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Medi-CalCharts 6. SSI Charts
6. SSI Charts
6.1 SSI Payment Standard (January 1, 2020)
6.1.1 Individuals
Update # 20-01Page 6-1
page 6-2Charts 6. SSI Charts
Update #20-01Page 6-2
Medi-CalCharts 6. SSI Charts
6.1.2 Couples
Update # 20-01Page 6-3
Revised: 01/0
page 6-4 Medi-Cal Handbook6. SSI Ch
3/20 Update #19-01
arts
Medi-Cal page 6-56. SSI Charts
Revised: 01/03/20
Handbook
Update # 20-01
Revised: 01/0
page 6-6 Medi-Cal Handbook6. SSI Ch
6.2
3/20 Update #19-01
arts
SSI Payment Standard (January 1, 2019)
Medi-Cal page 6-76. SSI Charts
Revised: 01/03/20
6.2.1
Handbook
Update # 20-01
Individuals
Revised: 01/0
page 6-8 Medi-Cal Handbook6. SSI Ch
3/20 Update #19-01
arts
Medi-Cal page 6-96. SSI Charts
Revised: 01/03/20
6.2.2
Handbook
Update # 20-01
Couples
Revised: 01/0
page 6-1 Medi-Cal Handbook6. SSI Ch
3/20 Update #19-01
0arts
Medi-Cal page 6-116. SSI Charts
Revised: 01/03/20
6.3
6.3.1
Handbook
Update # 20-01
SSI Payment Standard (January 1, 2018)
Individuals
Revised: 01/0
page 6-1 Medi-Cal Handbook6. SSI Ch
3/20 Update #19-01
2arts
Medi-Cal page 6-136. SSI Charts
Revised: 01/03/20
6.3.2
Handbook
Update # 20-01
Couples
Revised: 01/0
page 6-1 Medi-Cal Handbook6. SSI Ch
3/20 Update #19-01
4arts
Medi-Cal page 6-156. SSI Charts
Revised: 01/03/20
6.4
N
-home care cannot coincide with an uld be living with a relative or in board
angement ties **(RMA)
Nonmedical Board and Care
SSP TotalSSI(FBR)
SSP
***INDIV
Aged or 247.04 1158.37 735.00 423.37
Blind 1158.37 735.00 423.37
Disabled 1158.37 735.00 423.37
*NMOHC
COUPLE
Per Coup 681.00 2316.74 1103.00 1213.74
Handbook
Update # 20-01
SSI Payment Standard (January 1, 2017)
ote:
The shaded areas indicate situations that cannot occur (Example: Nonmedical out-ofindependent living arrangement because the description states that the individual woand care).
Effective January 1, 2017
Table 2:
Independent Living Arrangement
Household of Another with In-Kind Room & Board
Independent Living ArrWithout Cooking Facili
TotalSSI(FBR)
SSP TotalSSI(FBR)
SSP TotalSSI(FBR)
IDUAL
Disabled 895.72 735.00 160.72 658.67 449.34 209.33 982.04 735.00
952.23 735.00 217.23 739.67 449.34 209.33
Minor 800.15 735.00 65.15 558.67 490.00 68.67
908.23 490.00 418.23
: Both are Aged or Disabled:
le 1524.00 1011.00 513.00 1233.33 674.00 559.00 1692.00 1011.00
Revised: 01/0
page 6-1 Medi-Cal Handbook6. SSI Ch
BLIND: C
Per Coup 2316.74 1103.00 1213.74
BLIND/A
Per Coup 2316.74 1103.00 1213.74
*NMOHC
Per Coup
IndependHouseho e (e.g. grandparents).*NMHOC .**RMA =***An AB me of any kind, there may be deeming.
NO AL BENEFIT RATE (FBR)
TO DUAL
Boa Blind or Disabled $735.00
angement ties **(RMA)
Nonmedical Board and Care
SSP TotalSSI(FBR)
SSP
3/20 Update #19-01
6arts
Effective January 1, 2017
ouple-Both are Blind
le 1751.00 1011.00 740.00 1460.00 674.00 786.00
GED OR DISABLED: Couple-One is Blind, the other is Aged or Disabled
le 1666.00 1011.00 655.00 1374.00 674.00 700.00
le 1809.86 735.34 1074.52
ent living arrangements for a disabled minor means living in the home of his/her parents.ld of another is used if both the disabled minor and his/her parents live in the household of someone els = Nonmedical out-of-home care living in household of relative or guardian with in-kind room and board
Restaurant Meals Allowance - $84 Individual; $168 Couple.D person with an ineligible spouse gets the rate for an “individual”. If the other 1/2 of the couple has inco
Table 3:
NMEDICAL BOARD AND CARE FEDER
Minimum Maximum
TAL $1158.37 $1158.37 INDIVI
rd and Room $498.00 $498.00 Aged,
Table 2:
Independent Living Arrangement
Household of Another with In-Kind Room & Board
Independent Living ArrWithout Cooking Facili
TotalSSI(FBR)
SSP TotalSSI(FBR)
SSP TotalSSI(FBR)
Medi-Cal page 6-176. SSI Charts
Revised: 01/03/20
6.5
N
CarSup
LE
PerInc
Blind or Disabled $1103.00
angement ties **(RMA)
Nonmedical Board and Care
SSP TotalSSI(FBR)
SSP
***INDIV
Aged or 240.40 1145.00 733.00 412.00
NO AL BENEFIT RATE (FBR)
Handbook
Update # 20-01
SSI Payment Standard (January 1, 2015)
ote:
Due to no COLA in 2016, the 2015 values were used for 2016.
Effective January 1, 2015
e and ervision
$427.00 $528.00 COUP
sonal and idental Needs
$133.00 $233.00 Aged,
Table 4:
Independent Living Arrangement
Household of Another with In-Kind Room & Board
Independent Living ArrWithout Cooking Facili
TotalSSI(FBR)
SSP TotalSSI(FBR)
SSP TotalSSI(FBR)
IDUAL
Disabled 889.40 733.00 156.40 658.67 973.40 733.00
Table 3:
NMEDICAL BOARD AND CARE FEDER
Minimum Maximum
Revised: 01/0
page 6-1 Medi-Cal Handbook6. SSI Ch
Blind 1145.00 733.00 412.00
Disabled 1145.00 733.00 412.00
*NMOHC
COUPLE
Per Coup 2290.00 1100.00 1190.00
BLIND: C
Per Coup 2290.00 1100.00 1190.00
BLIND/A
Per Coup 2290.00 1100.00 1190.00
*NMOHC
Per Coup
IndependHouseho e (e.g. grandparents).*NMHOC .**RMA =***An AB me of any kind, there may be deeming.
angement ties **(RMA)
Nonmedical Board and Care
SSP TotalSSI(FBR)
SSP
3/20 Update #19-01
8arts
944.40 739.67
Minor 796.40 733.00 63.40 550.50 488.67 66.83
895.67 488.67 407.00
: Both are Aged or Disabled:
le 1524.00 1233.33 1692.00
ouple-Both are Blind
le 1751.00 1460.00
GED OR DISABLED: Couple-One is Blind, the other is Aged or Disabled
le 1666.00 1374.00
le 1779.00 733.34 1045.66
ent living arrangements for a disabled minor means living in the home of his/her parents.ld of another is used if both the disabled minor and his/her parents live in the household of someone els = Nonmedical out-of-home care living in household of relative or guardian with in-kind room and board
Restaurant Meals Allowance - $84 Individual; $168 Couple.D person with an ineligible spouse gets the rate for an “individual”. If the other 1/2 of the couple has inco
Table 4:
Independent Living Arrangement
Household of Another with In-Kind Room & Board
Independent Living ArrWithout Cooking Facili
TotalSSI(FBR)
SSP TotalSSI(FBR)
SSP TotalSSI(FBR)
Medi-Cal page 6-196. SSI Charts
Revised: 01/03/20
6.6
NO AL BENEFIT RATE (FBR)
TO DUAL
Boa Blind or Disabled $733.00
CarSup
LE
PerInc
Blind or Disabled $1100.00
angement ties **(RMA)
Nonmedical Board and Care
SSP TotalSSI(FBR)
SSP
***INDIV
Aged or 280.00 1133.00 721.00 412.00
Handbook
Update # 20-01
Effective January 1, 2015
SSI Payment Standard (January 1, 2014)
Effective January 1, 2014
Table 5:
NMEDICAL BOARD AND CARE FEDER
Minimum Maximum
TAL $1145.00 $1145.00 INDIVI
rd and Room $492.00 $492.00 Aged,
e and ervision
$422.00 $522.00 COUP
sonal and idental Needs
$131.00 $231.00 Aged,
Table 6:
Independent Living Arrangement
Household of Another with In-Kind Room & Board
Independent Living ArrWithout Cooking Facili
TotalSSI(FBR)
SSP TotalSSI(FBR)
SSP TotalSSI(FBR)
IDUAL
Disabled 877.40 721.00 156.40 658.67 961.40 674.00
Revised: 01/0
page 6-2 Medi-Cal Handbook6. SSI Ch
Blind 1133.00 721.00 412.00
Disabled 1133.00 721.00 412.00
*NMOHC
COUPLE
Per Coup 1045.66 2266.00 1082.00 1184.00
BLIND: C
Per Coup 2266.00 1082.00 1184.00
BLIND/A
Per Coup 2266.00 1082.00 1184.00
*NMOHC
Per Coup
IndependHouseho e (e.g. grandparents).*NMHOC .**RMA =***An AB me of any kind, there may be deeming.
angement ties **(RMA)
Nonmedical Board and Care
SSP TotalSSI(FBR)
SSP
3/20 Update #19-01
0arts
935.00 739.67
Minor 784.40 721.00 63.40 547.50 480.67 66.83
887.67 480.67 407.00
: Both are Aged or Disabled:
le 1524.00 1233.33 1082 1692.00 674.00
ouple-Both are Blind
le 1751.00 1082.00 543.20 1259.00 721.34 548.33
GED OR DISABLED: Couple-One is Blind, the other is Aged or Disabled
le 1666.00 1233.00
le 1767.00 721.34 1045.66
ent living arrangements for a disabled minor means living in the home of his/her parents.ld of another is used if both the disabled minor and his/her parents live in the household of someone els = Nonmedical out-of-home care living in household of relative or guardian with in-kind room and board
Restaurant Meals Allowance - $84 Individual; $168 Couple.D person with an ineligible spouse gets the rate for an “individual”. If the other 1/2 of the couple has inco
Table 6:
Independent Living Arrangement
Household of Another with In-Kind Room & Board
Independent Living ArrWithout Cooking Facili
TotalSSI(FBR)
SSP TotalSSI(FBR)
SSP TotalSSI(FBR)
Medi-Cal page 6-216. SSI Charts
Revised: 01/03/20
6.7
NO AL BENEFIT RATE (FBR)
TO DUAL
Boa Blind or Disabled $721.00
CarSup
LE
PerInc
Blind or Disabled $1082.00
angement ties **(RMA)
Nonmedical Board and Care
SSP TotalSSI(FBR)
SSP
***INDIV
Aged or 240.40 1122.00 710.00 412.00
Handbook
Update # 20-01
Effective January 1, 2014
SSI Payment Standard (January 1, 2013)
Effective January 1, 2013
Table 7:
NMEDICAL BOARD AND CARE FEDER
Minimum Maximum
TAL $1133.00 $1133.00 INDIVI
rd and Room $487.00 $487.00 Aged,
e and ervision
$417.00 $516.00 COUP
sonal and idental Needs
$130.00 $229.00 Aged,
Table 8:
Independent Living Arrangement
Household of Another with In-Kind Room & Board
Independent Living ArrWithout Cooking Facili
TotalSSI(FBR)
SSP TotalSSI(FBR)
SSP TotalSSI(FBR)
IDUAL
Disabled 866.40 710.00 156.40 633.17 473.34 159.83 950.40 710.00
Revised: 01/0
page 6-2 Medi-Cal Handbook6. SSI Ch
Blind 1122.00 710.00 412.00
Disabled 1122.00 710.00 412.00
*NMOHC
COUPLE
Per Coup 564.20 2244.00 1066.00 1178.00
BLIND: C
Per Coup 2244.00 1066.00 1178.00
BLIND/A
Per Coup 2244.00 1066.00 1178.00
*NMOHC
Per Coup
IndependHouseho (e.g. grandparents)*NMHOC**RMA =***An AB me of any kind, there may be deeming.
angement ties **(RMA)
Nonmedical Board and Care
SSP TotalSSI(FBR)
SSP
3/20 Update #19-01
2arts
921.40 710.00 211.40 688.17 473.34 214.83
Minor 773.40 710.00 63.40 540.17 473.34 66.83
880.34 473.34 407.00
: Both are Aged or Disabled:
le 1462.20 1066.00 396.20 1112.00 710.67 401.33 1630.20 1066.00
ouple-Both are Blind
le 1609.20 1066.00 543.20 1259.00 710.67 548.33
GED OR DISABLED: Couple-One is Blind, the other is Aged or Disabled
le 1535.20 1066.00 487.20 1203.00 710.67 492.33
le 1756.33 710.67 1045.66
ent living arrangements for a disabled minor means living in the home of his/her parents.ld of another means both the disabled minor and his/her parents live in the household of someone else = Nonmedical out-of-home care living in household of relative with in-kind room and board.
Restaurant Meals AllowanceD person with an ineligible spouse gets the rate for an “individual”. If the other 1/2 of the couple has inco
Table 8:
Independent Living Arrangement
Household of Another with In-Kind Room & Board
Independent Living ArrWithout Cooking Facili
TotalSSI(FBR)
SSP TotalSSI(FBR)
SSP TotalSSI(FBR)
Medi-Cal page 6-236. SSI Charts
Revised: 01/03/20
6.8
NO AL BENEFIT RATE (FBR)
TO DUAL
Boa Blind or Disabled $710.00
CarSup
LE
PerInc
Blind or Disabled $1066.00
angement ties **(RMA)
Nonmedical Board and Care
SSP TotalSSI(FBR)
SSP
***INDIV
Aged or 240.40 1110.00 698.00 412.00
Handbook
Update # 20-01
Effective January 1, 2013
SSI Payment Standard (January 1, 2012)
Effective January 1, 2012
Table 9:
NMEDICAL BOARD AND CARE FEDER
Minimum Maximum
TAL $1122.00 $1122.00 INDIVI
rd and Room 482.00 482.00 Aged,
e and ervision
413.00 511.00 COUP
sonal and idental Needs
129.00 227.00 Aged,
Table 10:
Independent Living Arrangement
Household of Another with In-Kind Room & Board
Independent Living ArrWithout Cooking Facili
TotalSSI(FBR)
SSP TotalSSI(FBR)
SSP TotalSSI(FBR)
IDUAL
Disabled 854.40 698.00 156.40 625.17 465.34 159.83 938.40 698.00
Revised: 01/0
page 6-2 Medi-Cal Handbook6. SSI Ch
Blind 1110.00 698.00 412.00
Disabled 1110.00 698.00 412.00
*NMOHC
COUPLE
Per Coup 564.20 2220.00 1048.00 1172.00
BLIND: C
Per Coup 2220.00 1048.00 1172.00
BLIND/A
Per Coup 2220.00 1048.00 1172.00
*NMOHC
Per Coup
IndependHouseho (e.g. grandparents)*NMHOC**RMA =***An AB me of any kind, there may be deeming.
angement ties **(RMA)
Nonmedical Board and Care
SSP TotalSSI(FBR)
SSP
3/20 Update #19-01
4arts
909.40 698.00 211.40 680.17 465.34 214.83
Minor 761.40 698.00 63.40 532.17 465.34 66.83
872.34 465.34 407.00
: Both are Aged or Disabled:
le 1444.20 1048.00 396.20 1100.00 698.67 401.33 1612.20 1048.00
ouple-Both are Blind
le 1591.20 1048.00 543.20 1247.00 698.67 548.33
GED OR DISABLED: Couple-One is Blind, the other is Aged or Disabled
le 1535.20 1048.00 487.20 1191.00 698.67 492.33
le 1744.33 698.67 1045.66
ent living arrangements for a disabled minor means living in the home of his/her parents.ld of another means both the disabled minor and his/her parents live in the household of someone else = Nonmedical out-of-home care living in household of relative with in-kind room and board.
Restaurant Meals AllowanceD person with an ineligible spouse gets the rate for an “individual”. If the other 1/2 of the couple has inco
Table 10:
Independent Living Arrangement
Household of Another with In-Kind Room & Board
Independent Living ArrWithout Cooking Facili
TotalSSI(FBR)
SSP TotalSSI(FBR)
SSP TotalSSI(FBR)
Medi-Cal page 6-256. SSI Charts
Revised: 01/03/20
NO AL BENEFIT RATE (FBR)
TO DUAL
Boa Blind or Disabled $698.00
CarSup
LE
PerInc
Blind or Disabled $1048.00
Handbook
Update # 20-01
Effective January 1, 2012
Table 11:
NMEDICAL BOARD AND CARE FEDER
Minimum Maximum
TAL $1110.00 $1100.00 INDIVI
rd and Room 476.00 476.00 Aged,
e and ervision
409.00 506.00 COUP
sonal and idental Needs
128.00 225.00 Aged,
Revised: 01/0
page 6-2 Medi-Cal Handbook6. SSI Ch
6.9
angement ties **(RMA)
Nonmedical Board and Care
SSP TotalSSI(FBR)
SSP
***INDIV
Aged or 240.40 1086.00 674.00 412.00
Blind 1086.00 674.00 412.00
Disabled 1086.00 674.00 412.00
*NMOHC
COUPLE
Per Coup 584.20 2172.00 1011.00 1161.00
BLIND: C
Per Coup 2172.00 1011.00 1161.00
BLIND/A
Per Coup 2172.00 1011.00 1161.00
*NMOHC
Per Coup
3/20 Update #19-01
6arts
SSI/SSP Payment Standards (JULY 2011)
Table 12: Effective July 2011
Independent Living Arrangement
Household of Another with In-Kind Room & Board
Independent Living ArrWithout Cooking Facili
TotalSSI(FBR)
SSP TotalSSI(FBR)
SSP TotalSSI(FBR)
IDUAL
Disabled 830.40 674.00 156.40 609.17 449.34 159.83 914.40 674.00
885.40 674.00 211.40 664.17 449.34 214.83
Minor 737.40 674.00 63.40 516.17 449.34 66.83
8.34 449.34 407.00
: Both are Aged or Disabled:
le 1407.20 1011.00 396.20 1075.33 674.00 401.33 1575.20 1011.00
ouple-Both are Blind
le 1554.20 1011.00 543.20 1222.33 674.00 548.33
GED OR DISABLED: Couple-One is Blind, the other is Aged or Disabled
le 1498.20 1011.00 487.20 1166.33 674.00 492.33
le 1719.66 674.00 1045.66
Medi-Cal page 6-276. SSI Charts
Revised: 01/03/20
IndependHouseho (e.g. grandparents)*NMHOC**RMA =***An AB me of any kind, there may be deeming.
NO AL BENEFIT RATE (FBR)
TO DUAL
Boa Blind or Disabled $674.00
CarSup
LE
PerInc
Blind or Disabled $1011.00
angement ties **(RMA)
Nonmedical Board and Care
SSP TotalSSI(FBR)
SSP
Handbook
Update # 20-01
ent living arrangements for a disabled minor means living in the home of his/her parents.ld of another means both the disabled minor and his/her parents live in the household of someone else = Nonmedical out-of-home care living in household of relative with in-kind room and board.
Restaurant Meals AllowanceD person with an ineligible spouse gets the rate for an “individual”. If the other 1/2 of the couple has inco
Table 13: Effective July 2011
NMEDICAL BOARD AND CARE FEDER
Minimum Maximum
TAL $1086.00 $1086.00 INDIVI
rd and Room 466.00 466.00 Aged,
e and ervision
400.00 495.00 COUP
sonal and idental Needs
125.00 220.00 Aged,
Table 12: Effective July 2011
Independent Living Arrangement
Household of Another with In-Kind Room & Board
Independent Living ArrWithout Cooking Facili
TotalSSI(FBR)
SSP TotalSSI(FBR)
SSP TotalSSI(FBR)
Revised: 01/0
page 6-2 Medi-Cal Handbook6. SSI Ch
6.10
angement ties **(RMA)
Nonmedical Board and Care
SSP TotalSSI(FBR)
SSP
***INDIV
Aged or 260.00 1086.00 674.00 412.00
Blind 1086.00 674.00 412.00
Disabled 1086.00 674.00 412.00
*NMOHC
COUPLE
Per Coup 646.00 2172.00 1011.00 1161.00
BLIND: C
Per Coup 2172.00 1011.00 1161.00
BLIND/A
Per Coup 2172.00 1011.00 1161.00
*NMOHC
Per Coup
3/20 Update #19-01
8arts
SSI/SSP Payment Standards (JULY 2009)
Table 14: July 1, 2009Through December 31, 2009
Independent Living Arrangement
Household of Another with In-Kind Room & Board
Independent Living ArrWithout Cooking Facili
TotalSSI(FBR)
SSP TotalSSI(FBR)
SSP TotalSSI(FBR)
IDUAL
Disabled 850.00 674.00 176.00 643.52 449.34 194.18 934.00 674.00
914.00 674.00 240.00 722.66 449.34 273.32
Minor 739.00 674.00 65.00 520.42 449.34 71.08
856.34 449.34 407.00
: Both are Aged or Disabled:
le 1489.00 1011.00 478.00 1204.64 674.00 530.64 1657.00 1011.00
ouple-Both are Blind
le 1711.00 1011.00 700.00 1426.42 674.00 752.42
GED OR DISABLED: Couple-One is Blind, the other is Aged or Disabled
le 1628.00 1011.00 617.00 1342.40 674.00 668.40
le 1719.66 674.00 1045.66
Medi-Cal page 6-296. SSI Charts
Revised: 01/03/20
IndependHouseho (e.g. grandparents)*NMHOC**RMA =***An AB me of any kind, there may be deeming.
NO AL BENEFIT RATE (FBR)
TO DUAL
Boa Blind or Disabled $674.00
CarSup
LE
PerInc
Blind or Disabled $1011.00
angement ties **(RMA)
Nonmedical Board and Care
SSP TotalSSI(FBR)
SSP
Handbook
Update # 20-01
ent living arrangements for a disabled minor means living in the home of his/her parents.ld of another means both the disabled minor and his/her parents live in the household of someone else = Nonmedical out-of-home care living in household of relative with in-kind room and board.
Restaurant Meals AllowanceD person with an ineligible spouse gets the rate for an “individual”. If the other 1/2 of the couple has inco
Table 15: July 1, 2009 Through December 31, 2009
NMEDICAL BOARD AND CARE FEDER
Minimum Maximum
TAL $1086.00 $1086.00 INDIVI
rd and Room 466.00 466.00 Aged,
e and ervision
400.00 495.00 COUP
sonal and idental Needs
125.00 220.00 Aged,
Table 14: July 1, 2009Through December 31, 2009
Independent Living Arrangement
Household of Another with In-Kind Room & Board
Independent Living ArrWithout Cooking Facili
TotalSSI(FBR)
SSP TotalSSI(FBR)
SSP TotalSSI(FBR)
Revised: 01/0
page 6-3 Medi-Cal Handbook6. SSI Ch
6.11
angement ties **(RMA)
Nonmedical Board and Care
SSP TotalSSI(FBR)
SSP
***INDIV
Aged or 280.00 1086.00 674.00 412.00
Blind 1086.00 674.00 412.00
Disabled 1086.00 674.00 412.00
*NMOHC
COUPLE
Per Coup 681.00 2172.00 1011.00 1161.00
BLIND: C
Per Coup 2172.00 1011.00 1161.00
BLIND/A
Per Coup 2172.00 1011.00 1161.00
3/20 Update #19-01
0arts
SSI/SSP Payment Standards (MAY 2009)
Table 16: May 1, 2009 Through June 30, 2009
Independent Living Arrangement
Household of Another with In-Kind Room & Board
Independent Living ArrWithout Cooking Facili
TotalSSI(FBR)
SSP TotalSSI(FBR)
SSP TotalSSI(FBR)
IDUAL
Disabled 870.00 674.00 196.00 658.67 449.34 209.33 954.00 674.00
935.00 674.00 261.00 739.67 449.34 290.33
Minor 756.00 674.00 82.00 532.67 449.34 83.33
856.34 449.34 407.00
: Both are Aged or Disabled:
le 1524.00 1011.00 513.00 1233.00 674.00 559.00 1692.00 1011.00
ouple-Both are Blind
le 1751.00 1011.00 740.00 1460.00 674.00 786.00
GED OR DISABLED: Couple-One is Blind, the other is Aged or Disabled
le 1666.00 1011.00 655.00 1374.00 674.00 700.00
Medi-Cal page 6-316. SSI Charts
Revised: 01/03/20
*NMOHC
Per Coup
IndependHouseho (e.g. grandparents)*NMHOC**RMA =***An AB me of any kind, there may be deeming.
NO AL BENEFIT RATE (FBR)
TO DUAL
Boa Blind or Disabled $674.00
CarSup
LE
PerInc
Blind or Disabled $1011.00
angement ties **(RMA)
Nonmedical Board and Care
SSP TotalSSI(FBR)
SSP
Handbook
Update # 20-01
le 1719.66 674.00 1045.66
ent living arrangements for a disabled minor means living in the home of his/her parents.ld of another means both the disabled minor and his/her parents live in the household of someone else = Nonmedical out-of-home care living in household of relative with in-kind room and board.
Restaurant Meals AllowanceD person with an ineligible spouse gets the rate for an “individual”. If the other 1/2 of the couple has inco
Table 17: May 1, 2009 Through June 30, 2009
NMEDICAL BOARD AND CARE FEDER
Minimum Maximum
TAL $1086.00 $1086.00 INDIVI
rd and Room 466.00 466.00 Aged,
e and ervision
400.00 495.00 COUP
sonal and idental Needs
125.00 220.00 Aged,
Table 16: May 1, 2009 Through June 30, 2009
Independent Living Arrangement
Household of Another with In-Kind Room & Board
Independent Living ArrWithout Cooking Facili
TotalSSI(FBR)
SSP TotalSSI(FBR)
SSP TotalSSI(FBR)
Revised: 01/0
page 6-3 Medi-Cal Handbook6. SSI Ch
6.12
angement ties **(RMA)
Nonmedical Board and Care
SSP TotalSSI(FBR)
SSP
***INDIV
Aged or 317.00 1086.00 674.00 412.00
Blind 1086.00 674.00 412.00
Disabled 1086.00 674.00 412.00
*NMOHC
COUPLE
Per Coup 736.00 2172.00 1011.00 1142.00
BLIND: C
Per Coup 2172.00 1011.00 1142.00
BLIND/A
Per Coup 2172.00 1011.00 1142.00
3/20 Update #19-01
2arts
Prior SSI/SSP Payment Standards
Table 18: January 1, 2009 Through April 30, 2009
Independent Living Arrangement
Household of Another with In-Kind Room & Board
Independent Living ArrWithout Cooking Facili
TotalSSI(FBR)
SSP TotalSSI(FBR)
SSP TotalSSI(FBR)
IDUAL
Disabled 907.00 674.00 233.00 683.34 449.34 234.00 991.00 674.00
972.00 674.00 298.00 764.34 449.34 315.00
Minor 793.00 674.00 119.00 557.34 449.34 108.00
856.34 449.34 407.00
: Both are Aged or Disabled:
le 1579.00 1011.00 568.00 1269.66 674.00 595.66 1747.00 1011.00
ouple-Both are Blind
le 1806.00 1011.00 795.00 1496.66 674.00 822.66
GED OR DISABLED: Couple-One is Blind, the other is Aged or Disabled
le 1721.00 1011.00 710.00 1410.66 674.00 736.66
Medi-Cal page 6-336. SSI Charts
Revised: 01/03/20
*NMOHC
Per Coup
IndependHouseho (e.g. grandparents)*NMHOC**RMA =***An AB me of any kind, there may be deeming.
NO AL BENEFIT RATE (FBR)
TOT DUAL
Boa lind or Disabled $674.00
CarSup
E
PerInci
lind or Disabled $1011.00
angement ties **(RMA)
Nonmedical Board and Care
SSP TotalSSI(FBR)
SSP
Handbook
Update # 20-01
le 1719.66 674.00 1045.66
ent living arrangements for a disabled minor means living in the home of his/her parents.ld of another means both the disabled minor and his/her parents live in the household of someone else = Nonmedical out-of-home care living in household of relative with in-kind room and board.
Restaurant Meals AllowanceD person with an ineligible spouse gets the rate for an “individual”. If the other 1/2 of the couple has inco
Table 19: January 1, 2009 Through April 30, 2009
NMEDICAL BOARD AND CARE FEDER
Minimum Maximum
AL $1086.00 $1086.00 INDIVI
rd and Room 466.00 466.00 Aged, B
e and ervision
400.00 495.00 COUPL
sonal and dental Needs
125.00 220.00 Aged, B
Table 18: January 1, 2009 Through April 30, 2009
Independent Living Arrangement
Household of Another with In-Kind Room & Board
Independent Living ArrWithout Cooking Facili
TotalSSI(FBR)
SSP TotalSSI(FBR)
SSP TotalSSI(FBR)
Revised: 01/0
page 6-3 Medi-Cal Handbook6. SSI Ch
6.13
8
angement ties **(RMA)
Nonmedical Board and Care
SSP TotalSSI(FBR)
SSP
***INDIV
Aged or 317.00 1049.00 637.00 412.00
Blind 1049.00 637.00 412.00
Disabled 1049.00 637.00 412.00
*NMOHC
COUPLE
Per Coup 736.00 2098.00 956.00 1142.00
BLIND: C
Per Coup 2098.00 956.00 1142.00
BLIND/A
Per Coup 2098.00 956.00 1142.00
*NMOHC
Per Coup
3/20 Update #19-01
4arts
Prior SSI/SSP Payment Standards
Table 20: January 1, 2008 Through December 31, 200
Independent Living Arrangement
Household of Another with In-Kind Room & Board
Independent Living ArrWithout Cooking Facili
TotalSSI(FBR)
SSP TotalSSI(FBR)
SSP TotalSSI(FBR)
IDUAL
Disabled 870.00 637.00 233.00 658.67 424.67 234.00 954.00 637.00
935.00 637.00 298.00 739.67 424.67 315.00
Minor 756.00 637.00 119.00 532.67 424.67 108.00
831.67 424.67 407.00
: Both are Aged or Disabled:
le 1524.00 956.00 568.00 1233.00 637.34 595.66 1692.00 956.00
ouple-Both are Blind
le 1751.00 956.00 795.00 1460.00 637.34 822.66
GED OR DISABLED: Couple-One is Blind, the other is Aged or Disabled
le 1666.00 956.00 710.00 1374.00 637.34 736.66
le 1683.00 637.34 1045.66
Medi-Cal page 6-356. SSI Charts
Revised: 01/03/20
IndependHouseho (e.g. grandparents)*NMHOC**RMA =***An AB me of any kind, there may be deeming.
8
NO RAL BENEFIT RATE (FBR)
TO IDUAL
Bo Blind or Disabled $637.00
CaSu
LE
PeInc
Blind or Disabled $956.00
8
angement ties **(RMA)
Nonmedical Board and Care
SSP TotalSSI(FBR)
SSP
Handbook
Update # 20-01
ent living arrangements for a disabled minor means living in the home of his/her parents.ld of another means both the disabled minor and his/her parents live in the household of someone else = Nonmedical out-of-home care living in household of relative with in-kind room and board.
Restaurant Meals AllowanceD person with an ineligible spouse gets the rate for an “individual”. If the other 1/2 of the couple has inco
Table 21: January 1, 2008 Through December 31, 200
NMEDICAL BOARD AND CARE FEDE
Minimum Maximum
TAL $1049.00 $1049.00 INDIV
ard and Room 450.00 450.00 Aged,
re and pervision
386.00 478.00 COUP
rsonal and idental Needs
121.00 213.00 Aged,
Table 20: January 1, 2008 Through December 31, 200
Independent Living Arrangement
Household of Another with In-Kind Room & Board
Independent Living ArrWithout Cooking Facili
TotalSSI(FBR)
SSP TotalSSI(FBR)
SSP TotalSSI(FBR)
Revised: 01/0
page 6-3 Medi-Cal Handbook6. SSI Ch
7
angement ties **(RMA)
Nonmedical Board and Care
SSP TotalSSI(FBR)
SSP
***INDIV
Aged or 317.00 1035.00 623.00 412.00
Blind 1035.00 623.00 412.00
Disabled 1035.00 623.00 412.00
*NMOHC
COUPLE
Per Coup 736.00 2070.00 934.00 1136.00
BLIND: C
Per Coup 2070.00 934.00 1136.00
BLIND/A
Per Coup 2070.00 934.00 1136.00
*NMOHC
Per Coup
3/20 Update #19-01
6arts
Table 22: January 1, 2007 Through December 31, 200
Independent Living Arrangement
Household of Another with In-Kind Room & Board
Independent Living ArrWithout Cooking Facili
TotalSSI(FBR)
SSP TotalSSI(FBR)
SSP TotalSSI(FBR)
IDUAL
Disabled 856.00 623.00 233.00 649.34 415.34 234.00 940.00 623.00
921.00 623.00 298.00 730.34 415.34 315.00
Minor 742.00 623.00 119.00 523.34 415.34 108.00
822.34 415.34 407.00
: Both are Aged or Disabled:
le 1502.00 934.00 568.00 1218.33 622.67 595.66 1670.00 934.00
ouple-Both are Blind
le 1729.00 934.00 795.00 1445.33 622.67 822.66
GED OR DISABLED: Couple-One is Blind, the other is Aged or Disabled
le 1644.00 934.00 710.00 1359.33 622.67 736.66
le 1668.33 622.67 1045.66
Medi-Cal page 6-376. SSI Charts
Revised: 01/03/20
IndependHouseho (e.g. grandparents)*NMHOC**RMA =***An AB me of any kind, there may be deeming.
7
NO RAL BENEFIT RATE (FBR)
TO IDUAL
Bo Blind or Disabled $623.00
CaSu
LE
PeInc
Blind or Disabled $934.00
7
angement ties **(RMA)
Nonmedical Board and Care
SSP TotalSSI(FBR)
SSP
Handbook
Update # 20-01
ent living arrangements for a disabled minor means living in the home of his/her parents.ld of another means both the disabled minor and his/her parents live in the household of someone else = Nonmedical out-of-home care living in household of relative with in-kind room and board.
Restaurant Meals AllowanceD person with an ineligible spouse gets the rate for an “individual”. If the other 1/2 of the couple has inco
Table 23: January 1, 2006 Through December 31, 200
NMEDICAL BOARD AND CARE FEDE
Minimum Maximum
TAL $1035.00 $1035.00 INDIV
ard and Room 444.00 444.00 Aged,
re and pervision
381.00 472.00 COUP
rsonal and idental Needs
210.00 119.00 Aged,
Table 22: January 1, 2007 Through December 31, 200
Independent Living Arrangement
Household of Another with In-Kind Room & Board
Independent Living ArrWithout Cooking Facili
TotalSSI(FBR)
SSP TotalSSI(FBR)
SSP TotalSSI(FBR)
Revised: 01/0
page 6-3 Medi-Cal Handbook6. SSI Ch
angement ties **(RMA)
Nonmedical Board and Care
SSP TotalSSI(FBR)
SSP
***INDIV
Aged or 293.00 1015.00 603.00 412.00
Blind 1015.00 603.00 412.00
Disabled 1015.00 603.00 412.00
*NMOHC
COUPLE
Per Coup 701.00 2030.00 904.00 1126.00
BLIND: C
Per Coup 2030.00 904.00 1126.00
BLIND/A
Per Coup 2030.00 904.00 1126.00
*NMOHC
Per Coup
3/20 Update #19-01
8arts
Table 24: January 1, 2006 Through March 31, 2006
Independent Living Arrangement
Household of Another with In-Kind Room & Board
Independent Living ArrWithout Cooking Facili
TotalSSI(FBR)
SSP TotalSSI(FBR)
SSP TotalSSI(FBR)
IDUAL
Disabled 812.00 603.00 209.00 620.00 402.00 218.00 896.00 603.00
877.00 603.00 274.00 701.00 402.00 299.00
Minor 698.00 603.00 95.00 494.00 402.00 92.00
809.00 402.00 407.00
: Both are Aged or Disabled:
le 1437.00 904.00 533.00 1175.00 602.62 572.33 1605.00 904.00
ouple-Both are Blind
le 1664.00 904.00 760.00 1402.00 602.67 799.33
GED OR DISABLED: Couple-One is Blind, the other is Aged or Disabled
le 1579.00 904.00 675.00 1316.00 602.67 713.33
le 1648.33 602.67 1045.66
Medi-Cal page 6-396. SSI Charts
Revised: 01/03/20
IndependHouseho (e.g. grandparents)*NMHOC**RMA =***An AB me of any kind, there may be deeming.
NO RAL BENEFIT RATE (FBR)
TO IDUAL
Bo Blind or Disabled $603.00
CaSu
LE
PeInc
Blind or Disabled $904.00
angement ties **(RMA)
Nonmedical Board and Care
SSP TotalSSI(FBR)
SSP
Handbook
Update # 20-01
ent living arrangements for a disabled minor means living in the home of his/her parents.ld of another means both the disabled minor and his/her parents live in the household of someone else = Nonmedical out-of-home care living in household of relative with in-kind room and board.
Restaurant Meals AllowanceD person with an ineligible spouse gets the rate for an “individual”. If the other 1/2 of the couple has inco
Table 25: January 1, 2006 Through March 31, 2006
NMEDICAL BOARD AND CARE FEDE
Minimum Maximum
TAL $1015.00 $1015.00 INDIV
ard and Room 435.00 435.00 Aged,
re and pervision
374.00 463.00 COUP
rsonal and idental Needs
117.00 206.00 Aged,
Table 24: January 1, 2006 Through March 31, 2006
Independent Living Arrangement
Household of Another with In-Kind Room & Board
Independent Living ArrWithout Cooking Facili
TotalSSI(FBR)
SSP TotalSSI(FBR)
SSP TotalSSI(FBR)
Revised: 01/0
page 6-4 Medi-Cal Handbook6. SSI Ch
angement ties **(RMA)
Nonmedical Board and Care
SSP TotalSSI(FBR)
SSP
***INDIV
Aged or 317.00 1015.00 603.00 412.00
Blind 1015.00 603.00 412.00
Disabled 1015.00 603.00 412.00
*NMOHC
COUPLE
Per Coup 736.00 2030.00 904.00‘ 1126.00
BLIND: C
Per Coup 2030.00 904.00‘ 1126.00
BLIND/A
Per Coup 2030.00 904.00‘ 1126.00
*NMOHC
Per Coup
3/20 Update #19-01
0arts
Table 26: April 1, 2006 Through December 31, 2006
Independent Living Arrangement
Household of Another with In-Kind Room & Board
Independent Living ArrWithout Cooking Facili
TotalSSI(FBR)
SSP TotalSSI(FBR)
SSP TotalSSI(FBR)
IDUAL
Disabled 836.00 603.00 233.00 636.00 402.00 234.00 920.00 603.00
901.00 603.00 298.00 717.00 402.00 315.00
Minor 722.00 603.00 119.00 510.00 402.00 108.00
809.00 402.00 407.00
: Both are Aged or Disabled:
le 1472.00 904.00 568.00 1198.33 602.67 595.66 1640.00 904.00
ouple-Both are Blind
le 1699.00 904.00 795.00 1425.33 602.67 822.66
GED OR DISABLED: Couple-One is Blind, the other is Aged or Disabled
le 1614.00 904.00 710.00 1339.33 602.67 736.66
le 1648.33 602.67 1045.66
Medi-Cal page 6-416. SSI Charts
Revised: 01/03/20
IndependHouseho (e.g. grandparents)*NMHOC**RMA =***An AB me of any kind, there may be deeming.
NO RAL BENEFIT RATE (FBR)
TO IDUAL
Boa Blind or Disabled $603.00
CaSup
LE
PeInc
Blind or Disabled $904.00
angement ties **(RMA)
Nonmedical Board and Care
SSP TotalSSI(FBR)
SSP
Handbook
Update # 20-01
ent living arrangements for a disabled minor means living in the home of his/her parents.ld of another means both the disabled minor and his/her parents live in the household of someone else = Nonmedical out-of-home care living in household of relative with in-kind room and board.
Restaurant Meals AllowanceD person with an ineligible spouse gets the rate for an “individual”. If the other 1/2 of the couple has inco
Table 27: April 1, 2006 Through December 31, 2006
NMEDICAL BOARD AND CARE FEDE
Minimum Maximum
TAL $1015.00 $1015.00 INDIV
rd and Room 435.00 435.00 Aged,
re and ervision
374.00 463.00 COUP
rsonal and idental Needs
117.00 206.00 Aged,
Table 26: April 1, 2006 Through December 31, 2006
Independent Living Arrangement
Household of Another with In-Kind Room & Board
Independent Living ArrWithout Cooking Facili
TotalSSI(FBR)
SSP TotalSSI(FBR)
SSP TotalSSI(FBR)
Revised: 01/0
page 6-4 Medi-Cal Handbook6. SSI Ch
angement ties **(RMA)
Nonmedical Board and Care
SSP TotalSSI(FBR)
SSP
***INDIV
Aged or 308.00 979.00 579.00 400.00
Blind 979.00 579.00 400.00
Disabled 979.00 579.00 400.00
*NMOHC
COUPLE
Per Coup 717.00 1958.00 869.00 1089.00
BLIND: C
Per Coup 1958.00 869.00 1089.00
BLIND/A
Per Coup 1958.00 869.00 1089.00
*NMOHC
Per Coup
3/20 Update #19-01
2arts
Table 28: January 1, 2005 Through March 31, 2005
Independent Living Arrangement
Household of Another with In-Kind Room & Board
Independent Living ArrWithout Cooking Facili
TotalSSI(FBR)
SSP TotalSSI(FBR)
SSP TotalSSI(FBR)
IDUAL
Disabled 805.00 579.00 226.00 613.00 386.00 227.00 887.00 579.00
869.00 579.00 290.00 692.00 386.00 306.00
Minor 694.00 579.00 115.00 491.00 386.00 105.00
782.00 386.00 396.00
: Both are Aged or Disabled:
le 1422.00 869.00 553.00 1158.67 579.34 579.33 1586.00 869.00
ouple-Both are Blind
le 1642.00 869.00 773.00 1379.67 579.34 800.33
GED OR DISABLED: Couple-One is Blind, the other is Aged or Disabled
le 1560.00 869.00 691.00 1295.67 579.34 716.33
le 1596.67 579.34 1017.33
Medi-Cal page 6-436. SSI Charts
Revised: 01/03/20
IndependHouseho (e.g. grandparents)*NMHOC**RMA =***An AB me of any kind, there may be deeming.
NO RAL BENEFIT RATE (FBR)
TO IDUAL
Boa Blind or Disabled $579.00
CaSup
LE
PeInc
Blind or Disabled $869.00
angement ties **(RMA)
Nonmedical Board and Care
SSP TotalSSI(FBR)
SSP
Handbook
Update # 20-01
ent living arrangements for a disabled minor means living in the home of his/her parents.ld of another means both the disabled minor and his/her parents live in the household of someone else = Nonmedical out-of-home care living in household of relative with in-kind room and board.
Restaurant Meals AllowanceD person with an ineligible spouse gets the rate for an “individual”. If the other 1/2 of the couple has inco
Table 29: January 1, 2005 Through March 31, 2005
NMEDICAL BOARD AND CARE FEDE
Minimum Maximum
TAL $979.00 $979.00 INDIV
rd and Room 420.00 420.00 Aged,
re and ervision
360.00 446.00 COUP
rsonal and idental Needs
199.00 113.00 Aged,
Table 28: January 1, 2005 Through March 31, 2005
Independent Living Arrangement
Household of Another with In-Kind Room & Board
Independent Living ArrWithout Cooking Facili
TotalSSI(FBR)
SSP TotalSSI(FBR)
SSP TotalSSI(FBR)
Revised: 01/0
page 6-4 Medi-Cal Handbook6. SSI Ch
angement ties **(RMA)
Nonmedical Board and Care
SSP TotalSSI(FBR)
SSP
***INDIV
Aged or 317.00 991.00 579.00 412.00
Blind 991.00 579.00 412.00
Disabled 991.00 579.00 412.00
*NMOHC
COUPLE
Per Coup 736.00 1982.00 869.00‘ 1113.00
BLIND: C
Per Coup 1982.00 869.00 1113.00
BLIND/A
Per Coup 1982.00 869.00 1113.00
*NMOHC
Per Coup
3/20 Update #19-01
4arts
Table 30: April 1, 2005 Through December 31, 2005
Independent Living Arrangement
Household of Another with In-Kind Room & Board
Independent Living ArrWithout Cooking Facili
TotalSSI(FBR)
SSP TotalSSI(FBR)
SSP TotalSSI(FBR)
IDUAL
Disabled 812.00 579.00 233.00 620.00 386.00 234.00 896.00 579.00
877.00 579.00 298.00 701.00 386.00 315.00
Minor 698.00 579.00 119.00 494.00 386.00 108.00
793.00 386.00 407.00
: Both are Aged or Disabled:
le 1437.00 869.00 568.00 1175.00 579.34 595.66 1605.00 869.00
ouple-Both are Blind
le 1664.00 869.00 795.00 1402.00 579.34 822.66
GED OR DISABLED: Couple-One is Blind, the other is Aged or Disabled
le 1579.00 869.00 710.00 1316.00 579.34 736.66
le 1625.00 579.34 1045.66
Medi-Cal page 6-456. SSI Charts
Revised: 01/03/20
IndependHouseho (e.g. grandparents)*NMHOC**RMA =***An AB me of any kind, there may be deeming.
NO RAL BENEFIT RATE (FBR)
TO IDUAL
Boa Blind or Disabled $579.00
CaSup
LE
PeInc
Blind or Disabled $869.00
angement ties **(RMA)
Nonmedical Board and Care
SSP TotalSSI(FBR)
SSP
Handbook
Update # 20-01
ent living arrangements for a disabled minor means living in the home of his/her parents.ld of another means both the disabled minor and his/her parents live in the household of someone else = Nonmedical out-of-home care living in household of relative with in-kind room and board.
Restaurant Meals AllowanceD person with an ineligible spouse gets the rate for an “individual”. If the other 1/2 of the couple has inco
Table 31: April 1, 2005 Through December 31, 2005
NMEDICAL BOARD AND CARE FEDE
Minimum Maximum
TAL $991.00 $991.00 INDIV
rd and Room 425.00 425.00 Aged,
re and ervision
365.00 452.00 COUP
rsonal and idental Needs
201.00 114.00 Aged,
Table 30: April 1, 2005 Through December 31, 2005
Independent Living Arrangement
Household of Another with In-Kind Room & Board
Independent Living ArrWithout Cooking Facili
TotalSSI(FBR)
SSP TotalSSI(FBR)
SSP TotalSSI(FBR)
Revised: 01/0
page 6-4 Medi-Cal Handbook6. SSI Ch
Cooking Nonmedical Board and Care
SSP TotalSSI (FBR)
SSP
INDIVIDU
Aged or Disabled
291.00 724.00 422.00 302.00
Blind — 724.00 422.00 302.00
Disabled Minor
— 724.00 422.00 302.00
COUPLE
Aged or D
• per cou 693.00 1441.00 633.00 808.00
• per per 346.50 720.50 316.50 404.00
BLIND:
• per cou — 1441.00 633.00 808.00
• per per — 720.50 316.50 404.00
3/20 Update #19-01
6arts
Table 32: SSI/SSP Payment Standards January 1, 1992 — December 31, 1992
Independent Living Arrangements
Household of AnotherIndependent Living Arrangement WithoutFacilities
TotalSSI (FBR)
SSP TotalSSI (FBR)
SSP TotalSSI (FBR)
AL:
645.00 422.00 223.00 511.34 281.34 230.00 713.00 422.00
719.00 422.00 297.00 585.34 281.34 304.00 — —
514.00 422.00 92.00 380.34 281.34 99.00 — —
:
isabled
ple 1190.00 633.00 557.00 989.33 422.00 567.33 1326.00 633.00
son 595.00 316.50 278.50 494.66 211.00 283.66 663.00 316.50
ple 1395.00 633.00 762.00 1194.33 422.00 772.33 — —
son 697.50 316.50 381.00 597.16 211.00 366.16 — —
Medi-Cal page 6-476. SSI Charts
Revised: 01/03/20
BLIND/A
• per cou — 1441.00 633.00 808.00
• per per — 720.50 316.50 404.00
Nonmedi
l Benefit Rate (FBR)
TOTAL ual:
Board and lind, or Disabled $422.00
Care and :
Personal lind, or Disabled $633.00
* Ind er is used if both the disabled minor and his/her par
Cooking Nonmedical Board and Care
SSP TotalSSI (FBR)
SSP
Handbook
Update # 20-01
GED OR DISABLED:
ple 1318.00 633.00 685.00 1117.33 422.00 695.33 — —
son 659.00 316.50 342.50 558.66 211.00 347.66 — —
Table 33: SSI/SSP Payment Standards January 1, 1992 — December 31, 1992
cal Board and Care
Minimum Maximum Federa
$724.00 $724.00 Individ
Room 309.00 309.00 Aged, B
Supervision 266.00 330.00 Couple
And Incidental Needs 85.00 149.00 Aged, B
ependent living arrangement for a disabled minor means living in the home of his/her parents. Household of anothent(s) live in the household of someone else, i.e., grandparents, etc.
Table 32: SSI/SSP Payment Standards January 1, 1992 — December 31, 1992 (Continued)
Independent Living Arrangements
Household of AnotherIndependent Living Arrangement WithoutFacilities
TotalSSI (FBR)
SSP TotalSSI (FBR)
SSP TotalSSI (FBR)
Revised: 01/0
page 6-4 Medi-Cal Handbook6. SSI Ch
Cooking Nonmedical Board and Care
SSP TotalSSI (FBR)
SSP
INDIVIDU
Aged or Disabled
254.00 736.00 434.00 302.00
Blind — 736.00 434.00 302.00
Disabled Minor
— 736.00 434.00 302.00
NMOHC
COUPLE
• per cou 624.00 1460.00 652.00 808.00
• per per 312.00 730.00 326.00 404.00
BLIND: C
• per cou — 1460.00 652.00 808.00
• per per — 730.00 326.00 404.00
BLIND/A
• per cou — 1460.00 652.00 808.00
3/20 Update #19-01
8arts
Table 34: SSI/SSP Payment Standards January 1, 1993 — August 31, 1993
Independent Living Arrangement
Household of AnotherIndependent Living Arrangement WithoutFacilities
TotalSSI (FBR)
SSP TotalSSI (FBR)
SSP TotalSSI (FBR)
AL:
620.00 434.00 186.00 490.00 289.34 200.66 688.00 434.00
689.00 434.00 255.00 559.00 289.34 269.66 — —
497.40 434.00 63.40 366.00 289.34 76.66 — —
598.34 289.34 309.00
: Both are Aged or Disabled:
ple 1140.00 652.00 488.00 944.67 434.67 510.00 1267.00 652.00
son 570.00 326.00 244.00 472.34 217.34 255.00 638.00 326.00
ouple - Both are Blind:
ple 1333.00 652.00 681.00 1137.67 434.67 703.00 — —
son 666.50 326.00 340.50 568.84 217.34 351.50 — —
GED OR DISABLED: Couple - One is Blind, the Other is Aged or Disabled:
ple 1261.00 652.00 609.00 1065.67 434.67 631.00 — —
Medi-Cal page 6-496. SSI Charts
Revised: 01/03/20
• per per — 730.00 326.00 404.00
NMOHC
• per cou
• per per
NOTE: N
Nonmed nefit Rate (FBR)
TOTAL
Board an d, or Disabled $434.00
Care and
Personal d, or Disabled $652.00
Ind r is used if both the disabled minor and his/her pa
Cooking Nonmedical Board and Care
SSP TotalSSI (FBR)
SSP
Handbook
Update # 20-01
son 630.50 326.00 304.50 532.84 217.34 315.50 — —
ple 1253.00 434.67 818.33
son 626.50 217.34 409.17
MOHC = Non-Medical Out-of-Home Care, recipients excluded from reduction.
ical Board and Care Federal Be
Minimum Maximum
$736.00 $736.00 Individual:
d Room 314.00 314.00 Aged, Blin
Supervision 271.00 336.00 Couple:
and Incidental Needs 86.00 151.00 Aged, Blin
ependent living arrangement for a disabled minor means living in the home of his/her parents. Household of anotherent(s) live in the household of someone else, i.e., grandparents, etc.
Table 34: SSI/SSP Payment Standards January 1, 1993 — August 31, 1993 (Continued)
Independent Living Arrangement
Household of AnotherIndependent Living Arrangement WithoutFacilities
TotalSSI (FBR)
SSP TotalSSI (FBR)
SSP TotalSSI (FBR)
Revised: 01/0
page 6-5 Medi-Cal Handbook6. SSI Ch
NMOHC
out Nonmedical Board and Care
Program SSP Total SSI SSP
Individua
Aged or D 237.40 736.00 434.00 302.00
Blind -- 736.00 434.00 302.00
Disabled M -- 736.00 434.00 302.00
NMOHC
COUPLE:
• per cou 593.22 1460.00 652.00 808.00
• per per 296.61 730.00 326.00 404.00
BLIND: C
• per cou -- 1460.00 652.00 808.00
• per per -- 730.00 326.00 404.00
BLIND/AG
• per cou -- 1460.00 652.00 808.00
3/20 Update #19-01
0arts
Table 35: SSI/SSP Payment Standards September 1, 1993 — December 31, 1993
Reduced Needs Restaurant Meals
Independent Living Arrangements
Household of AnotherIndependent LivingArrangement WithCooking Facilities
Total SSI SSP Total SSI SSP Total SSI
l
isabled 603.40 434.00 169.40 476.77 289.34 187.43 671.40 434.00
670.40 434.00 236.40 543.91 289.34 254.57 -- --
inor 497.40 434.00 63.40 356.17 289.34 66.83 -- --
598.34 289.34 309.00
Both are Aged or Disabled:
ple 1109.22 652.00 457.22 919.16 434.67 484.49 1245.22 652.00
son 554.61 326.00 228.61 459.58 217.34 242.24 622.61 326.00
ouple - Both are Blind:
ple 1297.01 652.00 645.01 1106.95 434.67 672.28 -- --
son 613.48 326.00 287.48 518.45 217.34 301.11 -- --
ED OR DISABLED: Couple - One is Blind, the Other is Aged or Disabled:
ple 1226.95 652.00 574.95 1036.90 434.67 602.23 -- --
Medi-Cal page 6-516. SSI Charts
Revised: 01/03/20
• per per -- 730.00 326.00 404.00
NMOHC
• per cou
• per per
NO TITLE XIX MEDICAL FACILITY
Tota Total $42
Boa SSI 30
Car SSP 12
Per NOTE: NMOHC recipients excluded from reduction.
)
NMOHC
out Nonmedical Board and Care
Program SSP Total SSI SSP
Handbook
Update # 20-01
son 613.48 326.00 287.48 518.45 217.34 301.11 -- --
ple 1253.00 434.67 818.33
son 626.50 217.34 409.16
Table 6-1:
N-MEDICAL BOARD AND CARE
l $736 $736
rd and Room 314 314
e and Supervision Minimum 336 Maximum 336
sonal and Incidental Needs Maximum 86 Minimum 86
Table 35: SSI/SSP Payment Standards September 1, 1993 — December 31, 1993 (Continued
Reduced Needs Restaurant Meals
Independent Living Arrangements
Household of AnotherIndependent LivingArrangement WithCooking Facilities
Total SSI SSP Total SSI SSP Total SSI
Revised: 01/0
page 6-5 Medi-Cal Handbook6. SSI Ch
EALS NMHOC
ing ithout es
Non-Medical Board and Care
Program SSP Total SSI SSP
INDIVIDU
Aged or D 00 225.40 748.00 446.00 302.00
Blind -- -- 748.00 446.00 302.00
Disabled M -- -- 748.00 446.00 302.00
NMOHC
COUPLE:
Per Coupl 00 576.22 1,477.00 669.00 808.00
BLIND: C
Per Coupl -- -- 1,477.00 669.00 808.00
BLIND/AG
Per Coupl -- 1,477.00 669.00 808.00
*NMOHC
per couple
3/20 Update #19-01
2arts
Table 36: SSI/SSP Payment Standards January 1, 1994 — August 31, 1994
REDUCED NEEDS RESTAURANT M
Independent Living Arrangements
Household of AnotherIndependent LivArrangement WCooking Faciliti
Total SSI SSP Total SSI SSP Total SSI
AL
isabled 603.40 446.00 157.40 476.77 297.34 179.43 671.40 446.
670.40 446.00 224.40 541.91 297.34 246.57 --
inor 509.40 446.00 63.40 364.17 297.34 66.83 --
606.34 297.34 309.00
Both are Aged or Disabled:
e 1,109.22 669.00 440.22 919.82 446.00 473.82 1,245.22 669.
ouple - Both are Blind
e 1,297.01 669.00 628.01 1,106.61 446.00 660.61 --
ED OR DISABLED: Couple - One is Blind, the Other is Disabled
e 1,297.01 669.00 628.01 1,106.61 446.00 660.61 -- --
1,264.33 446.00 818.33
Medi-Cal page 6-536. SSI Charts
Revised: 01/03/20
$748
319
341
88
Handbook
Update # 20-01
Table 6-2:
NON-MEDICAL BOARD AND CARE
Total $748
Board and Room 319
Care and Supervision Minimum 275 Maximum
Personal and Incidental Needs Maximum 154 Minimum
Table 6-3:
TITLE XIX MEDICAL FACILITY
Total $42
SSI 30
SSP 12
NOTE: NMOHC recipients excluded from reduction.
Revised: 01/0
page 6-5 Medi-Cal Handbook6. SSI Ch
ut Non-Medical Board and Care
SSP TOTALSSI (FBR)
SSP
INDIVIDU
Aged or D 224.40 748.00 446.00 302.00
Blind 748.00 446.00 302.00
Disabled 778.00 446.00 302.00
NMOHC
COUPLE
AGED O
per coup 507.71 1477.00 669.00 808.00
BLIND —
per coup 1477.00 669.00 808.00
BLIND/A
per coup 1477.00 669.00 808.00
NMOHCper coup
3/20 Update #19-01
4arts
Table 37: SSI/SSP Payment StandardsSeptember 1, 1994 — December 31, 1994
Independent Living Arrangements
Household of Another
Independent Living Arrangement WithoCooking Facilities
TOTALSSI (FBR)
SSP TOTALSSI (FBR)
SSP TOTALSSI (FBR)
AL
isabled 604.40 446.00 156.40 465.80 297.34 168.46 670.40 446.00
657.40 446.00 211.40 531.40 297.34 234.06
Minor 509.40 446.00 63.40 364.17 297.34 66.83
606.34 297.34 309.00
R DISABLED — Both are Aged or Disabled
le 1083.71 669.00 414.71 898.66 446.00 452.66 1219.71 669.00
Both are blind
le 1267.00 669.00 598.18 1081.16 446.00 635.16
GED OR DISABLED — One is blind, the other is aged or disabled
le 1198.73 669.00 529.73 1012.72 446.00 566.72
le 1264.33 446.00 818.33
Medi-Cal page 6-556. SSI Charts
Revised: 01/03/20
Note: NM
NON-ME RATE (FBR)
TOTAL ed $446.00
Board an
Care and ed $669.00
PersonalNeeds
In r is used if both the disabled minor and his/her pa
ut Non-Medical Board and Care
SSP TOTALSSI (FBR)
SSP
Handbook
Update # 20-01
OHC = Nonmedical out of home care, recipients excluded from reduction.
DICAL BOARD AND CARE FEDERAL BENEFIT
Minimum Maximum INDIVIDUAL
$748.00 $748.00 Aged, Blind or Disabl
d Room 319.00 319.00 COUPLE
Supervision 275.00 Min. 341.00 Max. Aged, Blind or Disabl
and Incidental 154.00 Max. 88.00 Min.
dependent living arrangement for a disabled minor means living in the home of his/her parents. Household of anotherents live in the household of someone else, i.e. grandparents, etc.
Table 37: SSI/SSP Payment StandardsSeptember 1, 1994 — December 31, 1994
Independent Living Arrangements
Household of Another
Independent Living Arrangement WithoCooking Facilities
TOTALSSI (FBR)
SSP TOTALSSI (FBR)
SSP TOTALSSI (FBR)
Revised: 01/0
page 6-5 Medi-Cal Handbook6. SSI Ch
g out Non-Medical Board and Care
R) SSP Total SSI (FBR) SSP
INDIVIDUA
Aged or D 00 224.40 760.00 458.00 302.00
Blind 760.00 458.00 302.00
Disabled M 760.00 458.00 302.00
NMOHC
COUPLE
AGED OR
per couple 00 550.71 1520.00 687.00 833.00
BLIND —
per couple 1520.00 687.00 833.00
BLIND/AG
per couple 1520.00 687.00 833.00
NMOHCper couple
NOTE: NM
3/20 Update #19-01
6arts
Table 38: SSI/SSP Payment StandardsJanuary 1, 1995 — November 30, 1995
Independent Living Arrangements
Household of AnotherIndependent LivinArrangement WithCooking Facilities
Total SSI (FBR) SSP Total SSI (FBR) SSP Total SSI (FB
L
isabled 614.40 458.00 156.40 473.80 305.34 168.46 682.40 458.
669.40 458.00 211.40 539.40 305.34 234.06
inor 521.40 458.00 63.40 372.17 305.34 66.83
614.34 305.34 309.00
DISABLED — Both are Aged or Disabled
1101.71 687.00 414.71 910.02 458.00 452.02 1237.71 687.
Both are blind
1285.18 687.00 598.18 1093.49 458.00 635.49
ED OR DISABLED — One is blind, the other is aged or disabled
1216.73 687.00 529.73 1025.05 458.00 587.05
1276.33 458.00 818.33
OHC = Nonmedical out of home care, recipients excluded from reduction.
Revised: 01/0
page 6-5 Medi-Cal Handbook6. SSI Ch
NON-MED BENEFIT RATE (FBR)
L
TOTAL or Disabled 458.00
Board and E
Care and S or Disabled 687.00
Personal a
Indepe used if both the disabled minor and his/her par-ents
g out Non-Medical Board and Care
R) SSP Total SSI (FBR) SSP
3/20 Update #19-01
7arts
ICAL BOARD AND CARE FEDERAL
Minimum Maximum INDIVIDUA
760.00 760.00 Aged, Blind
Room 324.00 324.00 COUPL
upervision 279.00 Min. 347.00 Max. Aged, Blind
nd Incidental Needs 157.00 Max. 89.00 Min.
ndent living arrangement for a disabled minor means living in the home of his/her parents. Household of another is live in the household of someone else, i.e. grandparents, etc.
Table 38: SSI/SSP Payment StandardsJanuary 1, 1995 — November 30, 1995
Independent Living Arrangements
Household of AnotherIndependent LivinArrangement WithCooking Facilities
Total SSI (FBR) SSP Total SSI (FBR) SSP Total SSI (FB
Revised: 01/0
page 6-5 Medi-Cal Handbook6. SSI Ch
UT-OF-HOME CARE (NMOHC)b
IN-KIND
IN LICENSED FACILITY OR HOUSEHOLD OF RELATIVE WITHOUT IN-KIND ROOM & BOARD
SSP TOTAL SSI SSP
INDIVID
AGED O 4 309.00 760.00 458.00 302.00
without
facilities
- -- -- -- --
BLIND 4 309.00 760.00 458.00 302.00
DISABL
living wi
living wirelative guardian
4 309.00 760.00 458.00 302.00
COUPL
per coup 0 818.33 1,520.00 687.00 833.00
without
facilities
- -- -- -- --
3/20 Update #19-01
8arts
Table 39: SSI/SSP Payment Standards
December 1, 1995 — December 31, 1995a
INDEPENDENT LIVING REDUCED NEEDS NON-MEDICAL O
RESIDING IN OWN HOUSEHOLD
HOUSEHOLD OF ANOTHER WITH IN-KIND ROOM & BOARD
HOUSEHOLD OFRELATIVE WITH ROOM & BOARD
TOTAL SSI SSP TOTAL SSI SSP TOTAL SSI
UAL
R DISABLED 614.40 458.00 156.40 465.17 305.34 159.83 614.34 305.3
cooking
(RMA)c682.40 458.00 224.40 -- -- -- -- -
669.40 458.00 211.40 520.17 305.34 214.83 614.34 305.3
ED MINOR
th parent(s) 521.40 458.00 63.40 372.17 305.34 66.83
th non-parent or non-relative
614.34 305.3
E, AGED OR DISABLED
le 1,083.20 687.00 396.20 865.43 458.00 407.43 1,276.33 458.0
cooking
(RMA)d1,219.20 687.00 532.20 -- -- -- -- -
Revised: 01/0
page 6-5 Medi-Cal Handbook6. SSI Ch
COUPL
per coup 0 818.33 1,520.00 687.00 833.00
COUPL
per coup 0 818.33 1,520.00 687.00 833.00
a. CaTitTit
b. NMc. RMd. RM
UT-OF-HOME CARE (NMOHC)b
IN-KIND
IN LICENSED FACILITY OR HOUSEHOLD OF RELATIVE WITHOUT IN-KIND ROOM & BOARD
SSP TOTAL SSI SSP
3/20 Update #19-01
9arts
E, BLIND
le 1,230.20 687.00 543.20 1,039.91 458.00 581.91 1,276.33 458.0
E, BLIND/AGED OR DISABLED
le 1,174.20 687.00 487.20 974.82 458.00 516.82 1,276.33 458.0
tegories exempted from the 12/95 reduction were NMOHC, RMA and Title XIX Medical Facility.le XIX Medical Facility, INDIVIDUAL: total - $42; SSI - $30; SSP - $12. le XIX Medical Facility, COUPLE: total - $84; SSI - $60; SSP - $24. OHC - Non-Medical Out-Of-Home Care. Personal and Incidental Needs, maximum - $157; minimum - $89.A - Restaurant Meals AllowanceA - Restaurant Meals Allowance
Table 39: SSI/SSP Payment Standards
December 1, 1995 — December 31, 1995a
INDEPENDENT LIVING REDUCED NEEDS NON-MEDICAL O
RESIDING IN OWN HOUSEHOLD
HOUSEHOLD OF ANOTHER WITH IN-KIND ROOM & BOARD
HOUSEHOLD OFRELATIVE WITH ROOM & BOARD
TOTAL SSI SSP TOTAL SSI SSP TOTAL SSI
Revised: 01/0
page 6-6 Medi-Cal Handbook6. SSI Ch
out **(RMA)
Nonmedical Board and Care
SSP TotalSSI (FBR)
SSP
INDIVIDU
Aged or D 224.40 772.00 470.00 302.00
Blind 772.00 470.00 302.00
Disabled M 772.00 470.00 302.00
*NMOHC
COUPLE:
Per Coup 532.20 1544.00 705.00 839.00
BLIND: C
Per Coup 1544.00 705.00 839.00
BLIND/AG
Per Coup 1544.00 705.00 839.00
*NMOHC
Per Coup
3/20 Update #19-01
0arts
Table 40: SSI/SSP Payment StandardsJanuary 1, 1996 Through December 31, 1996
Independent Living Arrangement
Household of Another with In-Kind Room & Board
Independent LivingArrangement WithCooking Facilities
TotalSSI (FBR)
SSP TotalSSI (FBR)
SSP TotalSSI (FBR)
AL
isabled 626.40 470.00 156.40 473.17 313.34 159.83 694.40 470.00
681.40 470.00 211.40 528.17 313.34 214.83
inor 533.40 470.00 63.40 380.17 313.34 66.83
622.34 313.34 309.00
Both are Aged or Disabled:
le 1101.20 705.00 396.20 877.43 470.00 407.43 1237.20 705.00
ouple-Both are Blind
le 1248.20 705.00 543.20 1051.91 470.00 581.21
ED OR DISABLED: Couple-One is Blind, the other is Aged or Disabled
le 1192.20 705.00 487.20 986.82 470.00 516.82
le 1288.33 470.00 818.33
Revised: 01/0
page 6-6 Medi-Cal Handbook6. SSI Ch
d)
NONMED T RATE (FBR)
TOTAL $470.00
Board and
Care and Supervisio
$705.00
Personal aIncidental
Independe nother is used if both the disabled minor and his/her pa*NMHOC **RMA = R
3/20 Update #19-01
1arts
Table 41: SSI/SSP Payment StandardsJanuary 1, 1996 Through December 31, 1996 (Continue
ICAL BOARD AND CARE FEDERAL BENEFI
Minimum Maximum INDIVIUAL
$772.00 $772.00 Aged Blind or Disabled
Room 330.00 330.00 COUPLE
n283.00 Min. 352.00 Max. Aged, Blind or
Disabled
nd Needs
159.00 Max. 90.00 Min.
nt living arrangements for a disabled minor means living in the home of his/her parents. Household of arents live in the household of someone else, i.e., grandparents, etc.= Nonmedical out-of-home care living in household of relative with in-kind room and board.estaurant Meals Allowance
Revised: 01/0
page 6-6 Medi-Cal Handbook6. SSI Ch
g out **(RMA)
Nonmedical Board and Care
SSP TotalSSI(FBR)
SSP
INDIVIDU
Aged or D 224.40 786.00 484.00 302.00
Blind 786.00 484.00 302.00
Disabled M 786.00 484.00 302.00
*NMOHC
COUPLE:
Per Coupl 532.20 1572.00 726.00 846.000
BLIND: C
Per Coupl 1572.00 726.00 846.00
BLIND/AG
Per Coupl 1572.00 726.00 846.00
*NMOHC
Per Coupl
3/20 Update #19-01
2arts
Table 42: SSI/SSP Payment StandardsJanuary 1, 1997 Through October 31, 1997
Independent Living Arrangement
Household of Another with In-Kind Room & Board
Independent LivinArrangement WithCooking Facilities
TotalSSI(FBR)
SSP TotalSSI(FBR)
SSP TotalSSI(FBR)
AL
isabled 640.40 484.00 156.40 482.50 322.67 159.83 708.40 484.00
695.40 484.00 211.40 537.50 322.67 214.83
inor 547.40 484.00 63.40 389.50 322.67 66.83
631.67 322.67
Both are Aged or Disabled:
e 1122.20 726.00 396.20 891.43 484.00 407.43 1258.20 726.00
ouple-Both are Blind
e 1269.20 726.00 543.20 1065.91 484.00 581.91
ED OR DISABLED: Couple-One is Blind, the other is Aged or Disabled
e 1213.20 726.00 487.20 1000.82 484.00 516.82
e 1302.33 484.00 818.33
Revised: 01/0
page 6-6 Medi-Cal Handbook6. SSI Ch
d)
NEFIT RATE (FBR)
$484.00
r $726.00
nts. Household of another i.e., grandparents, etc.d board.
3/20 Update #19-01
3arts
Table 43: SSI/SSP Payment StandardsJanuary 1, 1997 Through October 31, 1997 (Continue
NONMEDICAL BOARD AND CARE FEDERAL BE
Minimum Maximum INDIVIUAL
TOTAL $786.00 $786.00 Aged Blind orDisabled
Board and Room 336.00 336.00 COUPLE
Care and Supervision
288.00 Min. 358.00 Max. Aged, Blind oDisabled
Personal and Incidental Needs
162.00 Max. 92.00 Min.
Independent living arrangements for a disabled minor means living in the home of his/her pareis used if both the disabled minor and his/her parents live in the household of someone else,*NMHOC = Nonmedical out-of-home care living in household of relative with in-kind room an**RMA = Restaurant Meals Allowance
Revised: 01/0
page 6-6 Medi-Cal Handbook6. SSI Ch
g out **(RMA)
Nonmedical Board and Care
SSP TotalSSI(FBR)
SSP
INDIVIDU
Aged or D 224.40 786.00 484.00 302.00
Blind 786.00 484.00 302.00
Disabled M 786.00 484.00 302.00
*NMOHC
COUPLE:
Per Coupl 550.71 1572.00 726.00 846.00
BLIND: C
Per Coupl 1572.00 726.00 846.00
BLIND/AG
Per Coupl 1572.00 726.00 846.00
*NMOHC
Per Coupl
3/20 Update #19-01
4arts
Table 44: SSI/SSP Payment StandardsNovember 1, 1997 Through December 31, 1997
Independent Living Arrangement
Household of Another with In-Kind Room & Board
Independent LivinArrangement WithCooking Facilities
TotalSSI(FBR)
SSP TotalSSI(FBR)
SSP TotalSSI(FBR)
AL
isabled 640.40 484.00 156.40 491.13 322.67 168.46 708.40 484.00
695.40 484.00 211.40 556.73 322.67 234.06
inor 547.40 484.00 63.40 389.50 322.67 66.83
631.67 322.67 309.00
Both are Aged or Disabled:
e 1140.71 726.00 414.71 936.02 484.00 452.02 1276.71 726.00
ouple-Both are Blind
e 1324.18 726.00 598.18 1119.49 484.00 635.49
ED OR DISABLED: Couple-One is Blind, the other is Aged or Disabled
e 1255.73 726.00 529.73 1051.05 484.00 567.05
e 1302.33 484.00 818.33
Revised: 01/0
page 6-6 Medi-Cal Handbook6. SSI Ch
ed)
NEFIT RATE (FBR)
$484.00
r $726.00
nts. Household of another i.e., grandparents, etc.d board.
3/20 Update #19-01
5arts
Table 45: SSI/SSP Payment StandardsNovember 1, 1997 Through December 31, 1997 (Continu
NONMEDICAL BOARD AND CARE FEDERAL BE
Minimum Maximum INDIVIUAL
TOTAL $786.00 $786.00 Aged Blind orDisabled
Board and Room 336.00 336.00 COUPLE
Care and Supervision
288.00 Min. 358.00 Max. Aged, Blind oDisabled
Personal and Incidental Needs
162.00 Max. 92.00 Min.
Independent living arrangements for a disabled minor means living in the home of his/her pareis used if both the disabled minor and his/her parents live in the household of someone else,*NMHOC = Nonmedical out-of-home care living in household of relative with in-kind room an**RMA = Restaurant Meals Allowance
Revised: 01/0
page 6-6 Medi-Cal Handbook6. SSI Ch
8
angement ties **(RMA)
Nonmedical Board and Care
SSP TotalSSI(FBR)
SSP
***INDIV
Aged or 224.40 796.00 494.00 302.00
Blind 796.00 494.00 302.00
Disabled 796.00 494.00 302.00
*NMOHC
COUPLE
Per Coup 550.71 1592.00 741.00 851.00
BLIND: C
Per Coup 1592.00 741.00 851.00
BLIND/A
Per Coup 1592.00 741.00 851.00
*NMOHC
Per Coup
3/20 Update #19-01
6arts
Table 46: January 1, 1998 Through December 31, 199
Independent Living Arrangement
Household of Another with In-Kind Room & Board
Independent Living ArrWithout Cooking Facili
TotalSSI(FBR)
SSP TotalSSI(FBR)
SSP TotalSSI(FBR)
IDUAL
Disabled 650.40 494.00 156.40 497.80 329.34 168.46 718.40 494.00
705.40 494.00 211.40 563.40 329.34 234.06
Minor 557.40 494.00 63.40 396.17 329.34 66.83
638.34 329.34 309.00
: Both are Aged or Disabled:
le 1155.71 741.00 414.71 946.02 494.00 452.02 1291.71 741.00
ouple-Both are Blind
le 1339.18 741.00 598.18 1129.49 494.00 635.49
GED OR DISABLED: Couple-One is Blind, the other is Aged or Disabled
le 1270.73 741.00 529.73 1061.05 494.00 567.05
le 1312.33 494.00 818.33
Revised: 01/0
page 6-6 Medi-Cal Handbook6. SSI Ch
IndependHouseho (e.g. grandparents)*NMHOC**RMA =***An AB me of any kind, there may be deeming.
tinued)
EFIT RATE (FBR)
isabled $494.00
isabled $741.00
tinued)
angement ties **(RMA)
Nonmedical Board and Care
SSP TotalSSI(FBR)
SSP
3/20 Update #19-01
7arts
ent living arrangements for a disabled minor means living in the home of his/her parents.ld of another means both the disabled minor and his/her parents live in the household of someone else = Nonmedical out-of-home care living in household of relative with in-kind room and board.
Restaurant Meals AllowanceD person with an ineligible spouse gets the rate for an “individual”. If the other 1/2 of the couple has inco
Table 47: January 1, 1998 Through December 31, 1998 (Con
NONMEDICAL BOARD AND CARE FEDERAL BEN
Minimum Maximum
TOTAL $796.00 $796.00 INDIVIUAL
Board and Room 340.00 340.00 Aged, Blind or D
Care and Supervision 292.00 Min. 363.00 Max. COUPLE
Personal and Incidental Needs
164.00 Max. 93.00 Min. Aged, Blind or D
Table 46: January 1, 1998 Through December 31, 1998 (Con
Independent Living Arrangement
Household of Another with In-Kind Room & Board
Independent Living ArrWithout Cooking Facili
TotalSSI(FBR)
SSP TotalSSI(FBR)
SSP TotalSSI(FBR)
Revised: 01/0
page 6-6 Medi-Cal Handbook6. SSI Ch
angement ties **(RMA)
Nonmedical Board and Care
SSP TotalSSI(FBR)
SSP
***INDIV
Aged or 247.00 827.00 500.00 327.00
Blind 827.00 500.00 327.00
Disabled 827.00 500.00 327.00
*NMOHC
COUPLE
Per Coup 592.00 1654.00 751.00 903.00
BLIND: C
Per Coup 1654.00 751.00 903.00
BLIND/A
Per Coup 1654.00 751.00 903.00
*NMOHC
Per Coup
3/20 Update #19-01
8arts
Table 48: SSI/SSP Payment StandardsJanuary 1, 1999 Through December 31, 1999
IndependentLiving Arrangement
Household of Another with In-Kind Room & Board
Independent Living ArrWithout Cooking Facili
TotalSSI(FBR)
SSP TotalSSI(FBR)
SSP TotalSSI(FBR)
IDUAL
Disabled 676.00 500.00 176.00 517.00 333.34 183.66 747.00 500.00
732.00 500.00 232.00 585.00 333.34 251.66
Minor 579.00 500.00 79.00 411.00 333.34 77.66
663.00 333.34 329.66
: Both are Aged or Disabled:
le 1201.00 751.00 450.00 983.00 500.67 482.33 1343.00 751.00
ouple-Both are Blind
le 1391.00 751.00 640.00 1174.00 500.67 673.33
GED OR DISABLED: Couple-One is Blind, the other is Aged or Disabled
le 1320.00 751.00 569.00 1102.00 500.67 601.33
le 1364.00 500.67 863.33
Revised: 01/0
page 6-6 Medi-Cal Handbook6. SSI Ch
IndependHouseho (e.g. grandparents)*NMHOC**RMA =***An AB me of any kind, there may be deeming.
d)
EFIT RATE (FBR)
isabled $500.00
isabled $751.00
d)
angement ties **(RMA)
Nonmedical Board and Care
SSP TotalSSI(FBR)
SSP
3/20 Update #19-01
9arts
ent living arrangements for a disabled minor means living in the home of his/her parents.ld of another means both the disabled minor and his/her parents live in the household of someone else = Nonmedical out-of-home care living in household of relative with in-kind room and board.
Restaurant Meals AllowanceD person with an ineligible spouse gets the rate for an “individual”. If the other 1/2 of the couple has inco
Table 49: SSI/SSP Payment StandardsJanuary 1, 1999 Through December 31, 1999 (Continue
NONMEDICAL BOARD AND CARE FEDERAL BEN
Minimum Maximum
TOTAL $827.00 $827.00 INDIVIUAL
Board and Room 354.00 354.00 Aged, Blind or D
Care and Supervision 303.00 Min. 377.00 Max. COUPLE
Personal and Incidental Needs
170.00 Max. 96.00 Min. Aged, Blind or D
Table 48: SSI/SSP Payment StandardsJanuary 1, 1999 Through December 31, 1999 (Continue
IndependentLiving Arrangement
Household of Another with In-Kind Room & Board
Independent Living ArrWithout Cooking Facili
TotalSSI(FBR)
SSP TotalSSI(FBR)
SSP TotalSSI(FBR)
Revised: 01/0
page 6-7 Medi-Cal Handbook6. SSI Ch
angement ties **(RMA)
Nonmedical Board and Care
SSP TotalSSI(FBR)
SSP
***INDIV
Aged or 253.00 847.00 512.00 335.00
Blind 847.00 512.00 335.00
Disabled 847.00 512.00 335.00
*NMOHC
COUPLE
Per Coup 606.00 1694.00 769.00 925.00
BLIND: C
Per Coup 1694.00 769.00 925.00
BLIND/A
Per Coup 1694.00 769.00 925.00
*NMOHC
Per Coup
3/20 Update #19-01
0arts
January 1, 2000 Through December 31, 2000
Table 50:
Independent Living Arrangement
Household of Another with In-Kind Room & Board
Independent Living ArrWithout Cooking Facili
TotalSSI(FBR)
SSP TotalSSI(FBR)
SSP TotalSSI(FBR)
IDUAL
Disabled 692.00 512.00 180.00 529.00 341.34 187.66 765.00 512.00
749.00 512.00 237.00 599.00 341.34 257.66
Minor 593.00 512.00 81.00 421.00 341.34 79.66
679.00 341.34 337.66
: Both are Aged or Disabled:
le 1229.00 769.00 460.00 1006.00 512.67 493.33 1375.00 769.00
ouple-Both are Blind
le 1424.00 769.00 655.00 1202.00 512.67 689.33
GED OR DISABLED: Couple-One is Blind, the other is Aged or Disabled
le 1351.00 769.00 582.00 1128.00 512.67 615.33
le 1396.00 512.67 883.33
Medi-CalCharts 6. SSI Charts
ent lid of = No
RestaD per emi
rd a
DUA
isab
Mino
Bot
e
rd a
January 1, 2000 Through December 31, 2000 (Continued)
January 1, 2001 Through December 31, 2001 (Continued)
ving arrangements for a disabled minor means living in the home of his/her parents.another means both the disabled minor and his/her parents live in the household of someone else (e.g. grandparents)nmedical out-of-home care living in household of relative with in-kind room and board.urant Meals Allowance
son with an ineligible spouse gets the rate for an “individual”. If the other 1/2 of the couple has income of any kind, there may be de
Table 6-4:
NONMEDICAL BOARD AND CARE FEDERAL BENEFIT RATE (FBR)
Minimum Maximum
TOTAL $847.00 $847.00 INDIVIUAL
Board and Room 363.00 363.00 Aged, Blind or Disabled $512.00
Care and Supervision 310.00 Min. 386.00 Max. COUPLE
Personal and Incidental Needs
174.00 Max. 98.00 Min. Aged, Blind or Disabled $769.00
Table 51:
Independent Living Arrangement
Household of Another with In-Kind Room & Board
Independent Living Arrangement Without Cooking Facilities **(RMA)
Nonmedical Boa
TotalSSI(FBR)
SSP TotalSSI(FBR)
SSP TotalSSI(FBR)
SSP TotalSSI(FBR)
L
led 712.00 530.00 182.00 545.00 353.34 191.66 787.00 530.00 257.00 872.00 530.00
771.00 530.00 257.00 617.00 353.34 263.66 872.00 530.00
r 611.00 530.00 81.00 433.00 353.34 79.66 872.00 530.00
699.00 353.34 345.66
h are Aged or Disabled:
1265.00 796.00 469.00 1036.00 530.67 505.33 1415.00 796.00 619.00 1744.00 796.00
Table 50:
Independent Living Arrangement
Household of Another with In-Kind Room & Board
Independent Living Arrangement Without Cooking Facilities **(RMA)
Nonmedical Boa
TotalSSI(FBR)
SSP TotalSSI(FBR)
SSP TotalSSI(FBR)
SSP TotalSSI(FBR)
Update # 20-01Page 6-71
page 6-72Charts 6. SSI Charts
oup
e
GED
e
e
ent lid of = No
RestaD per emi
rd a
Table 52: January 1, 2001 Through December 31, 2001 (Continued)
le-Both are Blind
1466.00 796.00 670.00 1238.00 530.67 707.33 1744.00 796.00
OR DISABLED: Couple-One is Blind, the other is Aged or Disabled
1391.00 796.00 595.00 1161.00 530.67 630.33 1744.00 796.00
1437.00 530.67 906.33
ving arrangements for a disabled minor means living in the home of his/her parents.another means both the disabled minor and his/her parents live in the household of someone else (e.g. grandparents)nmedical out-of-home care living in household of relative with in-kind room and board.urant Meals Allowance
son with an ineligible spouse gets the rate for an “individual”. If the other 1/2 of the couple has income of any kind, there may be de
Table 6-5:
NONMEDICAL BOARD AND CARE FEDERAL BENEFIT RATE (FBR)
Minimum Maximum
TOTAL $872.00 $872.00 INDIVIUAL
Board and Room 374.00 371.00 Aged, Blind or Disabled $530.00
Care and Supervision 319.00 Min. 397.00 Max. COUPLE
Personal and Incidental Needs
179.00 Max. 101.00 Min. Aged, Blind or Disabled $796.00
Table 51:
Independent Living Arrangement
Household of Another with In-Kind Room & Board
Independent Living Arrangement Without Cooking Facilities **(RMA)
Nonmedical Boa
TotalSSI(FBR)
SSP TotalSSI(FBR)
SSP TotalSSI(FBR)
SSP TotalSSI(FBR)
Update #20-01Page 6-72
Medi-CalCharts 6. SSI Charts
rd a
DUA
isab
Mino
Bot
e
oup
e
GED
e
e
ent lid of = No
RestaD per emi
January 1, 2002 Through December 31, 2002
January 1, 2002 Through December 31, 2002 (Continued)
Table 53:
Independent Living Arrangement
Household of Another with In-Kind Room & Board
Independent Living Arrangement Without Cooking Facilities **(RMA)
Nonmedical Boa
TotalSSI(FBR)
SSP TotalSSI(FBR)
SSP TotalSSI(FBR)
SSP TotalSSI(FBR)
L
led 750.00 545.00 205.00 574.00 363.34 210.66 829.00 545.00 284.00 918.00 545.00
812.00 545.00 267.00 650.00 363.34 286.66 918.00 545.00
r 643.00 545.00 98.00 456.00 363.34 92.66 918.00 545.00
736.00 363.34 372.66
h are Aged or Disabled:
1332.00 817.00 515.00 1091.00 544.67 546.33 1490.00 817.00 673.00 1836.00 817.00
le-Both are Blind
1544.00 817.00 727.00 1304.00 544.67 759.33 1836.00 817.00
OR DISABLED: Couple-One is Blind, the other is Aged or Disabled
1465.00 817.00 648.00 1223.00 544.67 678.33 1836.00 817.00
1513.00 544.67 968.33
ving arrangements for a disabled minor means living in the home of his/her parents.another means both the disabled minor and his/her parents live in the household of someone else (e.g. grandparents)nmedical out-of-home care living in household of relative with in-kind room and board.urant Meals Allowance
son with an ineligible spouse gets the rate for an “individual”. If the other 1/2 of the couple has income of any kind, there may be de
Table 6-6:
NONMEDICAL BOARD AND CARE FEDERAL BENEFIT RATE (FBR)
Minimum Maximum
TOTAL $918.00 $918.00 INDIVIUAL
Board and Room 394.00 394.00 Aged, Blind or Disabled $545.00
Care and Supervision 336.00 418.00 COUPLE
Update # 20-01Page 6-73
page 6-74Charts 6. SSI Charts
rd a
DUA
isab
Mino
Bot
e
oup
e
GED
e
e
ent lid of = No
RestaD per emi
Personal and Incidental Needs
106.00 188.00 Aged, Blind or Disabled $817.00
Table 54: January 1, 2003 Through May 31, 2003
Independent Living Arrangement
Household of Another with In-Kind Room & Board
Independent Living Arrangement Without Cooking Facilities **(RMA)
Nonmedical Boa
TotalSSI(FBR)
SSP TotalSSI(FBR)
SSP TotalSSI(FBR)
SSP TotalSSI(FBR)
L
led 757.00 552.00 205.00 578.66 368.00 210.66 836.00 552.00 284.00 925.00 552.00
819.00 552.00 267.00 654.66 368.00 286.66 925.00 552.00
r 650.00 552.00 98.00 460.66 368.00 92.66 925.00 552.00
740.66 368.00 372.66
h are Aged or Disabled:
1344.00 829.00 515.00 1099.00 552.67 546.33 1502.00 829.00 673.00 1850.00 829.00
le-Both are Blind
1556.00 829.00 727.00 1312.00 552.67 759.33 1850.00 829.00
OR DISABLED: Couple-One is Blind, the other is Aged or Disabled
1477.00 829.00 648.00 1231.00 552.67 678.33 1850.00 829.00
1521.00 552.67 968.33
ving arrangements for a disabled minor means living in the home of his/her parents.another means both the disabled minor and his/her parents live in the household of someone else (e.g. grandparents)nmedical out-of-home care living in household of relative with in-kind room and board.urant Meals Allowance
son with an ineligible spouse gets the rate for an “individual”. If the other 1/2 of the couple has income of any kind, there may be de
Table 55: January 1, 2003 Through May 31, 2003 (Continued)
NONMEDICAL BOARD AND CARE FEDERAL BENEFIT RATE (FBR)
Minimum Maximum
Table 6-6:
NONMEDICAL BOARD AND CARE FEDERAL BENEFIT RATE (FBR)
Update #20-01Page 6-74
Medi-CalCharts 6. SSI Charts
rd a
DUA
isab
Mino
Bot
e
oup
e
GED
e
e
ent lid of = No
RestaD per emi
TOTAL $925.00 $925.00 INDIVIUAL
Board and Room 397.00 397.00 Aged, Blind or Disabled $552.00
Care and Supervision 339.00 421.00 COUPLE
Personal and Incidental Needs
107.00 189.00 Aged, Blind or Disabled $829.00
Table 56: June 1, 2003 Through December 31, 2003
Independent Living Arrangement
Household of Another with In-Kind Room & Board
Independent Living Arrangement Without Cooking Facilities **(RMA)
Nonmedical Boa
TotalSSI(FBR)
SSP TotalSSI(FBR)
SSP TotalSSI(FBR)
SSP TotalSSI(FBR)
L
led 778.00 552.00 226.00 595.00 368.00 227.00 860.00 552.00 308.00 952.00 552.00
842.00 552.00 290.00 674.00 368.00 306.00 952.00 552.00
r 667.00 552.00 115.00 473.00 368.00 105.00 952.00 552.00
764.00 368.00 396.00
h are Aged or Disabled:
1382.00 829.00 553.00 1132.00 552.67 579.33 1546.00 829.00 717.00 1904.00 829.00
le-Both are Blind
1602.00 829.00 773.00 1353.00 552.67 800.33 1904.00 829.00
OR DISABLED: Couple-One is Blind, the other is Aged or Disabled
1520.00 829.00 691.00 1269.00 552.67 716.33 1904.00 829.00
1570.00 552.67 1017.33
ving arrangements for a disabled minor means living in the home of his/her parents.another means both the disabled minor and his/her parents live in the household of someone else (e.g. grandparents)nmedical out-of-home care living in household of relative with in-kind room and board.urant Meals Allowance
son with an ineligible spouse gets the rate for an “individual”. If the other 1/2 of the couple has income of any kind, there may be de
Table 55: January 1, 2003 Through May 31, 2003 (Continued)
NONMEDICAL BOARD AND CARE FEDERAL BENEFIT RATE (FBR)
Update # 20-01Page 6-75
page 6-76Charts 6. SSI Charts
rd a
DUA
isab
Mino
Bot
e
oup
e
GED
e
e
ent lid of = No
RestaD per emi
Table 57: January 1, 2004 Through December 31, 2004
Independent Living Arrangement
Household of Another with In-Kind Room & Board
Independent Living Arrangement Without Cooking Facilities **(RMA)
Nonmedical Boa
TotalSSI(FBR)
SSP TotalSSI(FBR)
SSP TotalSSI(FBR)
SSP TotalSSI(FBR)
L
led 790.00 564.00 226.00 603.00 376.00 227.00 872.00 564.00 308.00 964.00 564.00
854.00 564.00 290.00 682.00 376.00 306.00 964.00 564.00
r 679.00 564.00 115.00 481.00 376.00 105.00 964.00 564.00
772.00 376.00 396.00
h are Aged or Disabled:
1399.00 846.00 553.00 1143.33 564.00 579.33 1563.00 846.00 717.00 1928.00 846.00
le-Both are Blind
1619.00 846.00 773.00 1364.33 564.00 800.33 1928.00 846.00
OR DISABLED: Couple-One is Blind, the other is Aged or Disabled
1537.00 846.00 691.00 1280.33 564.00 716.33 1928.00 846.00
1581.33 564.00 1017.33
ving arrangements for a disabled minor means living in the home of his/her parents.another means both the disabled minor and his/her parents live in the household of someone else (e.g. grandparents)nmedical out-of-home care living in household of relative with in-kind room and board.urant Meals Allowance
son with an ineligible spouse gets the rate for an “individual”. If the other 1/2 of the couple has income of any kind, there may be de
Update #20-01Page 6-76
Medi-CalCharts 6. SSI Charts
NME
TAL
rd an
e andervis
sonadenta
Table 58: January 1, 2004 Through December 31, 2004
DICAL BOARD AND CARE FEDERAL BENEFIT RATE (FBR)
Minimum Maximum
$964.00 $964.00 INDIVIDUAL
d Room 414.00 414.00 Aged, Blind or Disabled $564.00
ion
354.00 439.00 COUPLE
l and l Needs
196.00 111.00 Aged, Blind or Disabled $846.00
Update # 20-01Page 6-77
page 6-78Charts 6. SSI Charts
Update #20-01Page 6-78
