5.1 federal poverty level programs monthly income ... · medi-cal page 5-1 update #20-05 charts 5....
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Medi-CalCharts 5. Medi-Cal Charts
5. Medi-Cal Charts
5.1 Federal Poverty Level ProgramsMonthly Income Comparison Chart
100% • Qualified Medicare Beneficiary (QMB) Program
• FPL Program for Aged and Disabled
142% ACA and Title XXI Expansion Children Ages 1 - 6
108% ACA Title XXI CHIP Expansion Children Ages 6 - 19
160% ACA Optional Targeted Low Income Children (OTLIC)
109% ACA Parents and Caretaker Relatives 185% Transitional Medi-Cal (TMC) (Pre-ACA)
114% ACA Parents and Caretaker Relatives not eligible for the ACA Adult Group due to enrollment in Medicare Part A or B (109% FPL, Plus 5% MAGI Disregard)
200% • Qualified Working Disabled Individuals
• Refugee Medical Assistance (RMA)
120% Specified Low Income Beneficiaries (SLMB) 208% ACA and Title XXI Expansion Infants Ages 0 - 1
128% Disabled Individuals in New Adult Group 213% ACA Pregnant Women, pregnancy related Medi-Cal
133% ACA Children and Title XXI Expansion Children Ages 6 - 19
250% Working Disabled Program (WDP)
135% Qualified Individual 1 (QI-1) Program 266% ACA OTLIC (Premiums)
138% • ACA New Adult Group Ages 19 - 64• Full-scope coverage for ACA Pregnant
Women
322% • ACA MCAP Linked Infants • County Children’s Health Initiative
Program (CCHIP)
• Above 138% - 213% FPL = Pregnancy Related Medi-Cal• Above 213% - 322% FPL = Medi-Cal Access Program (MCAP), Medi-Cal Access Infant Program
(MCAIP)• Above 266% - 322% FPL = CCHIP
Population Affected FPL Effective Date
MAGI applicants/recipients, MSP applicants/recipients that do not receive RSDI Title II income
January 1, 2020
MSP applicants/recipients that receive RSDI Title II income March 1, 2020
ABD applicants/recipients, all other MC programs April 1, 2020
Update #20-05Page 5-1
2020 F
FamilySize
ACA Adults Ages 19-64 & Pregnant Women
ACA Children Ages 1-6
TLICP (Pre-ACA)
138% 142% 150%
1 1468 1510 1596
2 1983 2041 2155
2 Adults 1983 2041 2155
3 2498 2571 2715
4 3013 3101 3276
5 3529 3631 3835
6 4044 4161 4395
7 4559 4691 4956
8 5074 5221 5515
9 5589 5751 6075
10 6105 6282 6636
11 6620 6812 7195
12 7135 7342 7755
Ea Add’l
+516 +531 +561
Update #20-05
Chart
PL CALCULATION CHART (Monthly Values)
Eligible for Advanced Premium Tax Credit (APTC) (100% to 400%)
Enhanced Silver Benefits/Cost-Sharing Reduction (CSR) 94% (100% to 150% FPL)
Children Ages 6-19 A&D FPL QMB
Children Ages 6-19 ACA Expansion
ACA Parents/Caretaker Relatives
ACA Parents/Caretaker Relatives enrolled in Medicare Part A/B
SLMBDisabled Individuals Adult Group
Children Ages 1-6 ACAExpansion
QI-1 Program
100% 108% 109% 114% 120% 128% 133% 135%
1064 1149 1160 1213 1276 1362 1415 1436
1437 1552 1566 1638 1724 1839 1911 1940
1437 1552 1566 1638 1724 1839 1911 1940
1810 1955 1973 2064 2172 2317 2408 2444
2184 2358 2380 2489 2620 2795 2904 2948
2557 2762 2787 2915 3068 3273 3401 3452
2930 3165 3194 3341 3516 3751 3897 3956
3304 3568 3601 3766 3964 4229 4394 4460
3677 3971 4008 4192 4412 4707 4890 4964
4050 4374 4415 4617 4860 5184 5387 5468
4424 4778 4822 5043 5308 5662 5884 5972
4797 5181 5229 5469 5756 6140 6380 6476
5170 5584 5636 5894 6204 6618 6877 6980
+374 +404 +407 +426 +448 +478 +497 +504
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202
FamSiz
A OTLIC
ACA MCAP Infants & CCHIP
266% 322% 400%
2829 3424 4254
3822 4627 5747
2 A 3822 4627 5747
4815 5829 7240
5808 7031 8734
6801 8233 10227
7794 9435 11720
8787 10637 13214
9780 11839 14707
10773 13041 16200
11767 14244 17694
12760 15446 19187
13753 16648 20680
Ea +994 +1203 +1494
Update #20-05
Chart
0 FPL CALCULATION CHART (Monthly Values)
ily e
Eligible for Advanced Premium Tax Credit (APTC) (100% to 400%)
Enhanced Silver Benefits/Cost-Sharing Reduction (CSR)
87% (>150% to 200% FPL) 73% (> 200% to 250% FPL)
ACA OTLICTMC (Pre-ACA)
Qualified WD Indiv. RMA
ACA Infants Ages 0-1
ACA Pregnant Women & Infants up to Age 1
WDP AC
160% 185% 200% 208% 213% 250%
1 1702 1968 2127 2212 2265 2659
2 2299 2658 2874 2989 3061 3592
dults 2299 2658 2874 2989 3061 3592
3 2896 3349 3620 3765 3856 4525
4 3494 4040 4367 4542 4651 5459
5 4091 4730 5114 5318 5446 6392
6 4688 5421 5860 6095 6241 7325
7 5286 6112 6607 6871 7037 8259
8 5883 6802 7354 7648 7832 9192
9 6480 7493 8100 8424 8627 10125
10 7078 8184 8847 9201 9422 11059
11 7675 8874 9594 9978 10217 11992
12 8272 9565 10340 10754 11013 12925
Add’l +598 +691 +747 +777 +796 +934
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Note:
Compare the monthly net non-exempt income of the entire family (AFDC-MN/MI MFBU with no Sneede Class Members), after adding back any deduction for private health coverage. Only AFDC-MN/MI deductions are allowed.Contact the Medi-Cal Program Coordinator if prior FPL amounts are needed
Update #20-05Page 5-4
Medi-CalCharts 5. Medi-Cal Charts
5.2 Property Limits
Table 5-1: Property Limit Chart
Number of individuals Whose Property is Considered
Property Limit 1985
Property Limit 1986
Property Limit 1987
Property Limit 1988
Property Limit 1989-Present
1 individual $1,600 $1,700 $1,800 $1,900 $2,000
2 individuals 2,400 2,550 2,700 2,850 3,000
3 individuals 2,550 2,700 2,850 3,000 3,150
4 individuals 2,700 2,850 3,000 3,150 3,300
5 individuals 2,850 3,000 3,150 3,300 3,450
6 individuals 3,000 3,150 3,300 3,450 3,600
7 individuals 3,150 3,300 3,450 3,600 3,750
8 individuals 3,300 3,450 3,600 3,750 3,900
9 individuals 3,450 3,600 3,750 3,900 4,050
10 or more individuals
3,600 3,750 3,900 4,050 4,200
5.3 Community Spouse Resource Allowance (CSRA)
Table 5-2: CSRA Chart
Effective Date CSRA Effective Date CSRA
1/1/20 $128,640 1/1/07 $101,640
1/1/19 $126,420 1/1/06 $99,540
1/1/18 $123,600 1/1/05 $95,100
1/1/17 $120,900 1/1/03 $90,660
1/1/15 $119,220 1/1/02 $89,280
1/1/14 $117,240 1/1/01 $87,000
1/1/13 $115,920 1/1/00 $84,120
1/1/12 $113,640 1/1/99 $81,960
1/1/09-11 $109,560 1/1/98 $80,760
1/1/08 $104,400 1/1/97 $79,020
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5.4 Community Spouse Income Allocation (CSIA)
Table 5-3: CSIA Chart
Effective Date Amount Effective Date Amount
2020 $3,216 2009-11 $2,739
2019 $3,161 2008 $2,610
2018 $3,090 2007 $2,541
2017 $3,023 2006 $2,489
2015 $2,981 2005 $2,378
2014 $2,931 2004 $2,319
2013 $2,898 2003 $2,267
2012 $2,841 2002 $2,232
5.5 Family Member Base Allocation (FMBA)
Table 5-4: FMBA Chart
Effective Date Amount
7/1/19 - 6/30/20 $2,114
7/1/18 - 6/30/19 $2,058
7/1/17 - 6/30/18 $2,030
7/1/16 - 6/30/17 $2,003
7/1/15 - 6/30/16 $1,991
7/1/14 - 6/30/15 $1,967
7/1/13 - 6/30/14 $1,939
7/1/12 - 6/30/13 $1,891
7/1/11 - 6/30/12 $1,839
7/1/09 - 6/30/11 $1,822
7/1/08 - 6/30/09 $1,750
7/1/07 - 6/30/08 $1,712
7/1/06 - 6/30/07 $1,650
7/1/05 - 6/30/06 $1,604
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Contact the Medi-Cal Program Coordinator if a base allocation for prior years is needed.
5.6 Statewide Average Private Pay Rate (APPR)
Year APPR Year APPR Year APPR
2020 $10,298 2008 $5,496 1996 $3,262
2019 $9,337 2007 $5,101 1995 $3,211
2018 $8,841 2006 $5,031 1994 $3,031
2017 $8,515 2005 $4,812 1993 $2,911
2016 $8,189 2004 $4,477 1992 $2,791
2015 $8,092 2003 $4,415 1991 $2,628
2014 $7,628 2002 $4,322
2013 $7,549 2001 $4,163
2012 $7,092 2000 $3,836
2011 $6,840 1999 $3,882
2010 $6,311 1998 $3,460
2009 $5,698 1997 $3,402
7/1/04 - 6/30/05 $1,562
7/1/03 - 6/30/04 $1,515
7/1/02 - 6/30/03 $1,493
7/1/01 - 6/30/02 $1,452
7/1/00 - 6/30/01 $1,407
7/1/99 - 6/30/00 $1,383
7/1/98 - 6/30/99 $1,357
7/1/97 - 6/30/98 $1,327
7/1/96 - 6/30/97 $1,295
7/1/95 - 6/30/96 $1,254
7/1/94 - 6/30/95 $1,230
Table 5-4: FMBA Chart
Effective Date Amount
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5.7 Maintenance Need (Effective 7/1/89)
Table 5-5: Current Maintenance Need Chart
Number of individuals in MFBU Maintenance Need
1 individual in all situations $600
1 adult and 1 child 750
2 adults 934
3 individuals 934
4 individuals 1,100
5 individuals 1,259
6 individuals 1,417
7 individuals 1,550
8 individuals 1,692
9 individuals 1,825
10 individuals 1,959
For each additional individual add $14.00.
The maintenance need level for MC recipients in LTC is $35.00.
The maintenance need level for SSI recipients in LTC is $50.00.
The home upkeep allowance for a single person is $209.00.
The home upkeep allowance in all other situations is $138.00.
Note:
For maintenance needs prior to July 1, 1989, contact a MC Program Coordinator.
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5.8 Medicare Savings Program (MSP) Income Limits and Property Limits
5.8.1 MSP Income Limit
QMB income limitSLMB income limitQI income limit
===
Less than or Equal to 100% of Federal Poverty LevelLess than 120% of Federal Poverty LevelLess than or Equal to 135% of Federal Poverty Level
5.8.2 MSP Income Disregard
QMB/SLMB/QI eligible individuals receive a $20 income disregard.
5.8.3 MSP Property Limits
MSP Property Limit Chart
Year Individual Couple
2020 $7,860 $11,800
2019 $7,730 $11,600
2018 $7,560 $11,340
2017 $7,390 $11,090
2016 $7,280 $10,930
2015 $7,160 $10,750
2014 $7,160 $10,750
2013 $7,080 $10,620
2012 $6,940 $10,410
2011 $6,680 $10,020
2010 $6,600 $9,910
Contact the Medi-Cal Program Coordinator if prior year income limits are needed.
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5.8.4 QMB/SLMB Standard Allocation (SSI Standard Allocation)
Table 5-6: Standard Allocation Chart
Effective Date Amount Effective Date Amount
2020 $392
2019 $386 2008 $319
2017 $368 2007 $311
2015-16 $367 2006 $301
2014 $361 2005 $290
2013 $356 2004 $282
2012 $350 2003 $277
2009-11 $337 2002 $272
2008 $319 2001 $266
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5.9 Federal Benefit Rate (FBR)
Table 5-7: FPB Chart
FBR Individual Couple
2020 $783 $1,175
2019 $771 $1,157
2018 $750 $1,125
2017 $735 $1,103
2015-2016 $733 $1,100
2014 $721 $1,082
2013 $710 $1,066
2012 $698 $1,048
2009 - 2011 $674 $1,011
2008 $637 $956
2007 $623 $934
2006 $603 $904
2005 $579 $869
2004 $564 $846
2003 $552 $829
2002 $545 $817
5.10 Tuberculosis (TB) Program Income and Property Limits
5.10.1 TB Program Monthly Income Limits
Table 5-8: TB Program Income Limit Chart
Standard for Individuals (Whether Married or Unmarred)
2019 2018 20172015-2016
2014 2013 20122009-2011
2008 2007
$1,627 $1,585 $1,555 $1,551 $1,527 $1,505 $1,481 $1,433 $1,359 1,331
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5.10.2 Tuberculosis (TB) Program Resource Limit
The property limit for the TB program is $2,000.
Exception:Exception:
When determining a child’s property eligibility and two parents are in the home, allow the parents a $3000 property limit prior to deeming to the child.
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5.11 Aged & Disabled (A&D) FPL Income Disregard
A&D FPL Income Disregard Amount Chart
Individual Couple
$230 $310
5.12 Blind FPL (FPL-B) Income Disregard
Blind FPL (FPL-B) Income Disregard Chart
Blind Individual Blind CoupleOne Individual is Blind
$230 SSI/SSP Payment Rate (Refer to SSI Chart Book)
SSI/SSP Payment Rate (Refer to SSI Chart Book)
5.13 Income In-Kind Values (Effective 7/1/89)
Housing
Table 5-9: Income In-Kind Housing Values
1 individual $153
2 individuals 206
3 individuals 225
4 or more individuals 236
Utilities, including Telephone
Table 5-10: Income In-Kind Utilities Values
1 individual $33
2 individuals 38
3 individuals 40
4 or more individuals 41
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Food
Table 5-11: Income In-Kind Food Values
1 individual $86
2 individuals 182
3 individuals 232
4 individuals 286
5 individuals 346
6 individuals 401
7 individuals 447
8 individuals 490
9 individuals 537
10 or more individuals 582
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5.14 Social Security Charts
5.14.1 Medicare Premiums
Table 5-12: Medicare Premiums Charts
Year Part A* InsuranceSupplemental Medical Insurance — Part B**
1/20 $458.00 $144.60
1/19 $437.00 $135.50
1/18 $422.00 $134.00
1/17 $413.00 $109.00
1/16 $411.00 $104.90
1/15 $407.00 $104.90
1/14 $426.00 $104.90
1/13 $441.00 $104.90
1/12 $451.00 $99.90
1/11 450.00 96.40
1/10 461.00 96.40
1/09 443.00 96.40
1/08 423.00 96.40
1/07 410.00 93.50
1/06 393.00 88.50
1/05 375.00 78.20
1/04 343.00 66.60
1/03 316.00 58.70
1/02 319.00 54.00
1/01 300.00 50.00
1/00 301.00 45.50
1/99 309.00 45.50
1/98 309.00 43.80
1/97 311.00 43.80
1/96 289.00 42.50
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* Part A: The monthly premium amount is paid only by those individuals who are not otherwise eligible and have voluntarily enrolled. Certain individuals may qualify for a reduced premium; or, they may be required to pay a penalty charge due to delayed enrollment.
**Part B: The monthly premium amount can be more.
Note:
Some individuals with fewer than 30 quarters of coverage may buy Medicare Part A for a monthly premium of $458 for 2020. Individuals who have between 30-39 quarters may buy into Part A at a reduced rate of $252 for 2020.
Medicare Part B Premiums
The Medicare Part B Premium is based on an individual’s annual income. ThePart B Premium for beneficiaries who file a Tax Return is below:
Annual Income Individual Tax Return
Annual IncomeJoint Tax Return
File Married and Separate Tax Return
MonthlyPart B Premium
$87,000 or Less $174,000 or Less $87,000 or Less $144.60
$87,000 to $109,000 $174,000 to $218,000 N/A $202.40
$109,000 - $136,000 $218,000 - $272,000 N/A $289.20
$136,000 - $163,000 $272,000 - $326,000 N/A $376.00
$163,000 - $500,000 $326,000 - $750,000 $87,000 - $413,000 $462.70
$500,000 or More $750,000 or More $413,000 or More $491.60
1/95 261.00 46.10
1/94 245.00 41.10
1/93 221.00 36.60
1/92 192.00 31.80
1/91 177.00 29.90
Table 5-12: Medicare Premiums Charts
Year Part A* InsuranceSupplemental Medical Insurance — Part B**
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5.14.2 Medicare Part A and B Deductibles
2020 Deductible/Coinsurance
Part A $1408 deductible for the benefit period
$352 coinsurance per day for days 61 through 90
$704 coinsurance per day beyond the 90th Day of the Benefit Period
$176 for skilled nursing for days 21-100
Note: There is no skilled nursing facility deductible assessed for the first 20 days of residency.
Part B $198
2019 Deductible/Coinsurance
Part A $1364 deductible for the benefit period
$341 coinsurance per day for days 61 through 90
$682 coinsurance per day beyond the 90th Day of the Benefit Period
$170.50 for skilled nursing for days 21 - 100.
Note: There is no skilled nursing facility deductible assessed for the first 20 days of residency.
Part B $185
2017 Deductible/Coinsurance
Part A $1316 deductible for the benefit period
$329 coinsurance per day for days 61 through 90
$658 coinsurance per day beyond the 90th Day of the Benefit Period
$164.5 0 for skilled nursing for days 21 - 100Note: There is no skilled nursing facility deductible assessed for the first 20 days of residency.
Part B $183
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2018 Deductible/Coinsurance
Part A $1340 deductible for the benefit period
$335 coinsurance per day for days 61 through 90
$670 coinsurance per day beyond the 90th Day of the Benefit Period
$164.50 for skilled nursing for days 21 - 100.
Note: There is no skilled nursing facility deductible assessed for the first 20 days of residency.
Part B $183
5.14.3 Medicare Part D
Recipients enrolled in Part D pay a monthly income-related adjustment amount according to their tax return:
Individual Tax Return With Income
Joint Tax Return With Income
File Married and Separate Tax Return
Amount Paid in Addition to Plan Premium
$85,000 or less $170,000 or less $85,000 or less $0.00
$85,000 to $107,000 $170,000 to $214,000 N/A $13
$107,000 to $133,500 $214,000 to $267,000 N/A $33.60
$133,500 to $160,000 $267,000 to $320,000 N/A $54.20
$160,000 or more $320,000 or more $85,000 or more $74.80
5.14.4 Social Security/Medicare Claim
The Medicare CLAIM NUMBER is made up of the individuals ACCOUNT NUMBER (SSN) plus a suffix. This suffix (a letter alone, or a letter plus a number) is called “CLAIMS SYMBOL”. Effective 04/01/2018, the Medicare CLAIM NUMBER will consist of 11 alphanumeric characters excluding letters S, L, O, I, B and Z to replace the individual’s SSN. [Refer to UGSS Update 2018-01 for more details.]
The claims symbols are a code:
• To identify beneficiaries.• To indicate the type of Social Security benefits, if any.• To identify which of 7 different trust funds will pay the Medicare bill or the Social Security benefits.
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Claims Symbols for Retirement Benefits
Table 5-13: Claims Symbols for Retirement Benefits
1st Claimant
2nd Claimant
3rd Claimant
4thClaimant
5thClaimant
Wage Earner A
Wife age 62 or Older
B B3 B8 BA BD
Wife Under Age 62
B2 B5 B7 BK BL
Divorced Wife
B6 B9 BN BP BQ
Note:
Wife under age 62 has an entitled child in her care.
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Claims Symbols for Survivor Benefits
Table 5-14: Claim Symbols for Survivor Benefits
1st Claimant
2nd Claimant
3rd Claimant
4th Claimant
5thClaimant
Child (including Disabled or Student Child)
C “C” numbers are assigned by age of child.C1 Youngest C2 Next older C3 Older than C2 C4 Through C9 CA Tenth child (not C-10) CB 11th child (not C-11)CC 12th child (not C-12), etc.
Widow Age 60 or older
D D2 D8 DD DG
Widow Remarried After Age 60
D4 D9 DA DL DN
Surviving Divorced Wife
D6 D7 DV DW DY
Mother (Widow)
E E2 E7 E8 EA
Surviving Divorced Mother
E1 E3 EB EC ED
Husband age 62 or Older
B1 B4 BG BH BJ
Divorced Husband
BR BT
Widower age 60 or Older
D1 D3 DH DJ DK
Widower Remarried
D5 DP DQ DR DT
Widowed Father
E4 E6 EF EG EH
Surviving Divorced Father
E5 E9 EJ EK EM
Father F1 F7
Mother F2 F8
Stepfather F3
Stepmother F4
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Claims Symbols for Disability Benefits
H — before any claims symbol listed in (C) above under “retirement benefits” tells you the person is receiving disability benefits under Social Security.
Example:
HA Disabled Wage EarnerHC1 Youngest child of disabled Wage Earner (HC2, etc.)HB2 “Young” wife of disabled Wage Earner with child in her care.
Adopting Father
F5
Adopting Mother
F6
Table 5-14: Claim Symbols for Survivor Benefits
1st Claimant
2nd Claimant
3rd Claimant
4th Claimant
5thClaimant
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Claims symbols for individuals, in relation to Health Insurance benefits (Part A, Medicare)Special age 72 Social Security benefits (Prouty Amendment)
1st Claimant
2nd Claimant
3rd Claimant
4th Claimant
5th Claimant
Entitled to HIB (less than 3 QCs) J1
Entitled to HIB (3 QCs or more) J2
Not entitled to HIB (less than 3 QCs) J3
Not entitled to HIB (3 QCs or more) J4
Wife entitled to HIB (less than 3 QCs) K1 K5 K9 KD KH
Wife entitled to HIB (3 QCs or more) K2 K6 KA KE KJ
Wife not entitled to HIB (less than 3 QCs)
K3 K7 KB KF KL
Wife not entitled to HIB (3 Qcs or more)
K4 K8 KC KG KM
Black Lung miner LM
Black Lung miner's widow LW
Claims symbols for Supplementary Medical Insurance Benefits (Part B, Medicare) abbreviated SMIB.
1st Claimant
2nd Claimant
3rd Claimant
4th Claimant
5thClaimant
Uninsured (not entitled to HIB, qualified for SMIB)
M
Uninsured (qualified for HIB, but requested only SMIB
M1
Uninsured (entitled to HIB under deemed insured provision)
T
Disabled widow W W2 W4 W9 WF
Disabled widower W1 W3 W5 WB WG
Disabled surviving divorced wife W6 W7 W8 WC WJ
Table of RRB (Railroad Retirement Board) Prefixes and Equivalent SSA BIC (Beneficiary
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Identification Code).
RRB Claim Prefix Type RRB Beneficiary
A Retirement — employee or annuitant
H RR pensioner (age or disability)
MA Spouse of RR employee or annuitant (husband or wife)
MH Spouse of RR pensioner
WCD 1 Child of RR employee
WCA 1 Child of RR annuitant
CA Disabled adult child of RR annuitant
WD Widow or widower of an RR employee
WA Widow or widower of an RR annuitant
WH Widow or widower of an RR pensioner
WCD 1 Widow of employee with a child in her care
WCA 1 Widow of annuitant with a child in her care
WCH Widow of pensioner with a child in her care
PD Parent of RR employee
PA Parent of RR annuitant
PH Parent of RR pensioner
JA Survivor joint annuitant — an annuitant who has taken a reduced amount of guarantee payments to a surviving spouse
1 WCD and WCA have two designations each.
5.15 Substantial Gainful Activity (SGA) Chart
Table 1: SGA Amounts
Effective Date SGA Amount
1/1/20 $1,260
1/1/19 $1,220
1/1/18 $1,180
1/1/17 $1,170
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1/1/16 $1,130
1/1/15 $1,090
1/1/14 $1,070
1/1/13 $1,040
1/1/12 $1,010
1/1/10 - 12/31/11 $1,000
1/1/09 $980
1/1/08 $940
1/1/07 $900
Table 1: SGA Amounts
Effective Date SGA Amount
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5.16 Pickle Disregard Computation Chart
Last SSI/SSP Check Received Between
Cost of Living Adjustment (COLA)
Multiplier
1/19 through 12/19 1.016 0.0157
1/18 through 12/18 1.028 0.0426
1/17 through 12/17 1.020 0.0613
1/16 through 12/16 1.003 0.0641
1/15 through 12/15 1.000 0.0641
1/14 through 12/14 1.017 0.0798
1/13 through 12/13 1.015 0.0934
1/12 through 12/12 1.017 0.1085
1/11 through 12/11 1.036 0.1395
1/10 through 12/10 1.000 0.1395
1/09 through 12/09 1.000 0.1395
1/08 through 12/08 1.058 0.1867
1/07 through 12/07 1.023 0.2050
1/06 through 12/06 1.033 0.2304
1/05 through 12/05 1.041 0.2607
1/04 through 12/04 1.027 0.2801
1/03 through12/03 1.021 0.2949
1/02 through 12/02 1.014 0.3047
1/01 through 12/01 1.026 0.3223
1/00 through 12/00 1.035 0.3452
1/99 through 12/99 1.024 0.3605
1/98 through 12/98 1.013 0.3688
1/97 through 12/97 1.021 0.3817
1/96 through 12/96 1.029 0.3992
1/95 through 12/95 1.026 0.4144
1/94 through 12/94 1.028 0.4303
1/93 through 12/93 1.026 0.4448
1/92 through 12/92 1.030 0.4609
Update #20-05Page 5-25
page 5-26Charts 5. Medi-Cal Charts
Presumed Maximum Value (PMV)
Value of One-Third Reduction (VTR)
Table 5-16: Value of One-Third Reduction
Individual $261.00
Couple $391.66
1/91 through 12/91 1.037 0.4802
1/90 through 12/90 1.054 0.5068
1/89 through 12/89 1.047 0.5289
1/88 through 12/88 1.040 0.5471
1/87 through 12/87 1.042 0.5653
1/86 through 12/86 1.013 0.5709
1/85 through 12/85 1.031 0.5838
1/84 through 12/84 1.035 0.5979
7/82 through 12/83 1.035 0.6115
7/81 through 6/82 1.074 0.6382
7/80 through 6/81 1.112 0.6747
7/79 through 6/80 1.143 0.7154
7/78 through 6/79 1.099 0.7410
7/77 through 6/78 1.065 0.7568
4/77 through 6/77 1.059 0.7704
Table 5-15: Presumed Maximum Value
Individual $281.00
Couple $411.66
Last SSI/SSP Check Received Between
Cost of Living Adjustment (COLA)
Multiplier
Update #20-05Page 5-26
Medi-CalCharts 5. Medi-Cal Charts
5.17 Sneede Maintenance Need Income Levels (MNIL) and Property Limits
Table 5-17: Sneede Maintenance Need Income Levels and Property Limits
Sneede v KizerMaintenance Need Income Levels (MNIL) and Property Limits Effective: 1/1/90
MNIL and Property Limits
MNIL/Property Limits for Adults - No Children in Mini Budget Unit
Person Type MNIL Property
Single Parent 600 2,000
Single Parent with Unborn 750 3,000
Married Couple (two adults) 934 3,000
Married Couple with an unborn 934 3,150
Unmarried Couple-for each unmarried partner 600 2,000
MNIL/Property Limit for Mini Budget Unit (MBU) Which Contains Parent(s) and Child(ren)- May include an unborn.
Allow the full standard/non-Sneede MNIL/property limits for the MBU based upon the number of individuals in the MBU.
MNIL/Property Limit for Caretaker Relative Household
Caretaker relative in same MFBU with children for whom care is provided. Each MBU receives full standard, non-Sneede MNIL/property limit based on the number of individuals in each MBU. If there is a pregnant minor in MFBU, include unborn in pregnant minor's MBU.
MNIL/Property Limit for Mini Budget Unit Which Contains Only Child(ren) Living With Natural/Adoptive Parent(s). Do not include parents who are not in the MFBU. May include unborn of pregnant minor if unborn is the same MFBU.
No. of Children in MBU
One Parent Two Parents
MNIL Property MNIL Property
1 375 1,500 312 1,050
2 623 2,100 550 1,650
3 825 2,475 756 2,070
4 1,008 2,760 945 2,400
5 1,181 3,000 1,108 2,679
6 1,329 3,215 1,269 2,925
Update #20-05Page 5-27
page 5-28Charts 5. Medi-Cal Charts
7 1,481 3,413 1,420 3,150
8 1,623 3,600 1,568 3,360
9 1,764 3,780 1,615 3,436
10 1,794 3,818 1,656 3,500
11 1,822 3,850 1,694 3,554
12 1,848 3,877 1,728 3,600
13 1,872 3,900 1,759 3,640
Table 5-17: Sneede Maintenance Need Income Levels and Property Limits
Sneede v KizerMaintenance Need Income Levels (MNIL) and Property Limits Effective: 1/1/90
MNIL and Property Limits
Update #20-05Page 5-28