C.M.R. 10, 144, ch. 332, 144-332-6

Current through 2024-51, December 18, 2024

Chart 144-332-6 - FEE SCHEDULE FOR QDWI

If Monthly Countable Income is	Monthly Payment Required Is This % of the Current Medicare Part A Premium
150% FPL - 160% FPL	10%
160.01% - 170%	20%
170.01% - 180%	30%
180.01% - 190%	40%
190.01% - 200%	50%
Over 200%	Not Eligible

Countable income is determined using SSI - Related rules.