| New York | $50 | $842 | $3,090 | $123,600 | ✓ | ✓ |
| North Carolina | $30 | N/A | $3,090 | $24,720 – 123,600 | ✓ | ✓ |
| North Dakota | $65 | $840 | $2,550 | $24,720 – 123,600 | ✓ | ✓ |
| Ohio | $50 | $1,463 | $3,090 | $24,720 – 123,600 | ✓ | ✓ |
| Oklahoma | $50 | $1,101 | $3,090 | $25,000 – 123,600 | ✓ | ✓ |
| Oregon | $61 | $750 or $1,750 | $2,058 – 3,090 | $24,720 – 123,600 | ✓ | ✓ |
| Pennsylvania | $45 | $2,250 | $2,058 – 3,090 | $24,720 – 123,600 | ✓ | ✓ |
| Rhode Island | $50 | $1,012 | $3,090 | $24,720 – 123,600 | ✓ | ✓ |
| South Carolina | $30 | $2,250 | $3,090 | $66,480 | ✓ | ✓ |
| South Dakota | $60 | $750 | $2,058 | $123,600 | ✓ | ✓ |
| Tennessee | $50 | $2,250 | $2,058 – 3,090 | $24,720 – 123,600 | ✓ | ✓ |
| Texas | $60 | $2,250 | $3,090 | $24,720 – 123,600 | ✓ | ✓ |
| Utah | $45 | $1,012 | $2,058 | $24,720 | ✓ | ✓ |
| Vermont | $48 | $1,125 | $2,058 – 3,090 | $123,600 | ✓ | ✓ |
| Virginia | $40 | $1,238 | $2,058 | $24,720 – 123,600 | ✓ | ✓ |
| Washington | $58 | $1,012 | $3,090 | $123,600 | ✓ | ✓ |
| West Virginia | $50 | $2,250 | $2,058 – 3,090 | $24,720 – 123,600 | ✓ | ✓ |
| Wisconsin | $45 | $930 | $2,743 – 3,090 | $50,000 – 123,600 | ✓ | ✓ |
| Wyoming | $50 | $2,250 | $3,090 | $123,600 | ✓ | ✓ |
| NOTES: 1 In ID, amounts vary by marital status and housing situation; single (not responsible for rent/mortgage): $750; single (responsible for rent/mortgage): $1,350; married (not responsible for rent/mortgage): $1,125; married (responsible for rent/mortgage): $1,350. 2 With the exception of IL’s Section 1915 (c) waiver for seniors, IL does not recognize a monthly personal needs allowance for waiver enrollees who remain in their homes.3 NH amount varies by waiver and living situation. 4 CMS uses $2,057.50, while most states reported the minimum as $2,058. 5 States with an asset limit range apply a formula that allows the community spouse to retain an amount of protected assets that is the greater of either the federal minimum ($24,720) or one-half of the couple’s total combined resources but not to exceed the federal maximum ($123,600). 6 States reported plans about whether to continue to apply spousal impoverishment rules to HCBS waivers if ACA § 2404 expired in Dec. 2018; Congress subsequently extended ACA § 2404 through Sept. 2019. | ||||||
| SOURCE: Kaiser Family Foundation, Medicaid Financial Eligibility Survey for Seniors and People with Disabilities, 2018. | ||||||
| Appendix Table 8: Eligibility for Medicaid’s Medicare Savings Programs, 2018 | |||||||||||||||
| State | Qualified Medicare Beneficiaries (QMB) | Specified Low-Income Savings Programs (SLMB) | Qualified Individuals (QI) | ||||||||||||
| Monthly Income Limit | % FPL | Asset Limit | Monthly Income Limit | % FPL | Asset Limit | Monthly Income Limit | % FPL | Asset Limit | |||||||
| Individual | Couple | Individual | Couple | Individual | Couple | Individual | Couple | Individual | Couple | Individual | Couple | ||||
| MEDIAN | $1,012 | $1,372 | 100% | $7,560 | $11,340 | $1,214 | $1,646 | 120% | $7,560 | $11,340 | $1,366 | $1,852 | 135% | $7,560 | $11,340 |
| Alabama | $1,012 | $1,392 | 100% | none | none | $1,214 | $1,646 | 120% | none | none | $1,366 | $1,852 | 135% | none | none |
| Alaska | $1,265 | $1,715 | 100% | $7,560 | $11,340 | $1,518 | $2,058 | 120% | $7,560 | $11,340 | $1,708 | $2,316 | 135% | $7,560 | $11,340 |
| Arizona | $1,012 | $1,372 | 100% | none | none | $1,214 | $1,646 | 120% | none | none | $1,366 | $1,852 | 135% | none | none |
| Arkansas | $1,012 | $1,372 | 100% | $7,560 | $11,340 | $1,214 | $1,646 | 120% | $7,560 | $11,340 | $1,366 | $1,852 | 135% | $7,560 | $11,340 |
| California | $1,012 | $1,372 | 100% | $7,560 | $11,340 | $1,214 | $1,646 | 120% | $7,560 | $11,340 | $1,366 | $1,852 | 135% | $7,560 | $11,340 |
| Colorado | $1,012 | $1,372 | 100% | $9,060 | $14,340 | $1,214 | $1,646 | 120% | $9,060 | $14,340 | $1,366 | $1,852 | 135% | $9,060 | $14,340 |
| Connecticut | $2,136 | $2,895 | 211% | none | none | $2,338 | $3,170 | 231% | none | none | $2,490 | $3,376 | 246% | none | none |
| Delaware | $1,012 | $1,372 | 100% | none | none | $1,214 | $1,646 | 120% | none | none | $1,366 | $1,852 | 135% | none | none |
| DC1 | $3,035 | $4,115 | 300% | none | none | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
| Florida | $1,012 | $1,372 | 100% | $7,560 | $11,340 | $1,214 | $1,646 | 120% | $7,560 | $11,340 | $1,366 | $1,852 | 135% | $7,560 | $11,340 |
| Georgia | $1,012 | $1,372 | 100% | $7,560 | $11,340 | $1,214 | $1,646 | 120% | $7,560 | $11,340 | $1,366 | $1,852 | 135% | $7,560 | $11,340 |
| Hawaii | $1,164 | $1,578 | 100% | $7,560 | $11,340 | $1,396 | $1,893 | 120% | $7,560 | $11,340 | $1,571 | $2,130 | 135% | $7,560 | $11,340 |
| Idaho | $1,012 | $1,392 | 100% | $7,560 | $11,340 | $1,214 | $1,646 | 120% | $7,560 | $11,340 | $1,366 | $1,852 | 135% | $7,560 | $11,340 |
| Illinois | $1,012 | $1,372 | 100% | $7,560 | $11,340 | $1,214 | $1,646 | 120% | $7,560 | $11,340 | $1,366 | $1,852 | 135% | $7,560 | $11,340 |
| Indiana2 | $1,518 | $2,058 | 150% | $7,560 | $11,340 | $1,720 | $2,332 | 170% | $7,560 | $11,340 | $1,872 | $2,538 | 185% | $7,560 | $11,340 |
| Iowa | $1,012 | $1,372 | 100% | $7,560 | $11,340 | $1,214 | $1,646 | 120% | $7,560 | $11,340 | $1,366 | $1,852 | 135% | $7,560 | $11,340 |
| Kansas | $1,012 | $1,372 | 100% | $7,560 | $11,340 | $1,214 | $1,646 | 120% | $7,560 | $11,340 | $1,366 | $1,852 | 135% | $7,560 | $11,340 |
| Kentucky | $1,012 | $1,372 | 100% | $7,560 | $11,340 | $1,214 | $1,646 | 120% | $7,560 | $11,340 | $1,366 | $1,852 | 135% | $7,560 | $11,340 |
| Louisiana | $1,012 | $1,372 | 100% | $7,560 | $11,340 | $1,214 | $1,646 | 120% | $7,560 | $11,340 | $1,366 | $1,852 | 135% | $7,560 | $11,340 |
| Maine3 | $1,417 | $1,921 | 140% | $58,000 | $87,000 | $1,619 | $2,195 | 160% | $58,000 | $87,000 | $1,771 | $2,401 | 175% | $58,000 | $87,000 |
| Maryland | $1,012 | $1,372 | 100% | $7,560 | $11,340 | $1,214 | $1,646 | 120% | $7,560 | $11,340 | $1,366 | $1,852 | 135% | $7,560 | $11,340 |
| Massachusetts | $1,012 | $1,372 | 100% | $7,560 | $11,340 | $1,214 | $1,636 | 120% | $7,560 | $11,340 | $1,366 | $1,852 | 135% | $7,560 | $11,340 |
| Michigan | $1,012 | $1,372 | 100% | $7,560 | $11,340 | $1,214 | $1,646 | 120% | $7,560 | $11,340 | $1,366 | $1,852 | 135% | $7,560 | $11,340 |
| Minnesota | $1,012 | $1,372 | 100% | $10,000 | $18,000 | $1,214 | $1,646 | 120% | $10,000 | $18,000 | $1,366 | $1,852 | 135% | $10,000 | $18,000 |
| Mississippi | $1,012 | $1,372 | 100% | none | none | $1,214 | $1,646 | 120% | none | none | $1,366 | $1,852 | 135% | none | none |
| Missouri | $1,012 | $1,372 | 100% | $7,560 | $11,340 | $1,214 | $1,646 | 120% | $7,560 | $11,340 | $1,366 | $1,852 | 135% | $7,560 | $11,340 |
| Montana | $1,012 | $1,372 | 100% | $7,560 | $11,340 | $1,215 | $1,647 | 120% | $7,560 | $11,340 | $1,366 | $1,852 | 135% | $7,560 | $11,340 |
| Nebraska | $1,012 | $1,372 | 100% | $7,560 | $11,340 | $1,214 | $1,646 | 120% | $7,560 | $11,340 | $1,366 | $1,852 | 135% | $7,560 | $11,340 |
| Nevada | $1,012 | $1,372 | 100% | $7,560 | $11,340 | $1,214 | $1,646 | 120% | $7,560 | $11,340 | $1,366 | $1,852 | 135% | $7,560 | $11,340 |
| New Hampshire | $1,012 | $1,372 | 100% | $7,560 | $11,340 | $1,214 | $1,646 | 120% | $7,560 | $11,340 | $1,366 | $1,852 | 135% | $7,560 | $11,340 |
| New Jersey | $1,012 | $1,372 | 100% | $7,560 | $11,340 | $1,214 | $1,646 | 120% | $7,560 | $11,340 | $1,366 | $1,852 | 135% | $7,560 | $11,340 |
| New Mexico | $1,012 | $1,372 | 100% | 9,060 | $14,340 | $1,214 | $1,646 | 120% | 9,060 | $14,340 | $1,366 | $1,852 | 135% | $9,060 | $14,340 |
| New York | $1,012 | $1,372 | 100% | none | none | $1,214 | $1,646 | 120% | none | none | $1,366 | $1,852 | 135% | none | none |
| North Carolina | $1,012 | $1,372 | 100% | $7,560 | $11,340 | $1,214 | $1,646 | 120% | $7,560 | $11,340 | $1,366 | $1,852 | 135% | $7,560 | $11,340 |
| North Dakota | $1,012 | $1,372 | 100% | $7,560 | $11,340 | $1,214 | $1,646 | 120% | $7,560 | $11,340 | $1,366 | $1,852 | 135% | $7,560 | $11,340 |
| Ohio | $1,012 | $1,372 | 100% | $7,560 | $11,340 | $1,214 | $1,646 | 120% | $7,560 | $11,340 | $1,366 | $1,852 | 135% | $7,560 | $11,340 |
| Oklahoma | $1,012 | $1,372 | 100% | $7,560 | $11,340 | $1,214 | $1,646 | 120% | $7,560 | $11,340 | $1,366 | $1,852 | 135% | $7,560 | $11,340 |
| Oregon | $1,012 | $1,372 | 100% | none | none | $1,214 | $1,646 | 120% | none | none | $1,366 | $1,852 | 135% | none | none |
| Pennsylvania | $1,012 | $1,372 | 100% | $7,560 | $11,340 | $1,214 | $1,646 | 120% | $7,560 | $11,340 | $1,366 | $1,852 | 135% | $7,560 | $11,340 |
| Rhode Island | $1,012 | $1,372 | 100% | $7,560 | $11,340 | $1,214 | $1,646 | 120% | $7,560 | $11,340 | $1,366 | $1,852 | 135% | $7,560 | $11,340 |
| South Carolina | $1,012 | $1,372 | 100% | $7,560 | $11,340 | $1,214 | $1,646 | 120% | $7,560 | $11,340 | $1,366 | $1,852 | 135% | $7,560 | $11,340 |
| South Dakota | $1,012 | $1,372 | 100% | $7,560 | $11,340 | $1,214 | $1,646 | 120% | $7,560 | $11,340 | $1,366 | $1,852 | 135% | $7,560 | $11,340 |
| Tennessee | $1,012 | $1,372 | 100% | $7,560 | $11,340 | $1,214 | $1,646 | 120% | $7,560 | $11,340 | $1,366 | $1,852 | 135% | $7,560 | $11,340 |
| Texas | $1,012 | $1,372 | 100% | $7,560 | $11,340 | $1,214 | $1,646 | 120% | $7,560 | $11,340 | $1,366 | $1,852 | 135% | $7,560 | $11,340 |
| Utah | $1,012 | $1,372 | 100% | $7,560 | $11,340 | $1,214 | $1,646 | 120% | $7,560 | $11,340 | $1,366 | $1,852 | 135% | $7,560 | $11,340 |
| Vermont | $1,012 | $1,372 | 100% | none | none | $1,214 | $1,646 | 120% | none | none | $1,366 | $1,852 | 135% | none | none |
| Virginia | $1,012 | $1,372 | 100% | $7,560 | $11,340 | $1,214 | $1,646 | 120% | $7,560 | $11,340 | $1,366 | $1,852 | 135% | $7,560 | $11,340 |
| Washington | $1,012 | $1,372 | 100% | $7,560 | $11,340 | $1,214 | $1,646 | 120% | $7,560 | $11,340 | $1,366 | $1,852 | 135% | $7,560 | $11,340 |
| West Virginia | $1,012 | $1,372 | 100% | $7,560 | $11,340 | $1,214 | $1,646 | 120% | $7,560 | $11,340 | $1,366 | $1,852 | 135% | $7,560 | $11,340 |
| Wisconsin | $1,012 | $1,372 | 100% | $7,560 | $11,340 | $1,214 | $1,646 | 120% | $7,560 | $11,340 | $1,366 | $1,852 | 135% | $7,560 | $11,340 |
| Wyoming | $1,012 | $1,372 | 100% | $7,560 | $11,340 | $1,214 | $1,646 | 120% | $7,560 | $11,340 | $1,366 | $1,852 | 135% | $7,560 | $11,340 |
| NOTES: Most state have a standard $20 general income disregard; exceptions include: Maine ($75), Mississippi ($50), and Illinois ($25). 1DC’s disregard effectively increases the QMB income limit to 300% FPL; as a result, the SLMB and QI categories are moot. 2IN disregards the amount of income from 100-150% FPL for QMBs, 120-170% for SLMBs, and 135-185% FPL for QIs.3ME’s MSP income thresholds are at the federal limits, but the state’s disregards are updated annually to effectively increase the income limit to 140% FPL for QMBs, 160% FPL for SLMBs, and 175% FPL for QIs; asset limits are for liquid assets only. | |||||||||||||||
| SOURCE: Kaiser Family Foundation, Medicaid Financial Eligibility Survey for Seniors and People with Disabilities, 2018. | |||||||||||||||
| Appendix Table 9: State Adoption of Selected ACA Streamlined Medicaid Eligibility Renewal Provisions, 2018 | ||
| State | Sends Pre-populated Forms for Age and Disability-Related Pathway Eligibility Renewals | Offers Reconsideration Period for Age and Disability Eligibility Pathway Renewals |
| TOTAL | 30 | 43 |
| Alabama | ✓ | ✓ |
| Alaska | ||
| Arizona | ✓ | ✓ |
| Arkansas | ✓ (for MSP categories) | |
| California | In development | ✓ |
| Colorado | ✓ | |
| Connecticut | ✓ | No response |
| Delaware | ✓ | ✓ |
| DC | ✓, 30 days | |
| Florida | ✓ | |
| Georgia | ✓ | ✓ |
| Hawaii | ✓ | ✓ |
| Idaho | ✓ | ✓ |
| Illinois | ✓ | ✓ |
| Indiana | ✓ | ✓, 90 days |
| Iowa | ✓, 90 days | |
| Kansas | ✓ | ✓ |
| Kentucky | ✓ | ✓ |
| Louisiana | ✓ | |
| Maine | ✓ | ✓ |
| Maryland | ✓ | ✓, 120 days |
| Massachusetts | ✓ | |
| Michigan | ✓ | |
| Minnesota | ✓ | |
| Mississippi | ✓ | ✓ |
| Missouri | In development | ✓ |
| Montana | ✓ | ✓ |
| Nebraska | ✓ | ✓ |
| Nevada | ✓ | ✓, 90 days |
| New Hampshire | ||
| New Jersey | ✓, 90 days | |
| New Mexico | ✓ | ✓, only for waivers |
| New York | ✓ | |
| North Carolina | ✓ | |
| North Dakota | In development | ✓ |
| Ohio | ✓ | ✓, 90 days |
| Oklahoma | ✓ | |
| Oregon | ||
| Pennsylvania | ✓ | ✓ |
| Rhode Island | No response | No response |
| South Carolina | In development | ✓, 90 days |
| South Dakota | ✓ | ✓ |
| Tennessee | In development | ✓ |
| Texas | ✓ | ✓ |
| Utah | ✓ | ✓, 90 days |
| Vermont | ✓, 90 days | |
| Virginia | ✓ | ✓ |
| Washington | ✓ | |
| West Virginia | ✓ | ✓ |
| Wisconsin | ✓ | ✓ |
| Wyoming | ✓ | ✓, 90 days |
| SOURCE: Kaiser Family Foundation, Medicaid Financial Eligibility Survey for Seniors and People with Disabilities, 2018. | ||