65A-1.716. Income and Resource Criteria  


Effective on Wednesday, February 26, 2020
  • 1(1) The monthly federal poverty level figures based on the family size are as follows:

    16Family

    17Size

    1888% of Poverty Level

    22100% of Poverty Level

    26120% of Poverty level

    30133% of Poverty Level

    34135% of Poverty Level

    38185% of Poverty Level

    42200% of Poverty Level

    461

    47$916

    48$1,041

    50$1, 249

    52$1, 385

    54$1,406

    56$1,926

    58$2,082

    602

    61$1,241

    63$1,410

    65$1,691

    67$1,875

    69$1,903

    71$2,607

    73$2,819

    753

     

    76$1,778

     

    78$2,365

     

    80$3,289

    82$3,555

    844

     

    85$2,145

     

    87$2,854

     

    89$3,970

    91$4,292

    935

     

    94$2,515

     

    96$3,344

     

    98$4,652

    100$5,029

    1026

     

    103$2,883

     

    105$3,834

     

    107$5,333

    109$5,765

    1117

     

    112$3,251

     

    114$4,324

     

    116$6,015

    118$6,502

    1208

     

    121$3,620

     

    123$4,814

     

    125$6,696

    127$7,239

    1299

     

    130$3,988

     

    132$5,304

     

    134$7,377

    136$7,975

    13810

     

    139$4,356

     

    141$5,794

     

    143$8,059

    145$8,712

    14711

     

    148$4,725

     

    150$6,284

     

    152$8,740

    154$9,449

    15612

     

    157$5,093

     

    159$6,771

     

    161$9,422

    163$10,185

    165For each addtl. person

     

    169$369

     

    170$490

     

    171$682

    172$737

    173(2) Monthly income levels for Family-Related and SSI (Supplemental Security Income)-Related Medically Needy Income Levels (MNIL) are by family size as follows:

    195Family Size

    197Monthly Income Level

    200Family-Related MNIL

    202SSI-Related MNIL

    2041

    205$180

    206$289

    207$180

    2082

    209$241

    210$387

    211$241

    2123

    213$303

    214$486

     

    2154

    216$364

    217$585

     

    2185

    219$426

    220$684

     

    2216

    222$487

    223$783

     

    2247

    225$549

    226$882

     

    2278

    228$610

    229$981

     

    2309

    231$671

    2321079

     

    23310

    234$733

    2351179

     

    236Add for each addtl. person

    241$62

    242$100

     

    243Exception: In determining eligibility for a pregnant woman, the income limits for Monthly Income Level and MNIL used shall be increased to the higher limit corresponding to the applicant’s actual family size. Family size shall include each anticipated unborn child as a family member.

    287(3) The resource limits for the Medically Needy program are as follows:

    299(a) Family-Related Medicaid: $0

    303(b) SSI-Related Medicaid:

    3061. $5,000 per individual; and

    3122. $6,000 per couple

    317Family Size

    319Monthly Asset Level

    3221

    323$5,000

    3252

    326$6,000

    3283

    329$6,000

    3314

    332$6,500

    3345

    335$7,000

    3376

    338$7,500

    3407

    341$8,000

    3438

    344$8,500

    3469

    347$9,000

    34910

    350$9,500

    352For each additional person add $500.

    358Exception: In determining eligibility for a pregnant woman, the resource limit used shall be increased to the higher limit corresponding to the applicant’s actual family size, including each anticipated unborn child as a family member.

    393(4) The maximum resource limit is $2,000 for those individuals:

    404(a) Whose Medicaid coverage is based on payment standard income criteria. Refer to subsection 41865A-1.716(2), 419F.A.C.; or

    421(b) Are children living with their parent(s) and who, as children, would qualify for cash assistance except for their age. The maximum resource limit of $2,000 also applies to those coverage groups indicated in Rule 45765A-1.703, 458F.A.C. However, there is no asset limit for the coverage groups specified in paragraphs 47265A-1.703(3) 473through (5), F.A.C.

    476(5) The SSI-Related Medicaid Program Standards:

    482(a) SSI (48542 U.S.C. §§1382 488– 1383c) Resource Limits:

    4921. $2,000 per individual.

    4972. $3,000 per eligible couple, or per eligible individual with an ineligible spouse who is living together.

    515(b) The income limit which applies to an individual in Home and Community-Based Services (HCBS) waiver programs, Institutional Care Programs (ICP), and hospice is 300 percent of the Federal Benefit Rate (FBR) for an individual.

    550(c) Spousal Impoverishment Standards.

    5541. Resource Allocation. The amount of the couple’s total countable resources which may be allocated to the community spouse of an institutionalized person is equal to the maximum allowed by 58442 U.S.C. §1396r-5(f)(2)(A).

    5872. Minimum Monthly Maintenance Needs Allowance (MMMNA). The minimum monthly maintenance needs allowance the Department recognizes for a community spouse is equal to 150 percent of the federal poverty level (FPL) for a family of two as set forth in 62742 U.S.C. §1396r-5(d)(3)(A)(i) 630and (ii).

    6323. Excess Shelter Allowance. The community spouse’s shelter expenses must exceed 30 percent of the MMMNA to be considered excess shelter expenses to be included in the maximum income allowance: MMMNA × 30% = Excess Shelter Allowance, as defined in 67242 U.S.C. §1396r-5(d)(3)(A)(ii). 675This standard changes July 1 of each calendar year.

    6844. Food Assistance Program Standard Utility Allowance. The amount specified in subsection 69665A-1.603(2), 697F.A.C.

    6985. Cap of Community Spouse Needs Allowance. The MMMNA plus excess shelter allowance cannot exceed the maximum amount allowed under 71842 U.S.C. §1396r-5(d)(3)(A)(C). 721This needs allowance changes January 1 of each year.

    730(d) The average monthly private pay nursing facility rate is $9,485.

    742(e) The following life expectancy tables are compiled from information published by the Office of the Chief Actuary of the Social Security Administration:

    765FEMALE LIFE EXPECTANCY TABLE

    769Age

    770Life Expectancy

    772Age

    773Life Expectancy

    775Age

    776Life Expectancy

    7780

    77980.99

    78040

    78142.50

    78280

    7839.74

    7841

    78580.43

    78641

    78741.56

    78881

    7899.15

    7902

    79179.46

    79242

    79340.62

    79482

    7958.58

    7963

    79778.48

    79843

    79939.69

    80083

    8018.04

    8024

    80377.49

    80444

    80538.76

    80684

    8077.51

    8085

    80976.50

    81045

    81137.83

    81285

    8137.01

    8146

    81575.51

    81646

    81736.90

    81886

    8196.53

    8207

    82174.52

    82247

    82335.98

    82487

    8256.07

    8268

    82773.53

    82848

    82935.07

    83088

    8315.64

    8329

    83372.54

    83449

    83534.16

    83689

    8375.23

    83810

    83971.54

    84050

    84133.26

    84290

    8434.85

    84411

    84570.55

    84651

    84732.36

    84891

    8494.50

    85012

    85169.56

    85252

    85331.48

    85492

    8554.18

    85613

    85768.56

    85853

    85930.59

    86093

    8613.88

    86214

    86367.57

    86454

    86529.72

    86694

    8673.67

    86815

    86966.58

    87055

    8712885

    87295

    8733.37

    87416

    87565.60

    87656

    87727.99

    87896

    8793.16

    88017

    88164.62

    88257

    88327.13

    88497

    8852.96

    88618

    88763.63

    88858

    88926.28

    89098

    8912.79

    89219

    89362.66

    89459

    89525.44

    89699

    8972.63

    89820

    89961.68

    90060

    90124.60

    902100

    9032.48

    90421

    90560.71

    90661

    90723.76

    908101

    9092.33

    91022

    91159.73

    91262

    91322.94

    914102

    9152.19

    91623

    91758.73

    91863

    91922.12

    920103

    9212.06

    92224

    92357.80

    92464

    92521.30

    926104

    9271.93

    92825

    92956.83

    93065

    93120.49

    932105

    9331.81

    93426

    93555.86

    93666

    93719.69

    938106

    9391.69

    94027

    94154.90

    94267

    94318.89

    944107

    9451.58

    94628

    94753.93

    94868

    94918.11

    950108

    9511.47

    95229

    95352.97

    95469

    95517.33

    956109

    9571.37

    95830

    95952.01

    96070

    96116.57

    962110

    9631.27

    96431

    96551.05

    96671

    96715.82

    968111

    9691.18

    97032

    97150.09

    97272

    97315.09

    974112

    9751.09

    97633

    97749.14

    97873

    97914.37

    980113

    9811.01

    98234

    98348.19

    98474

    98513.66

    986114

    9870.93

    98835

    98947.23

    99075

    99112.97

    992115

    9930.86

    99436

    99546.28

    99676

    99712.29

    998116

    9990.79

    100037

    100145.34

    100277

    100311.62

    1004117

    10050.73

    100638

    100744.39

    100878

    100910.98

    1010118

    10110.67

    101239

    101343.45

    101479

    101510.35

    1016119

    10170.62

    1018MALE LIFE EXPECTANCY TABLE

    1022Age

    1023Life Expectancy

    1025Age

    1026Life Expectancy

    1028Age

    1029Life Expectancy

    10310

    103276.04

    103340

    103438.59

    103580

    10368.34

    10371

    103875.52

    103941

    104037.69

    104181

    10427.82

    10432

    104474.55

    104542

    104636.78

    104782

    10487.32

    10493

    105073.58

    105143

    105235.88

    105383

    10546.84

    10554

    105672.59

    105744

    105834.98

    105984

    10606.38

    10615

    106271.60

    106345

    106434.08

    106585

    10665.69

    10676

    106870.62

    106946

    107033.19

    107186

    10725.52

    10737

    107469.63

    107547

    107632.30

    107787

    10785.12

    10798

    108068.64

    108148

    108231.43

    108388

    10844.75

    10859

    108667.64

    108749

    108830.55

    108989

    10904.40

    109110

    109266.65

    109350

    109429.69

    109590

    10964.08

    109711

    109865.66

    109951

    110028.84

    110191

    11023.78

    110312

    110464.66

    110552

    110627.99

    110792

    11083.50

    110913

    111063.67

    111153

    111227.16

    111393

    11143.25

    111514

    111662.68

    111754

    111826.34

    111994

    11203.03

    112115

    112261.70

    112355

    112425.52

    112595

    11262.83

    112716

    112860.73

    112956

    113024.72

    113196

    11322.66

    113317

    113459.76

    113557

    113623.93

    113797

    11382.51

    113918

    114058.81

    114158

    114223.15

    114398

    11442.37

    114519

    114657.86

    114759

    114822.37

    114999

    11502.25

    115120

    115256.91

    115360

    115421.61

    1155100

    11562.13

    115721

    115855.98

    115961

    116020.85

    1161101

    11622.02

    116322

    116455.05

    116562

    116620.11

    1167102

    11681.91

    116923

    117054.13

    117163

    117219.37

    1173103

    11741.81

    117524

    117653.22

    117764

    117818.65

    1179104

    11801.71

    118125

    118252.30

    118365

    118417.92

    1185105

    11861.61

    118726

    118851.38

    118966

    119017.20

    1191106

    11921.52

    119327

    119450.47

    119567

    119616.49

    1197107

    11981.43

    119928

    120049.55

    120168

    120215.78

    1203108

    12041.35

    120529

    120648.63

    120769

    120815.09

    1209109

    12101.27

    121130

    121247.72

    121370

    121414.40

    1215110

    12161.19

    121731

    121846.80

    121971

    122013.73

    1221111

    12221.11

    122332

    122445.89

    122572

    122613.07

    1227112

    12281.04

    122933

    123044.97

    123173

    123212.43

    1233113

    12340.97

    123534

    123644.06

    123774

    123811.80

    1239114

    12400.91

    124135

    124243.15

    124375

    124411.18

    1245115

    12460.84

    124736

    124842.23

    124976

    125010.58

    1251116

    12520.78

    125337

    125441.32

    125577

    125610.00

    1257117

    12580.73

    125938

    126040.41

    126178

    12629.43

    1263118

    12640.67

     

    126539

    126639.50

    126779

    12688.88

    1269119

    12700.62

     

    1271Rulemaking Authority 1273409.919 FS. 1275Law Implemented 1277409.902, 1278409.903, 1279409.904, 1280409.906, 1281409.919 FS. 1283History–New 10-8-97, Amended 12-9-99, 2-15-01, 11-25-01, 7-28-02, 4-1-03, 9-10-03, 8-30-04, 8-10-06, 4-15-12, 10-16-12, 11-4-12, 9-18-13, 2-26-20.