YEAR 2017

ALTCS/MSP GUIDELINES

As of February 1, 2017

ALTCS Individual Standards

$   2,205.00—ALTCS Monthly Income Limit

$   2,000.00—Resource Limit

Medicare Savings Plan Individual Standards

$   1,005.00—QMB Income Limit

$   1,005.01—$1,206.00—SLMB Income Limit

$   1,206.01—$1,357.00— QI-1 Income Limit

Community Spouse Standards

$    4,410.00—ALTCS Monthly Income Limit*

$  26,180.00—Initial Resource Limit

$  24,180.00—Minimum Resource Allowance

$   120,900.00—Maximum Resource Allowance

Community Spouse Monthly Income Allowance Standards

$   2,003.00—Monthly Spousal Need

$   601.00—30% deduction from excess shelter expenses

$   265.00—Standard Utility Allowance

$   668.00—Family Allowance

$   2,981.00—Maximum Minimum Maintenance Needs Allowance

Medicare Savings Plan Spousal Standards

$   1,354.00—QMB Income Limit for couples

$   1,354.01—$1,624.00—SLMB Income Limit for couples

$   1,624.01—$1,827.00—QI-1 Income Limit for couples

Other Standards

$   110.25—Personal Needs Allowance

$   2,205.00—HCBS Personal Needs Allowance

$   210.00—Home Maintenance Allowance

$   134.00—Standard monthly Medicare Premium

$     34.20—Medicare Part D Extra Help Subsidy

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