6 $34,590 7 $39,010 8 $43,430 Each Additional Person $4,420 103.07 General Hospital (GH), Nursing Home (NH), Katie Beckett (TEFRA), Home and Community Based Services (HCBS) (300% of Federal Benefit Rate) (Eff. 01/01/19) Family Size Monthly Income Limit Individual $2,313.00 Spousal Allocation (NH and HCBS only) $3,160.50 103.07A Current Average Monthly Private Pay Rate (Eff. 01/01/19) Current Average Monthly Private Pay Rate $7,162.82 ($235.49 daily) 103.08 Breast and Cervical Cancer Program (BCCP) Qualified Disabled Working Individuals (QDWI) (200% of Federal Poverty Level) (Eff. 03/01/19) FAMILY SIZE MONTHLY INCOME ANNUAL INCOME 2,082.00 24,980.00 1 2,819.00 33,820.00 2 3,555.00 42,660.00 3 4,292.00 51,500.00 4 5,029.00 60,340.00 5 5,765.00 69,180.00 6 6,502.00 78,020.00 7 7,239.00 86,860.00 8 8,840.00 737.00 Each Additional Member For family sizes over 8, add the amount shown for each additional person to income limit for 8.
6 $34,590 7 $39,010 8 $43,430 Each Additional Person $4,420 103.07 General Hospital (GH), Nursing Home (NH), Katie Beckett (TEFRA), Home and Community Based Services (HCBS) (300% of Federal Benefit Rate) (Eff. 01/01/19) Family Size Monthly Income Limit Individual $2,313.00 Spousal Allocation (NH and HCBS only) $3,160.50 103.07A Current Average Monthly Private Pay Rate (Eff. 01/01/19) Current Average Monthly Private Pay Rate $7,162.82 ($235.49 daily) 103.08 Breast and Cervical Cancer Program (BCCP) Qualified Disabled Working Individuals (QDWI) (200% of Federal Poverty Level) (Eff. 03/01/19) FAMILY SIZE MONTHLY INCOME ANNUAL INCOME 1 2,082.00 24,980.00 2 2,819.00 33,820.00 3 3,555.00 42,660.00 4 4,292.00 51,500.00 5 5,029.00 60,340.00 6 5,765.00 69,180.00 7 6,502.00 78,020.00 8 7,239.00 86,860.00 Each Additional Member 737.00 8,840.00 For family sizes over 8, add the amount shown for each additional person to income limit for 8.
Chapter_103.docx