Medicaid Standards Chart

Northwest Justice Project

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The table shows Medicaid eligibility and other standards in effect as of 01/01/2026. 

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

 

StandardsAmountEffective
Federal Benefit Rate (FBR)$99401/2026
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)
$14,50501/2026
Income allowance for married COPES participant
Categorically Needy Income Level (CNIL)
$99401/2026
Income allowance for single COPES participant
Special Income Level (SIL)
$2,98201/2026
Income allowance for community spouse
CS maintenance needs allowance maximum
$4,06601/2026
Community spouse resource limit – participant in hospital or nursing home 
Federal spousal resource maximum
$162,66001/2026
Community spouse resource limit – participant in community
State spousal resources
$72,52907/2025
Home Equity Limit$1,130,00001/2026
Personal Needs Allowance in a care facility$108.7401/2026
Housing maintenance allowance maximum$1,30404/2025
Community spouse excess shelter cost$79307/2025
Nursing Facility Rate – daily - private$46210/2025
Nursing Facility Rate – monthly - private$14,05910/2025
Nursing Facility Rate – monthly - state$11,50310/2025

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