ADDENDUM 1

PROGRAM STANDARDS

 

Refer to APAAdult Public Assistance Addendum 1 for APAAdult Public Assistance Need/Payment Standards and Supplemental Security Income Eligibility/Payment Standards.

 

Year

1/1/2022

1/1/2023

1/1/2024

1/1/2025

Special Long Term Care Income Standard

$2,523 $2,742

$2,829

$2,901

Alaska NH Nursing Home Personal Needs Allowance

$200

$200

$200

$200

Alaska HCB Personal Needs Allowance

$1,656

$1,656

$1,656

$1,656

Alaska ALH Assisted Living Home Personal Needs Allowance

$1,396

$1,396

$1,396

$1,396

Maximum Community Spouse Resource Allowance

$137,400 $148,620

$154,140

$157,920

Community Spouse Monthly Maintenance Need Standard

$3,435.00 $3,715.50

$3,853.50

$3,948

Monthly Need Standard for Additional Household Members

$1,145.00 $1,238.50

$1,284.50

$1,316

 

 

 EXPANDED REFUSED CASH INCOME LIMITS

 HOUSEHOLD TYPE

1/01/2023

01/01/2024 01/01/2025
 A Individual (A1E) $1,697 $1,751 $1,795
 B Individual (B1E) $1,697 $1,751 $1,795
 ALH Individual (H1E) $1,697 $1,751 $1,795
 A Couple, 1 Eligible (A2S) $2,513 $2,593 $2,658
 B Couple, 1 Eligible (B2S) $2,513 $2,593 $2,658
 ALH Couple, 1 Eligible (H2S) $2,513 $2,593 $2,658
 A Couple, Both Eligible (A2C) $2,513 $2,593 $2,658
 B Couple, Both Eligible (B2C) $2,513 $2,593 $2,658
 ALH Couple, Both Eligible (H2C) $2,513 $2,593 $2,658
 Nursing Home Regular (NHR) $1,697 $1,751 $1,795

 

 

Effective 4/1/2025

 

Monthly Federal Poverty Guidelines for Alaska

Annual Federal Poverty Guidelines for Alaska

HH Size

QMBQualified Medicare Beneficiaries Qualified Medicare Beneficiaries

SLMBSpecified Low Income Medicare Beneficiaries Special Low Income Medicare Beneficiaries Base

SLMB PlusSpecified Low Income Medicare Beneficiary Plus

QDWIQualified Disabled and Working Individuals

Working Disabled

Low-Income Subsidy (LISLow Income Subsidy)

100%

120%

135%

200%

250%

135%

140%

145%

149%

150%

1

$1,630

$1,955

$2,200

$3,259

$4,073

$26,393

$27,370

$28,348

$29,130

$29,325

2

$2,203

$2,643

$2,974

$4,405

$5,507

$35,681

$37,002

$38,324

$39,381

$39,645

3

 

 

 

 

$6,940

$44,969

$46,634

$48,300

$49,632

$49,965

4

 

 

 

 

$8,373

$54,257

$56,266

$58,276

$59,884

$60,285

5

 

 

 

 

$9,807

 $63,545

$65,898

$68,252

$70,135

$70,605

6

 

 

 

 

$11,240

$72,833

$75,530

$78,228

$80,386

$80,925

7

 

 

 

 

$12,673

$82,121

$85,162

$88,204

$90,637

$91,245

8

   

 

 

 

$14,107

$91,409

$94,794

$98,180

$100,888

$101,565

Addl.

 

 

 

 

$1,434

$9,288

$9,632

$9,976

$10,252

$10,320

 

 

 

Note:  

The QMBQualified Medicare Beneficiaries , SLMBSpecified Low Income Medicare Beneficiaries's, and QDWIQualified Disabled and Working Individuals eligibility categories follow APAAdult Public Assistance /SSISupplemental Security Income policy, which recognizes only one and two-person households.  The Working Disabled Medicaid Buy-In and the LISLow Income Subsidy categories use the entire household size to determine the 250% standard.

 

 

MEDICARE PART A MONTHLY PREMIUM

MEDICARE PART B MONTHLY PREMIUM BEFORE 2023

Year

2023

2024

2025

Year

2020

2021

2022

<30 Qtrs

$506

$505

$518

 

$144.60

$148.50

$170.10

>30 -<39 Qtrs

$278

$278

$285

 

 

 

 

   

QMB, SLMB, & SLMB+

RESOURCE LIMITS

MEDICARE PART B MONTHLY PREMIUM

STARTING IN 2023

Year

2023

2024

2025

Year

2023

2024

2025

Individual

$9,090

$9,430

$9,660

 

$164.90

$174.70

$185.00

Couple

$13,630

$14,130

$14,470

 

 

 

 

   

EXCESS HOME EQUITY

MEDICARE PART D

MAXIMUM LOW INCOME SUBSIDY AMOUNT FOR ALASKA

YEAR

2023

2024

2025

Year

2023

2024

2025

 

$688,000

$713,000

$730,000

 

$34.78

$38.76

$38.85

 

 

Pickle Amendment Table

 

If SSI Supplemental Security Income was terminated

during this period:

Multiply 2025 Social Security income by:

 

If SSI Supplemental Security Income was terminated during this period:

Multiply 2025 Social Security income by:

 

If SSI was terminated during this period:

Multiply 2025 Social Security income by:

May  – June 1977 .186  

Jan. 1992 – Dec. 1992

.437  

Jan. 2007 – Dec. 2007

.644

July 1977 – June 1978

.197

 

Jan. 1993 – Dec. 1993

.450

 

Jan. 2008 – Dec. 2008

.659

July 1978 – June 1979

.210

 

Jan. 1994 – Dec. 1994

.461

 

Jan. 2009 – Dec. 2011

.697

July 1979 – June 1980

.230

 

Jan. 1995 – Dec. 1995

.474

 

Jan. 2012 – Dec. 2012

.723

July 1980 – June 1981

.263

 

Jan. 1996 – Dec. 1996

.487

 

Jan. 2013 – Dec. 2013

.735

July 1981 – June 1982

.293

 

Jan. 1997 – Dec. 1997

.501

 

Jan. 2014 – Dec. 2014

.746

July 1982 – Dec. 1983

.315

 

Jan. 1998 – Dec. 1998

.511

 

Jan. 2015 – Dec. 2016

.759

Jan. 1984 – Dec. 1984

.326

 

Jan. 1999 – Dec. 1999

.518

 

Jan. 2017 – Dec. 2017

.761

Jan. 1985 – Dec. 1985

.337

 

Jan. 2000 – Dec. 2000

.531

 

Jan. 2018 – Dec. 2018

.776

Jan. 1986 – Dec. 1986

.347

 

Jan. 2001 – Dec. 2001

.549

 

Jan. 2019 – Dec. 2019

.798

Jan. 1987 – Dec. 1987

.352

 

Jan. 2002 – Dec. 2002

.564

 

Jan. 2020 Dec. 2020

.811

Jan. 1988 – Dec. 1988

.367

 

Jan. 2003 – Dec. 2003

.571

 

Jan. 2021  Dec. 2021

.821

Jan. 1989 – Dec. 1989

.381

 

Jan. 2004 – Dec. 2004

.583

 

Jan. 2022  Dec. 2022

.870

Jan. 1990 – Dec. 1990

.399

 

Jan. 2005 – Dec. 2005

.599

 

Jan. 2023  Dec. 2023

.945

Jan. 1991 – Dec. 1991

.421

 

Jan. 2006 – Dec. 2006

.624

 

Jan. 2024 Dec. 2024

.976

 

Due to the recession, there was no cost of living adjustment in Social Security or SSISupplemental Security Income 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 SSISupplemental Security Income benefits in 2009-2011.  Due to there being no increase in the Consumer Price Index during federal fiscal year 2015, there was no COLACost of Living Allowance adjustment for January of 2016.  The Pickle reduction factor is the same for individuals who lost SSISupplemental Security Income benefits in 2015-2016.

 

Note:  

If the last month in which an applicant received SSISupplemental Security Income 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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MC #68 (04/25)