C.M.R. 10, 144, ch. 332, 144-332-4

Current through 2024-51, December 18, 2024
Chart 144-332-4 - NURSING CARE LIMITS

Chart 4.1 Categorically Needy Nursing Care Status Income Limits

Maximum Federal Supplemental Security Income (SSI) payment amounts for an eligible individual multiplied by 3.

This is used as the income limit for:

Categorically Needy Nursing Care Status Home and Community Based Waivers Katie Beckett coverage SSI - Related or Family - Related coverage group in a hospital for thirty consecutive days

Chart 4.2 Maximum Waiver Allowances

The amounts below are used as the maximum spousal allowance for Home and Community Based Waivers:

Maximum Federal Supplemental Security Income (SSI) payment amounts for an eligible individual.

Chart 4.3 Average Nursing Care Private Rate

The average nursing care private rate is the annual average monthly cost for a private patient to receive nursing facility care in the State of Maine as determined by the Department. This amount is used to calculate penalty periods for disposing of assets for less than fair market value on or after the look-back period.

$3917.00 eff. 8/1/1994

$6255.00 eff. 1/1/2006

$6778.00 eff. 1/1/2008

$7258.00 eff. 1/1/2009

$7667.00 eff. 9/1/2011

$8476.00 eff. 10/19/2014

Effective 6/1/2023 the average nursing care private rate is calculated using the previous year's average rates as reported by nursing facilities on their most recent MaineCare Cost Report provided to the Division of Audit. To calculate the average nursing care private rate the Department shall add the total of all reported nursing facility daily rates and divide that sum by the total number of reported Nursing Facility rates. The average daily rates is multiplied by 31 to establish the average nursing care private rate. The average nursing care private rate is redetermined annually, with effective dates of June 1st, and posted online at https://www.maine.gov/dhhs/ofi/programs-services/health-care-assistance.

Chart 4.4 Spousal Impoverishment

Community Spouse Asset Allowance Maximum $60,000 increased by the same percentage as the percentage increase in the consumer price index for all urban consumers (all items; U.S. city average) between September 1988 and the September before the calendar year involved. Minimum Monthly Income Standard 150% of the Federal Poverty Level for a household of 2. Monthly Excess Shelter Standard 30% of the Minimum Monthly Income Standard [above]. Maximum Monthly Income Allocation $1500 increased by the same percentage as the percentage increase in the consumer price index for all urban consumers (all items; U.S. city average) between September 1988 and the September before the calendar year involved.

C.M.R. 10, 144, ch. 332, 144-332-4