NC Medicaid and Special Assistance Rates

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UPDATED September, 2015

Medicaid

  • Monthly divisor: $6,300 (eff 12/1/11 – remains effective as of 1/1/15)
  • Community Spouse Resource Allowance (effective 1/1/14 –  remain effective 1/1/2015)
    • Minimum $23,844
    • Maximum $119,220
  • Monthly Maintenance Needs Allowance (eff 7/1/15)
    • Base $1,992
    • Shelter Standard $598
    • Standard Utility Allowance  $360
    • Dependent Allowance $664

Special Assistance

  • Base SA Program (10/1/09 – remains effective as of 1/1/15)
    • Maximum SA Rate: $1,182
    • Personal Needs Allowance $46
    • General Income Exclusion $20
    • TOTAL $1,248
    • Max Countable Income: $1,247.50 (due to rounding)
  • Special Care Unit Rate
    • Maximum SA Spec Care Unit Rate $1,515
    • Personal Needs Allowance $46
    • General Income Exclusion $20
    • TOTAL: $1,581
    • Max Countable Income: $1,580.50 (due to rounding)

2014-2015 Federal Benefit Rate

Recipient2014 Unrounded Annual2014 Monthly2015 Unrounded Annual2015 Monthly
Eligible Individual$8,657.26$721$8,804.43$733
Eligible Couple$12,984.44$1,082$13,205.18$1,100
Essential Person$4,338.55$361$4,412.31$367

2014 Federal Poverty Guidelines

Size of Family100% of Poverty Level110% of Poverty Level130% of Poverty Level185% of Poverty Level
1$11,670$12,837$15,171$21,590
2$15,730$17,303$20,449$29,101
3$19,790$21,769$25,727$36,612
4$23,850$26,235$31,005$44,123
5$27,910$30,701$36,283$51,634
6$31,970$35,167$41,561$59,145
7$36,030$39,633$46,839$66,656
8$40,090$44,099$52,117$74,167
Each additional family member$4,060$4,466$5,278$7,511