October 31, 2014

2012 Medicaid Numbers Released by Colorado Department of Health Care Policy

On January 6, 2012, the Colorado Department of Health Care Policy and Financing released its 2012 Social Security Cost of Living Adjustments. According to the report, monthly Social Security and Supplemental Security Income benefits will increase by 3.6% in 2012. The 300% income limit, regional income trust maximum, Medicare premiums, home equity maximum, minimum monthly maintenance needs allowance maximum, and the community spouse resource allowance will also increase.

The following tables list the 2011 and 2012 income and resource limits for Adult and Long-Term Care Medicaid categories, regional income trust maximum, Medicare premiums, home equity maximum, minimum monthly maintenance needs allowance maximum, and the community spouse resource allowance.

Supplemental Security Income Limits

January 2011  January 2012
Individual in own home $674  $698
Individual in home of another $449.34  $465.34
Couple in own home $1,011  $1,048
Couple in home of another $674  $698
In-kind Support and Maintenance maximum (ISM) $244.66  $252.66
300% limit $2,022  $2,094

Nursing Facility

Income Trust Gross Income Limits and Average Private Pay Rate

January 2011 January 2012
Region I

Counties: Adams, Arapahoe, Boulder, Broomfield, Denver, and Jefferson

$6,914 $7,046
Region II

Counties: Cheyenne, Clear Creek, Douglas, Elbert, Gilpin, Grand, Jackson, Kit Carson, Larimer, Logan, Morgan, Park, Phillips, Sedgwick, Summit, Washington, Weld, and Yuma

$6,412 $6,690
Region III

Counties: Alamosa, Baca, Bent, Chaffee, Conejos, Costilla, Crowley, Custer, El Paso, Fremont, Huerfano, Kiowa, Lake, Las Animas, Lincoln, Mineral, Otero, Prowers, Pueblo, Rio Grande, Saguache, and Teller

$5,915 $6,190
Region IV

Counties: Archuleta, Delta, Dolores, Eatle, Garfield, Gunnison, Hinsdale, La Plata, Mesa, Moffat, Montezuma, Montrose, Ouray, Pitkin, Rio Blanco, Routt, San Juan, and San Miguel

$6,336 $6,566
Average Private Pay Rate $6,394 $6,623

Medicare

Medicare Part A – Hospital Insurance

Seniors and certain individuals under 65 with fewer than 30 work quarters of Medicare covered employment

$451
Medicare Part A – Hospital Insurance

Seniors over 65 with 30-39 quarters of Medicare covered employment

$289
Medicare Part B

Physician services, outpatient hospital services, certain home health services, durable medical equipment, and other items

$99.90
Medicare Skilled Nursing Facility Co-insurance

Days 21 thru 100 each benefit period

$144.50

Spousal Protection

January 1, 2011 January 1, 2012
Community Spouse Resource Allowance (CSRA) $109,560 $113,640
Minimum Monthly Maintenance Needs Allowance (Maximum) $2,739 $2,841

July 1, 2010 July 1, 2011
Minimum Monthly Maintenance Needs Allowance (MMMNA) $1,822 $1,839
Excess Shelter $547 $552

Home Equity Maximum

January 1, 2011 January 1, 2012
$506,000 $525,000

Contact Information: Medicaid.Eligibility@hcpf.state.co.us

Click here to review the full report.

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