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Medicaid Standards Chart

Northwest Justice Project

Reviewed for legal accuracy on

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The table shows Medicaid eligibility and other standards in effect as of 04/01/2025. 

You can find more information about Medicaid Standards on the Washington Health Care Authority website.

StandardsAmountEffective
Federal Benefit Rate (FBR)$96701/2025
Maximum resource for single person $2,00001/1989

Maximum income for COPES applicant

(Income allowance for single COPES participant (CNIL) + monthly nursing facility rate (state) + $20 disregard)

$13,54201/2025

Income allowance for married COPES participant

Categorically Needy Income Level (CNIL)

$96701/2025

Income allowance for single COPES participant

Special Income Level (SIL)

$2,90101/2025

Income allowance for community spouse

CS maintenance needs allowance maximum

$3,94801/2025

Community spouse resource limit – participant in hospital or nursing home 

Federal spousal resource maximum

$157,92001/2025

Community spouse resource limit – participant in community

State spousal resources

$68,30107/2023
Home Equity Limit$1,097,00001/2025
Personal Needs Allowance in a care facility$105.7801/2025
Housing maintenance allowance maximum$1,30404/2025
Community spouse excess shelter cost$76707/2024
Nursing Facility Rate – daily - private$42210/2024
Nursing Facility Rate – monthly - private$12,84210/2024
Nursing Facility Rate – monthly - state$10,62110/2024

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