ELIGIBILITY STANDARDS DESK AID	
Effective 07/01/2019
FEDERAL BENEFIT RATES (FBR)	
 	Eff. 1/1/17 to 12/31/17	Eff. 1/1/18 to 12/31/18	Eff. 1/1/19 to 12/31/19	
1.       Individual FBR/Single parent allocation	$735.00	$750.00	$771.00	
2.       Couple FBR/2 parent allocation	$1,103.00	$1,125.00	$1,157.00	
3.       Institutional FBR	$30.00	$30.00	$30.00	
4.       300% Individual FBR	$2,205.00	$2,250.00	$2,313.00	
5.       Child Allocation	$368.00	$376.00	$386.00	
6.       15% of Individual FBR	$110.25	$112.50	$115.65	
MEDICARE PART B PREMIUMS	
Eff.  1/1/17 – 12/31/17	Eff. 1/1/18 - 12/31/18	Eff. 1/1/19 - 12/31/19	
$134.00	$134.00	$135.50	
MEDICARE PART D EXTRA HELP SUBSIDY AMOUNT FOR ARIZONA	
Eff. 1/1/17 – 12/31/17	Eff. 1/1/18 – 12/31/18	Eff. 1/1/19 – 12/31/19	
$35.11	$32.88	$32.62	
COMMUNITY SPOUSE STANDARDS	
 	Eff. 1/1/17 to 12/31/17	Eff. 1/1/18 to 12/31/18	Eff. 1/1/19 to 12/31/19	
Minimum CSRD	$24,180.00	$24,720.00	$25,284.00	
Maximum CSRD	$120,900.00	$123,600.00	$126,420.00	
Maximum MMMNA	$3,022.50	$3,090.00	$3,160.50	
 	Eff. 10/1/16	Eff. 10/1/17	Eff. 10/1/18	
Standard Utility Allowance	$265.00	$274.00	$278.00	
 	Eff. 7/1/17 to 6/30/18	Eff. 7/1/18 to 6/30/19	Eff. 7/1/19 to 6/30/20	
Monthly Spousal Need (MSN)	$2,030.00	$2,058.00	$2,114.00	
30% of the Monthly Spousal Need for Excess Shelter Allowance	$609.00	$618.00	$635.00	
Maximum Family Allowance for a Dependent With No Income	$677.00	$686.00	$705.00	
AVERAGE PRIVATE PAY RATES	HOME MAINTENANCE ALLOWANCE	
Location	10/1/17	10/1/18	3/1/19	Eff. 1/1/89 to 6/30/93	Eff. 7/1/93 to Present	
Maricopa, Pima, Pinal	$7,134.44	$7,204.17	$7,253.13	$138.00	$210.00	
Balance of State	$6,307.74	$6,334.17	$6,377.20			

SSI MAO/MA-SP
Actual income may be higher than the following income standards because there is a $20 standard deduction and other deductions for earned income and child allocations.
SSI-MAO NON-CASH AND QMB INCOME STANDARDS	SLMB INCOME STANDARDS	
 	Eff. 2/1/17	Eff. 2/1/18 	Eff. 2/1/19	Eff. 2/1/17	Eff. 2/1/18	Eff. 2/1/19	
No. of People in Household	100% of FPL: Monthly	100% of FPL: Monthly	100% of FPL: Monthly 	Greater than 100%, Less than or equal to 120% of FPL: Monthly	Greater than 100%, Less than or equal to 120% of FPL: Monthly	Greater than 100%, Less than or equal to 120% of FPL: Monthly	
1	$1,005.00	$1,012.00	$1,041.00	$1,005.01 - $1,206.00	$1,012.01- $1,214.00	$1,041.01- $1,249.00	
2	$1,354.00	$1,372.00	$1,410.00 	$1,354.01 - $1,624.00	$1,372.01- $1,646.00 	$1,410.01- $1,691.00 	
QUALIFIED INDIVIDUAL STANDARDS	
 	Qualified Individual – 1 (QI-1)	
No. of People in Household	Eff. 2/1/17	Eff. 2/1/18	Eff. 2/1/19	
	Greater than 120%, Less than or equal to 135% of FPL: Monthly	Greater than 120%, Less than or equal to 135% of FPL: Monthly	Greater than 120%, Less than or equal to 135% of FPL: Monthly	
1	$1,206.01 - $1,357.00	$1,214.01 - $1,366.00	$1,249.01 - $1,406.00	
2	$1,624.01 - $1,827.00	$1,646.01 - $1,852.00	$1,691.01 - $1,903.00