SSI ELIGIBILITY. ANNUAL EARNED INCOME CONVERSIONS (Effective January 1, 2005) One Parent Household. Number of Monthly Annual Non-SSI Children

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SSI ELIGIBILITY ANNUAL EARNED INCOME CONVERSIONS (Effective January 1, 2005) One Parent Household Number of Monthly Annual Non-SSI Children 0 $2,667.78 $32,013.36 1 $2,957.78 $35,493.36 2 $3,247.78 $38,973.36 3 $3,537.78 $42,453.36 Two Parent Household Number of Monthly Annual Non-SSI Children 0 $3,247.78 $38,973.36 1 $3,537.78 $42,453.36 2 $3,827.78 $45,933.36 3 $4,117.78 $49,413.36

SSI ELIGIBILITY Effective 1/1/05 P A R E N T T O C H I L D D E E M I N G (Allocations for Deeming Worksheet) Child Allocation (Half Federal Benefit Rate) * $290.00 1 Parent (Individual; Full FBR) $579.00 2 Parents (Couple FBR) $869.00 2X Individual FBR $1,158.00 2X Couple FBR $1,738.00 * For Deeming calculation, multiply the child Allocation by the number of NON-SSI children in the household.

SSI 2005 SSI RESOURCE ELIGIBILITY IN MASSACHUSETTS As part of the Deficit Reduction Act of 1984 (P.L. 98-369), the resource limits for SSI eligibility had been undergoing an increase each year for a period of five years. Therefore, 1989 was the fifth and final phase of the annual increase. The maximum resource limits regarding children are still the following: Disabled Individual: $2,000.00 (includes child not living with parents) Disabled child living with 1 parent $4,000.00 ($2,000.00 each) Disabled child living with both parents $5,000.00 ($2,000.00 child, $3,000 parents)

SSI INCOME ELIGIBILITY FOR SSI IN MASSACHUSETTS (Effective January 1, 2005) The following charts can be used as a guide for families with a disabled child who may be eligible for SSI. Income eligibility is based on household size. The earned income maximum is Gross Monthly wages, or net earnings from self-employment. Unearned income is the monthly payment from such sources as pensions, unemployment or workers compensation, rental income, interest on savings, support, alimony, and/or Social Security. MAXIMUM MONTHLY GROSS INCOME EARNED INCOME NUMBER OF NON SSI ONE PARENT TWO PARENT CHILDREN HOUSEHOLD HOUSEHOLD 0 $2,667.78 $3,247.78 1 $2,957.78 $3,537.78 2 $3,247.78 $3,827.78 3 $3,537.78 $4,117.78 UNEARNED INCOME NUMBER OF NON SSI ONE PARENT TWO PARENT CHILDREN HOUSEHOLD HOUSEHOLD 0 $1,311.39 $1,601.39 1 $1,601.39 $1,891.39 2 $1,891.39 $2,181.39 3 $2,181.39 $2,471.39 -- Add $290.00 for each additional child -- If applicant is a Blind Child add $70.70 to Maximum Earned Income, add $35.35 to Maximum Unearned Income. PLEASE NOTE* These charts cannot be used to determine eligibility for families with both earned and unearned income, with more than one eligible child, with SSI eligible parents, or when children in the family have their own income.

SSI SUPPLEMENTAL SECURITY INCOME FOR CHILDREN MAXIMUM BENEFIT RATES IN MASSACHUSETTS (Effective January 1, 2005) 1 STATE LIVING ARRANGEMENT FULL COST OF LIVING SHARED LIVING LIVING IN HOUSEHOLD OF ANOTHER SUMMARY OF CHILDREN INCLUDED IN THIS CATEGORY (1) Children living with parent/s where TAFDC, EDC or SSI payment are not being received (1) Children living with parent/s where TAFDC, EDC, or SSI payments are being received (2) Children living in FOSTER CARE, or a COMMUNITY RESIDENCE (16 or fewer persons) (3) Children living in a private medical facility (not a licensed Rest Home) where Medicaid pays less than 50% of the cost of care 2 (1) Individuals determined under Federal rules to be living in the household of another, receiving support and maintenance, and paying less than pro-rata share of household expenses. (Children living with relatives are usually included in this category) MAXIMUM DISABLED BENEFIT MAXIMUM BLIND BENEFIT $693.39 $728.74 $609.40 $728.74 $473.58 $728.74 BENEFIT LEVELS IN INSTITUTIONS PUBLIC INST. PRIVATE INST. CHILDREN IN INSTITUTIONS Medicaid Certified Facility Under 50% of cost paid by MA Over 50% of cost paid by MA Ineligible $65.00 $65.00 $65.00 Non Medicaid Facility 1 The benefit figures are due to change on 1/1/06 2 Sometimes called TITLE XIX FACILITY OR MEDICAL TREATMENT FACILITY Ineligible $609.40

SSI ELIGIBILITY A) Must have LOW INCOME B) Must have LOW RESOURCES C) Must be a U. S. citizen or qualify under certain categories of alien status D) Must meet SSA DISABILITY OR BLINDNESS requirements SOCIAL SECURITY ADMINISTRATION DEFINITION OF "PARENT" A natural or adoptive parent, or a step-parent living with a natural or adoptive parent, who lives in the same household as the SSI applicant. WHEN A PARENT'S INCOME DOES NOT COUNT When a child applies for SSI, the parent's income does NOT count in determining eligibility: A) When the child's household is on TAFDC B) When the child lives "permanently" away from home C) After the child reaches age 18 MAXIMUM MONTHLY GROSS INCOME (Effective January 1, 2005) EARNED INCOME # OF NON SSI CHILDREN 1 PARENT HOUSEHOLD 2 PARENT HOUSEHOLD 0 $2,667.78 $3,247.78 1 $2,957.78 $3,537.78 2 $3,247.78 $3,827.78 3 $3,537.78 $4,117.78 UNEARNED INCOME # OF NON SSI CHILDREN 1 PARENT HOUSEHOLD 2 PARENT HOUSEHOLD 0 $1,311.39 $1,601.39 1 $1,601.39 $1,891.39 2 $1,891.39 $2,181.39 3 $2,181.39 $2,471.39 - Add $290.00 for each additional child - If applicant is a Blind Child, add $70.70 to Maximum Earned Income, add $35.35 to Maximum Unearned Income. PLEASE NOTE* These charts cannot be used to determine eligibility for families with both earned and unearned income, with more than one eligible child, with SSI eligible parents, or when children in the family have their own income.