New Mexico Register
/ Volume XXIX, Issue 17 / September 11, 2018
This is an amendment to 8.200.520 NMAC,
Section 11-13, 15-16, and 20, effective 9/11/2018.
8.200.520.11 FEDERAL POVERTY INCOME GUIDELINES:
A. One hundred
percent federal poverty limits (FPL):
Size of budget
group FPL
per month
1 [$1,005]
$1,012
2 [$1,354]
$1,372
3 [$1,702]
$1,732
4 [$2,050]
$2,092
5 [$2,399]
$2,452
6 [$2,747]
$2,812
7 [$3,095]
$3,172
8 [$3,444]
$3,532
Add
[$349] $360 for each additional person in the budget group.
*Use
only these two standards for the qualified medicare beneficiary (QMB) program.
B. One hundred
twenty percent FPL: This income level is
used only in the determination of the maximum income limit for specified low
income medicare beneficiaries (SLIMB) applicants or eligible recipients.
Applicant or
eligible recipient Amount
1 Individual At least [$1,005] $1,012 per month but no
more than [$1,206] $1,214 per month.
2 Couple At least [$1,354] $1,372 per month
but no more than [$1,624] $1,646 per month.
For
purposes of this eligibility calculation, “couple” means an applicant couple or
an applicant with an ineligible spouse when income is deemed.
C. One hundred
thirty-three percent FPL:
Size of budget
group FPL
per month
1 [$1,337]
$1,346
2 [$1,800]
$1,825
3 [$2,264]
$2,304
4 [$2,727]
$2,782
5 [$3,190]
$3,261
6 [$3,654]
$3,740
7 [$4,117]
$4,219
8 [$4,580]
$4,698
Add [$463]
$479 for each additional person in the budget group.
D. One hundred
thirty-five percent FPL: This income
level is used only in the determination of the maximum income limit for a
qualified individual 1 (QI1) applicant or eligible recipient. For purposes of this eligibility calculation,
“couple” means an applicant couple or an applicant with an ineligible spouse
when income is deemed. The following
income levels apply:
Applicant or
eligible recipient Amount
1. Individual At least [$1,206] $1,214 per month but no
more than [$1,357] $1,366 per month.
2. Couple At least [$1,624] $1,646 per month
but no more than [$1,827] $1,852 per month.
E. One hundred
eighty-five percent FPL:
Size of budget
group FPL
per month
1 [$1,860]
$1,872
2 [$2,504]
$2,538
3 [$3,149]
$3,204
4 [$3,793]
$3,870
5 [$4,437]
$4,536
6 [$5,082]
$5,202
7 [$5,726]
$5,868
8 [$6,371]
$6,534
Add [$645]
$666 for each additional person in the budget group.
F. Two hundred
percent FPL:
Size of budget
group FPL
per month
1 [$2,010]
$2,024
2 [$2,707]
$2,744
3 [$3,404]
$3,464
4 [$4,100]
$4,184
5 [$4,797]
$4,904
6 [$5,494]
$5,624
7 [$6,190]
$6,344
8 [$6,887]
$7,064
Add [$697]
$720 for each additional person in the budget group.
G. Two hundred
thirty-five percent FPL:
Size of budget
group FPL
per month
1 [$2,362]
$2,378
2 [$3,181]
$3,224
3 [$3,999]
$4,070
4 [$4,818]
$4,916
5 [$5,637]
$5,762
6 [$6,455]
$6,608
7 [$7,274]
$7,454
8 [$8,092]
$8,300
Add [$818]
$846 for each additional person in the budget group.
H. Two hundred
fifty percent FPL:
Size of budget
group FPL
per month
1 [$2,513]
$2,530
2 [$3,384]
$3,430
3 [$4,255]
$4,330
4 [$5,125]
$5,230
5 [$5,996]
$6,130
6 [$6,867]
$7,030
7 [$7,738]
$7,930
8 [$8,609]
$8,830
Add [$871]
$900 for each additional person in the budget group.
[8.200.520.11 NMAC - Rp, 8.200.520.11 NMAC, 8/28/2015;
A/E, 4/1/2016; A/E, 9/14/2017; A, 2/1/2018; A/E, 5/17/2018; A, 9/11/2018]
8.200.520.12 COST OF LIVING ADJUSTMENT (COLA)
DISREGARD COMPUTATION: The countable social security
benefit without the COLA is calculated using the COLA increase table as
follows:
A. divide the
current gross social security benefit by the COLA increase in the most current
year; the result is the social security benefit before the COLA increase;
B. divide the
result from Subsection A above by the COLA increase from the previous period or
year; the result is the social security benefit before the increase for that
period or year; and
C. repeat Subsection
B above for each year, through the year that the applicant or eligible recipient
received both social security benefits and supplemental security income (SSI);
the final result is the countable social security benefit.
|
COLA
Increase and disregard table |
|||
|
|
COLA increase |
= benefit before |
|
|
1 |
2018 Jan - Dec |
2.0 |
Jan 18 |
|
[ |
2017 Jan - Dec |
0.3 |
Jan 17 |
|
[ |
2016 Jan - Dec |
0 |
Jan 16 |
|
[ |
2015 Jan - Dec |
1.017 |
Jan 15 |
|
[ |
2014 Jan - Dec |
1.015 |
Jan 14 |
|
[ |
2013 Jan - Dec |
1.017 |
Jan 13 |
|
[ |
2012 Jan - Dec |
1.037 |
Jan 12 |
|
[ |
2011 Jan - Dec |
0 |
Jan 11 |
|
[ |
2010 Jan - Dec |
1 |
Jan 10 |
|
[ |
2009 Jan - Dec |
1 |
Jan 09 |
|
[ |
2008 Jan - Dec |
1.058 |
Jan 08 |
|
[ |
2007 Jan - Dec |
1.023 |
Jan 07 |
|
[ |
2006 Jan - Dec |
1.033 |
Jan 06 |
|
[ |
2005 Jan - Dec |
1.041 |
Jan 05 |
|
[ |
2004 Jan - Dec |
1.027 |
Jan 04 |
|
[ |
2003 Jan - Dec |
1.021 |
Jan 03 |
|
[ |
2002 Jan - Dec |
1.014 |
Jan 02 |
|
[ |
2001 Jan - Dec |
1.026 |
Jan 01 |
|
[ |
2000 Jan - Dec |
1.035 |
Jan 00 |
|
[ |
1999 Jan - Dec |
1.025 |
Jan 99 |
|
[ |
1998 Jan - Dec |
1.013 |
Jan 98 |
|
[ |
1997 Jan - Dec |
1.021 |
Jan 97 |
|
[ |
1996 Jan - Dec |
1.029 |
Jan 96 |
|
[ |
1995 Jan - Dec |
1.026 |
Jan 95 |
|
[ |
1994 Jan - Dec |
1.028 |
Jan 94 |
|
[ |
1993 Jan - Dec |
1.026 |
Jan 93 |
|
[ |
1992 Jan - Dec |
1.03 |
Jan 92 |
|
[ |
1991 Jan - Dec |
1.037 |
Jan 91 |
|
[ |
1990 Jan - Dec |
1.054 |
Jan 90 |
|
[ |
1989 Jan - Dec |
1.047 |
Jan 89 |
|
[ |
1988 Jan - Dec |
1.04 |
Jan 88 |
|
[ |
1987 Jan - Dec |
1.042 |
Jan 87 |
|
[ |
1986 Jan - Dec |
1.013 |
Jan 86 |
|
[ |
1985 Jan - Dec |
1.031 |
Jan 85 |
|
[ |
1984 Jan - Dec |
1.035 |
Jan 84 |
|
[ |
1982 Jul - 1983 Dec |
1.035 |
Jul 82 |
|
[ |
1981 Jul - 1982 Jun |
1.074 |
Jul 81 |
|
[ |
1980 Jul - 1981 Jun |
1.112 |
Jul 80 |
|
[ |
1979 Jul - 1980 Jun |
1.143 |
Jul 79 |
|
[ |
1978 Jul - 1979 Jun |
1.099 |
Jul 78 |
|
[ |
1977 Jul - 1978 Jun |
1.065 |
Jul 77 |
|
[ |
1977 Apr - 1977 Jun |
1.059 |
Apr 77 |
[8.200.520.12 NMAC - Rp, 8.200.520.12 NMAC, 8/28/2015;
A/E, 1/1/2016; A/E, 3/1/2017; A/E, 5/17/2018; A, 9/11/2018]
8.200.520.13 FEDERAL BENEFIT RATES (FBR) AND VALUE OF
ONE-THIRD REDUCTION (VTR):
|
Year |
Individual |
Institution |
Individual |
Couple |
Institution |
Couple |
|
|
FBR |
FBR |
VTR |
FBR |
FBR |
VTR |
|
1/89 to
1/90 |
$368 |
$30 |
$122.66 |
$553 |
$60 |
$184.33 |
|
1/90 to
1/91 |
$386 |
$30 |
$128.66 |
$579 |
$60 |
$193.00 |
|
1/91 to
1/92 |
$407 |
$30 |
$135.66 |
$610 |
$60 |
$203.33 |
|
1/92 to
1/93 |
$422 |
$30 |
$140.66 |
$633 |
$60 |
$211.00 |
|
1/93 to
1/94 |
$434 |
$30 |
$144.66 |
$652 |
$60 |
$217.33 |
|
1/94 to
1/95 |
$446 |
$30 |
$148.66 |
$669 |
$60 |
$223.00 |
|
1/95 to
1/96 |
$458 |
$30 |
$152.66 |
$687 |
$60 |
$229.00 |
|
1/96 to
1/97 |
$470 |
$30 |
$156.66 |
$705 |
$60 |
$235.00 |
|
1/97 to
1/98 |
$484 |
$30 |
$161.33 |
$726 |
$60 |
$242.00 |
|
1/98 to
1/99 |
$494 |
$30 |
$164.66 |
$741 |
$60 |
$247.00 |
|
1/99 to
1/00 |
$500 |
$30 |
$166.66 |
$751 |
$60 |
$250.33 |
|
1/00 to
1/01 |
$512 |
$30 |
$170.66 |
$769 |
$60 |
$256.33 |
|
1/01 to
1/02 |
$530 |
$30 |
$176.66 |
$796 |
$60 |
$265.33 |
|
1/02 to
1/03 |
$545 |
$30 |
$181.66 |
$817 |
$60 |
$272.33 |
|
1/03 to
1/04 |
$552 |
$30 |
$184.00 |
$829 |
$60 |
$276.33 |
|
1/04 to
1/05 |
$564 |
$30 |
$188 |
$846 |
$60 |
$282.00 |
|
1/05 to
1/06 |
$579 |
$30 |
$193 |
$869 |
$60 |
$289.66 |
|
1/06 to
1/07 |
$603 |
$30 |
$201 |
$904 |
$60 |
$301.33 |
|
1/07 to
1/08 |
$623 |
$30 |
$207.66 |
$934 |
$60 |
$311.33 |
|
1/08 to
1/09 |
$637 |
$30 |
$212.33 |
$956 |
$60 |
$318.66 |
|
1/09 to
1/10 |
$674 |
$30 |
$224.66 |
$1,011 |
$60 |
$337 |
|
1/10 to
1/11 |
$674 |
$30 |
$224.66 |
$1,011 |
$60 |
$337 |
|
1/11 to
1/12 |
$674 |
$30 |
$224.66 |
$1,011 |
$60 |
$337 |
|
1/12 to
1/13 |
$698 |
$30 |
$232.66 |
$1,048 |
$60 |
$349.33 |
|
1/13 to
1/14 |
$710 |
$30 |
$237 |
$1,066 |
$60 |
$355 |
|
1/14 to
1/15 |
$721 |
$30 |
$240 |
$1082 |
$60 |
$361 |
|
1/15 to
12/15 |
$733 |
$30 |
$244 |
$1,100 |
$60 |
$367 |
|
1/16 to
12/16 |
$733 |
$30 |
$244 |
$1,100 |
$60 |
$367 |
|
1/17 to
12/17 |
$735 |
$30 |
$245 |
$1,103 |
$60 |
$368 |
|
1/18
to 12/18 |
$750 |
$30 |
$250 |
$1,125 |
$60 |
$375 |
A. Ineligible child
deeming allocation is $350.00.
B. Part B premium
is $134.00 per month.
C. VTR (value of
one third reduction) is used when an individual or a couple lives in the
household of another and receives food and shelter from the household or when
the individual or the couple is living on his or her own household but
receiving support and maintenance from others.
D. The SSI resource
standard is $2000 for an individual and $3000 for a couple.
[8.200.520.13 NMAC - Rp, 8.200.520.13 NMAC, 8/28/2015;
A/E, 1/1/2016; A/E, 3/1/2017; A/E, 5/17/2018; A, 9/11/2018]
8.200.520.15 SUPPLEMENTAL SECURITY INCOME (SSI) LIVING
ARRANGEMENTS:
A. Individual
living in his or her own household who own or rent:
Payment
amount: [$735]
$750 Individual
[$1,103]
$1,125 Couple
B. Individual receiving support and maintenance
payments: For an individual or
couple living in his or her own household, but receiving support and
maintenance from others (such as food, shelter or clothing), subtract the value
of one third reduction (VTR).
Payment
amount: [$735]
$750 - [$245] $250 = [$490] $500 Individual
[$1,103]
$1,125 - [$368] $375 = [$735] $750 Couple
C. Individual
or couple living household of another: For an individual or couple
living in another person's household and not contributing his or her pro-rata
share of household expenses, subtract the VTR.
Payment
amount: [$735]
$750 - [$245] $250 = [$490] $500 Individual
[$1,103]
$1,125 - [$368] $375 = [$735] $750 Couple
D. Child living in
home with his or her parent:
Payment
amount: [$735]
$750
E. Individual in institution:
Payment
amount: $30.00
[8.200.520.15
NMAC - Rp, 8.200.520.15 NMAC, 8/28/2015; A/E, 3/1/2017; A/E, 5/17/2018; A, 9/11/2018]
8.200.520.16 MAXIMUM COUNTABLE INCOME FOR
INSTITUTIONAL CARE MEDICAID AND HOME AND COMMUNITY BASED WAIVER SERVICES (HCBS) CATEGORIES: Effective January 1, 2017, the maximum countable monthly income standard for
institutional care medicaid and the home and community based waiver categories
is [$2,205] $2,250.
[8.200.520.16 NMAC - Rp, 8.200.520.16 NMAC, 8/28/2015;
A/E, 3/1/2017; A/E, 5/17/2018; A, 9/11/2018]
8.200.520.20 COVERED QUARTER INCOME STANDARD:
Date Calendar Quarter Amount
Jan
2018 - Dec. 2018 $1,320
per calendar quarter
Jan
2017 - Dec. 2017 $1,300
per calendar quarter
Jan
2016 - Dec. 2016 $1,260
per calendar quarter
Jan
2015 - Dec. 2015 $1,220
per calendar quarter
Jan
2014 - Dec. 2014 $1,200
per calendar quarter
Jan
2013 - Dec. 2013 $1,160
per calendar quarter
Jan
2012 - Dec. 2012 $1,130
per calendar quarter
Jan.
2011 - Dec. 2011 $1,120
per calendar quarter
Jan.
2010 - Dec. 2010 $1,120
per calendar quarter
Jan.
2009 - Dec. 2009 $1,090
per calendar quarter
Jan. 2008 - Dec. 2008 $1,050
per calendar quarter
Jan. 2007 - Dec. 2007 $1,000
per calendar quarter
Jan. 2006 - Dec. 2006 $970
per calendar quarter
Jan. 2005 - Dec. 2005 $920
per calendar quarter
Jan. 2004 - Dec. 2004 $900
per calendar quarter
Jan. 2003 - Dec. 2003 $890
per calendar quarter
Jan. 2002 - Dec. 2002 $870
per calendar quarter
[8.200.520.20
NMAC - Rp, 8.200.520.20 NMAC, 8/28/2015; A/E, 1/1/2016; A/E, 03/01/2017; A/E,
5/17/2018; A, 9/11/2018]