C.M.R. 10, 144, ch. 332, 144-332-3
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 |
DY18/12020 - 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 |
C.M.R. 10, 144, ch. 332, 144-332-3
1/1/2020 filing 2019- 229