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
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