1. No category

MAABD ELIGIBILITY OVERVIEW CHART (Effective 04/01/15)
SSI
MAA, MAD, MAB
Aid Program/
Category
MAA, MAD, MAB
(Catagorically Needy)
Income Limit
Full
--
1 - $721
------------------------2 - $1,082
1 - $981
--------------------------2 - $1328
Income Limit
1/3 reduced
--
1 - $481
-------------------------2 - $721
1 - $654
-------------------------2 - $886
1 - $2,000
-----------------------2 - $3,000
C (Q if Medicare)
1 - $2,000
-------------------------2 - $3,000
N (Q if Medicare)
SSI recipients
1. Individuals with income
at or below 100% of
poverty and resources
below “C” limits who are
not receiving SSI.
Reserve Limit
Classification
Individuals covered
2. Passalongs
Full
Coverage
Where to apply
Where to appeal
Deductible
Ongoing = automatic
DSS - retroactive
SSA - ongoing
DSS - retroactive
Never
Yes
Retro
Length of ongoing
CP
As long as receives SSI
Revised 02/2015-edf
DMA-5179
Full
Non-SSI
MAA, MAD, MAB
HCWD
(Medically needy)
(Unearned Income
Limit)
1 - $242
1 - $1472
-------------------------------------------2- $1992
2 - $317
1 - $161
1 - $981
------------------------------------------2 - $1328
2 - $211
1 - $2,000
$23,844
------------------------------------------2 - $3,000
$23,844
M (Q or B if
N (Q or B if
Medicare)
Medicare)
Individuals not
Individuals with
financially eligible
unearned income at
for SSI & don't
or below 150% of
meet criteria for N
FPL. There is no
limit on total
countable income.
Indviduals with total
countable income
above 150% of FPL
pay an enrollment
fee. Individuals with
total countable
income above
200% of FPL pay a
monthly premium
and enrollment fee.
Full
Full
County DSS
County DSS
County DSS
County DSS
County DSS
County DSS
Never
Possible
Yes
12 months
MQB-Q
MQB-B
MQB-E
1 - $981
------------------------2 –$1328
1 - $981.01-1177
------------------------2 - $1328.01-1593
1 - $1177.01-1325
--------------------------2 - $1593.01-1793
1 - $654
------------------------2 - $886
1 - $654.01-785
------------------------2 - $886.01-1063
1 – $7,160
------------------------2 - $10,750
Q
1 – $7,160
------------------------2 - $10,750
B
1 - $785.01-883
-------------------------2 - $1063.01-1195
1 – $7,160
------------------------2 - $10,750
E
Medicare
beneficiaries with
income under 100%
of poverty
Medicare
beneficiaries with
income between
100% and 120% of
poverty
Medicare
beneficiaries with
income between
120% and 135% of
poverty
Medicare premiums
deductibles &
coinsurance only
County DSS
Medicare Part B
premiums only
Medicare Part B
premiums only
County DSS
County DSS
County DSS
County DSS
County DSS
Never
Never
Never
Never
Yes
Yes
No
Yes
Yes
6 months
12 months
12 months
12 months
Month of
application through
December of the
current calendar year