Article 6 Section 02 CMS Maintenance Need Levels (MNL)

Income Limit

 

Table of Contents

Title

PG Cite

General

06.02.01A

CMS Maintenance Need Levels (MNLs) Income Limit Chart and In-kind Income Values

Appendix A

 

 

 

06.02.01 CMS Maintenance Need Level (MNL) Income Limit

 

06.02.01A
General

Refer to Appendix 6.02A for the CMS and CMS Hardship Maintenance Need Levels (MNLs) for income limits.

When monthly net non-exempt income exceeds the amount for CMS eligibility (165% FPL), the monthly net non-exempt income amount should be compared to the maximum amounts allowed shown for CMS Hardship eligibility (maximum 350% FPL).

Workers shall use the month of certification to determine which year’s Income Limit chart to use.

 

Example 1

Application date is June 27, 2008.  Application disposition is evaluated on July 1, 2008 and CMS is granted effective June 1, 2008.  The Income Limit chart effective July 1, 2007 is to be used.

Example 2

Application date is June 27, 2008.  Application disposition is evaluated on July 1, 2008 and CMS is granted effective July 1, 2008.  The Income Limit chart effective July 1, 2008 is to be used.

 

The CMS income limit for a beneficiary residing in a skilled nursing or intermediate care facility equals the income limit for one.

 


 

Appendix 6.02A CMS Maintenance Need Levels (MNL) Income Limit Chart and Inkind Income Values

 

1.
Income Limit

 

MNL CHART – EFF 07/01/13

CFBU SIZE

CMS

165% FPL

CMS HARDSHIP

350% FPL

1

$1,581

$3,353

2

$2,133

$4,526

3

$2,686

$5,698

4

$3,239

$6,871

5

$3,792

$8,043

6

$4,344

$9,216

7

$4,897

$10,388

8

$5,450

$11,561

9

$6,003

$12,733

10

$6,555

$13,906

Add for additional members

$553

$1,173

 

CMSPG LTR 26 (05/13)

 

2.
In-kind Values

 

INCOME IN-KIND VALUES - EFFECTIVE 7/1/89

HH SIZE

HOUSING

UTILITIES

FOOD

CLOTHING

1

153

33

86

27

2

206

38

182

49

3

225

40

232

75

4

236

41

286

100

5

236

41

346

126

6

236

41

401

149

7

236

41

447

178

8

236

41

490

199

9

236

41

537

227

10

236

41

582

249