ADDENDUM 1
PROGRAM STANDARDS
Refer to APA Addendum 1 for APA Need/Payment Standards and Supplemental Security Income Eligibility/Payment Standards.
|
Year |
1/1/2023 |
1/1/2024 |
1/1/2025 |
1/1/2026 |
|
Special Long Term Care Income Standard |
$2,742 | $2,829 |
$2,901 |
$2,982 |
|
Alaska NH Personal Needs Allowance |
$200 |
$200 |
$200 |
$200 |
|
Alaska HCB Personal Needs Allowance |
$1,656 |
$1,656 |
$1,656 |
$1,656 |
|
Alaska ALH Personal Needs Allowance |
$1,396 |
$1,396 |
$1,396 |
$1,396 |
|
Maximum Community Spouse Resource Allowance |
$148,620 | $154,140 |
$157,920 |
$162,660 |
|
Community Spouse Monthly Maintenance Need Standard |
$3,715.50 | $3,853.50 |
$3,948 |
$4,066.50 |
|
Monthly Need Standard for Additional Household Members |
$1,238.80 | $1,284.50 |
$1,316 |
$1,355.50 |
|
EXPANDED REFUSED CASH INCOME LIMITS |
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|
HOUSEHOLD TYPE |
1/01/2024 |
01/01/2025 | 01/01/2026 |
| A Individual (A1E) | $1,751 | $1,795 | $1,845 |
| B Individual (B1E) | $1,751 | $1,795 | $1,845 |
| ALH Individual (H1E) | $1,751 | $1,795 | $1,845 |
| A Couple, 1 Eligible (A2S) | $2,593 | $2,658 | $2,732 |
| B Couple, 1 Eligible (B2S) | $2,593 | $2,658 | $2,732 |
| ALH Couple, 1 Eligible (H2S) | $2,593 | $2,658 | $2,732 |
| A Couple, Both Eligible (A2C) | $2,593 | $2,658 | $2,732 |
| B Couple, Both Eligible (B2C) | $2,593 | $2,658 | $2,732 |
| ALH Couple, Both Eligible (H2C) | $2,593 | $2,658 | $2,732 |
| Nursing Home Regular (NHR) | $1,751 | $1,795 | $1,845 |
|
Effective 4/1/2026 |
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|
|
Monthly Federal Poverty Guidelines for Alaska |
Annual Federal Poverty Guidelines for Alaska |
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|
HH Size |
SLMB Base |
Working Disabled |
Low-Income Subsidy (LIS) |
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|
100% |
120% |
135% |
200% |
250% |
135% |
140% |
145% |
149% |
150% |
|
|
1 |
$1,663 |
$1,955 |
$2,245 |
$3,325 |
$4,157 |
$26,933 |
$27,930 |
$28,928 |
$29,726 |
$29,925 |
|
2 |
$2,255 |
$2,705 |
$3,044 |
$4,509 |
$5,636 |
$36,518 |
$37,870 |
$39,223 |
$40,305 |
$40,575 |
|
3 |
|
|
|
|
$7,115 |
$46,103 |
$47,810 |
$49,518 |
$50,884 |
$51,225 |
|
4 |
|
|
|
|
$8,594 |
$55,688 |
$57,750 |
$59,813 |
$61,463 |
$61,875 |
|
5 |
|
|
|
|
$10,073 |
$65,273 |
$67,690 |
$70,108 |
$72,042 |
$72,525 |
|
6 |
|
|
|
|
$11,553 |
$74,858 |
$77,630 |
$80,403 |
$82,621 |
$83,175 |
|
7 |
|
|
|
|
$13,032 |
$84,443 |
$87,570 |
$90,698 |
$93,200 |
$93,825 |
|
8 |
|
|
|
|
$14,511 |
$94,028 |
$97,510 |
$100,993 |
$103,779 |
$104,475 |
|
Addl. |
|
|
|
|
$1,480 |
$9,585 |
$9,940 |
$10,295 |
$10,579 |
$10,650 |
Note:
The QMB, SLMB's, and QDWI eligibility categories follow APA /SSI policy, which recognizes only one and two-person households. The Working Disabled Medicaid Buy-In and the LIS categories use the entire household size to determine the 250% standard.
|
MEDICARE PART A MONTHLY PREMIUM |
MEDICARE PART B MONTHLY PREMIUM BEFORE 2023 |
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|
Year |
2024 |
2025 |
2026 |
Year |
2021 |
2022 |
2023 |
| <30 Qtrs |
$505 |
$518 |
$565 |
|
$148.50 |
$170.10 |
$164.90 |
| >30 -<39 Qtrs |
$278 |
$285 |
$311 |
|
|
|
|
|
QMB, SLMB, & SLMB+ RESOURCE LIMITS |
MEDICARE PART B MONTHLY PREMIUM STARTING IN 2023 |
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|
Year |
2024 |
2025 |
2026 |
Year |
2024 |
2025 |
2026 |
| Individual |
$9,430 |
$9,660 |
$9,950 |
|
$174.70 |
$185.00 |
$202.90 |
| Couple |
$14,130 |
$14,470 |
$14,910 |
|
|
|
|
|
EXCESS HOME EQUITY |
MEDICARE PART D MAXIMUM LOW INCOME SUBSIDY AMOUNT FOR ALASKA |
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|
YEAR |
2024 |
2025 |
2026 |
Year |
2024 |
2025 |
2026 |
|
|
$713,000 |
$730,000 |
$752,000 |
|
$38.76 |
$38.85 |
$0.00 |
Pickle Amendment Table
|
If SSI was terminated during this period: |
Multiply 2026 Social Security income by: |
|
If SSI was terminated during this period: |
Multiply 2026 Social Security income by: |
|
If SSI was terminated during this period: |
Multiply 2026 Social Security income by: |
| May – June 1977 | .181 |
Jan. 1993 – Dec. 1993 |
.437 |
Jan. 2009 – Dec. 2011 |
.678 |
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|
July 1977 – June 1978 |
.192 |
|
Jan. 1994 – Dec. 1994 |
.449 |
|
Jan. 2012 – Dec. 2012 |
.703 |
|
July 1978 – June 1979 |
.204 |
|
Jan. 1995 – Dec. 1995 |
.461 |
|
Jan. 2013 – Dec. 2013 |
.715 |
|
July 1979 – June 1980 |
.224 |
|
Jan. 1996 – Dec. 1996 |
.473 |
|
Jan. 2014 – Dec. 2014 |
.726 |
|
July 1980 – June 1981 |
.256 |
|
Jan. 1997 – Dec. 1997 |
.487 |
|
Jan. 2015 – Dec. 2016 |
.738 |
|
July 1981 – June 1982 |
.285 |
|
Jan. 1998 – Dec. 1998 |
.497 |
|
Jan. 2017 – Dec. 2017 |
.740 |
|
July 1982 – Dec. 1983 |
.306 |
|
Jan. 1999 – Dec. 1999 |
.504 |
|
Jan. 2018 – Dec. 2018 |
.755 |
|
Jan. 1984 – Dec. 1984 |
.317 |
|
Jan. 2000 – Dec. 2000 |
.516 |
|
Jan. 2019 – Dec. 2019 |
.776 |
|
Jan. 1985 – Dec. 1985 |
.328 |
|
Jan. 2001 – Dec. 2001 |
.534 |
|
Jan. 2020 – Dec. 2020 |
.788 |
|
Jan. 1986 – Dec. 1986 |
.338 |
|
Jan. 2002 – Dec. 2002 |
.548 |
|
Jan. 2021 – Dec. 2021 |
.799 |
|
Jan. 1987 – Dec. 1987 |
.342 |
|
Jan. 2003 – Dec. 2003 |
.556 |
|
Jan. 2022 – Dec. 2022 |
.846 |
|
Jan. 1988 – Dec. 1988 |
.357 |
|
Jan. 2004 – Dec. 2004 |
.568 |
|
Jan. 2023 – Dec. 2023 |
.920 |
|
Jan. 1989 – Dec. 1989 |
.371 |
|
Jan. 2005 – Dec. 2005 |
.583 |
|
Jan. 2024 – Dec. 2024 |
.949 |
|
Jan. 1990 – Dec. 1990 |
.388 |
|
Jan. 2006 – Dec. 2006 | .607 |
|
Jan. 2025 - Dec. 2025 | .973 |
|
Jan. 1991 – Dec. 1991 |
.409 |
|
Jan. 2007 – Dec. 2007 |
.627 |
|
|
|
|
Jan. 1992 – Dec. 1992 |
.425 |
Jan. 2008 – Dec. 2008 |
.641 |
Due to the recession, there was no cost of living adjustment in Social Security or SSI benefits in January 2010 or 2011. The cost of living increased by 3.6% effective January 2012. Because of this history, the Pickle reduction factor is the same for individuals who lost SSI benefits in 2009-2011. Due to there being no increase in the Consumer Price Index during federal fiscal year 2015, there was no COLA adjustment for January of 2016. The Pickle reduction factor is the same for individuals who lost SSI benefits in 2015-2016.
Note:
If the last month in which an applicant received SSI while, or immediately before, receiving Social Security was in any of the periods above, multiply the present year amount of the Social Security by the corresponding years reduction factor.
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