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| State – Coverage Type | Single | Married (for one spouse) | Married (for both spouses) |
| Alabama – Institutional / Nursing Home | $2,382 | $2,382 | $2,382 / spouse |
| Alabama – Waivers / HCBS | $2,382 | $2,382 | $2,382 / spouse |
| Alabama – Regular / Elderly / Blind / Disabled | $814 | $1,211 | $1,211 total |
| Alaska – Institutional / Nursing Home | $2,382 | $2,382 | $2,382 / spouse |
| Alaska – Waivers / HCBS | $2,382 | $2,382 | $2,382 / spouse |
| Alaska – Regular / Elderly / Blind / Disabled | $1,474 | $2,183 | $2,183 total |
| Arizona – Institutional / Nursing Home | $2,382 | $2,382 | $2,382 / spouse |
| Arizona – HCBS | $2,382 | $2,382 | $2,382 / spouse |
| Arizona – Regular / Elderly / Blind / Disabled | $1,073 | $1,452 | $1,452 total |
| Arkansas – Institutional / Nursing Home | $2,382 | $2,382 | $2,382 / spouse |
| Arkansas – Waivers / HCBS | $2,382 | $2,382 | $2,382 / spouse |
| Arkansas – Regular / Elderly / Blind / Disabled | $794 | $1,191 | $1,191 total |
| California – Institutional / Nursing Home | a | a | a |
| California – Waivers / HCBS | $1,468 | $1,486 | $1,983 total |
| California – Regular / Elderly / Blind / Disabled | $1,468 | $2,068 | $1,983 total |
| Colorado – Institutional / Nursing Home | $2,382 | $2,382 | $4,764 total |
| Colorado – Waivers / HCBS | $2,382 | $2,382 | $4,764 total |
| Colorado – Regular / Elderly / Blind / Disabled | $794 | $1,191 | $1,191 total |
| Connecticut – Institutional / Nursing Home | b | b | b |
| Connecticut – Waivers / HCBS | $2,382 | $2,382 | $2,382 / spouse |
| Connecticut – Regular / Elderly / Blind / Disabled | $885 – $995 | $1,125 – $1,234 | $1,125 – $1,234 total |
| Delaware – Institutional / Nursing Home | $1,985 | $1,985 | $2,977.50 total |
| Delaware – Waivers / HCBS | $1,985 | $1,985 | $2,977.50 total |
| Delaware – Regular / Elderly / Blind / Disabled | $794 | $1,191 | $1,191 total |
| District of Columbia – Institutional / Nursing Home | $2,382 | $2,382 | $2,382 / spouse |
| District of Columbia – Waivers / HCBS | $2,382 | $2,382 | $2,382 / spouse |
| District of Columbia – Regular / Elderly / Blind / Disabled | $1,073 | $1,452 | $1,452 total |
| Florida – Institutional / Nursing Home | $2,382 | $2,382 | $2,382 / spouse |
| Florida – HCBS | $2,382 | $2,382 | $2,382 / spouse |
| Florida – Regular / Elderly / Blind / Disabled | $948 | $1,281 | $1,281 total |
| Georgia – Institutional / Nursing Home | $2,382 | $2,382 | $2,382 / spouse |
| Georgia – Waivers / HCBS | $2,382 | $2,382 | $2,382 / spouse |
| Georgia – Regular / Elderly / Blind / Disabled | $794 | $1,191 | $1,191 total |
| Hawaii – Institutional / Nursing Home | c | c | c |
| Hawaii – Waivers / HCBS | $1,224 | $1,224 | $1,224 / spouse |
| Hawaii – Regular / Elderly / Blind / Disabled | $1,224 | $1,653 | $1,653 total |
| Idaho – Institutional / Nursing Home | $2,402 | $2,402 | $4,784 total |
| Idaho – Waivers / HCBS | $2,402 | $2,402 | $4,784 total |
| Idaho – Regular / Elderly / Blind / Disabled | $847 | $1,211 | $1,211 total |
| Illinois – Institutional / Nursing Home | $1,063 | $1,063 | $1,437 total |
| Illinois – Waivers / HCBS | $1,063 | $1,063 | $1,437 total |
| Illinois – Regular / Elderly / Blind / Disabled | $1,063 | $1,437 | $1,437 total |
| Indiana – Institutional / Nursing Home | $2,382 | $2,382 | $2,382 / spouse |
| Indiana – Waivers / HCBS | $2,382 | $2,382 | $2,382 / spouse |
| Indiana – Regular / Elderly / Blind / Disabled | $1,073 | $1,452 | $1,452 total |
| Iowa – Institutional / Nursing Home | $2,382 | $2,382 | $2,382 / spouse |
| Iowa – Waivers / HCBS | $2,382 | $2,382 | $2,382 / spouse |
| Iowa – Regular / Elderly / Blind / Disabled | $794 | $1,191 | $1,191 total |
| Kansas – Institutional / Nursing Home | d | d | e |
| Kansas – Waivers / HCBS | f | f | g |
| Kansas – Regular / Elderly / Blind / Disabled | $475 | $475 | $475 total |
| Kentucky – Institutional / Nursing Home | $2,382 | $2,382 | $4,764 total |
| Kentucky – Waivers / HCBS | $2,382 | $2,382 | $4,764 total |
| Kentucky – Regular / Elderly / Blind / Disabled | $235 | $291 | $291 total |
| Louisiana – Institutional / Nursing Home | $2,382 | $2,382 | $4,764 total |
| Louisiana – Waivers / HCBS | $2,382 | $2,382 | $4,764 total |
| Louisiana – Regular / Elderly / Blind / Disabled | $794 | $1,191 | $1,191 total |
| Maine – Institutional / Nursing Home | $2,382 | $2,382 | $2,382 / spouse |
| Maine – Waivers / HCBS | $2,382 | $2,382 | $2,382 / spouse |
| Maine – Regular / Elderly / Blind / Disabled | $1,074 | $1,452 | $1,452 total |
| Maryland – Institutional / Nursing Home | h | h | h |
| Maryland – Waivers / HCBS | $2,382 | $2,382 | $2,382 / spouse |
| Maryland – Regular / Elderly / Blind / Disabled | $350 | $392 | $392 total |
| Massachusetts – Institutional / Nursing Home | $1,073 | $1,073 | $1,452 total |
| Massachusetts – Waivers / HCBS | $2,382 | $2,382 | $2,382 / spouse |
| Massachusetts – Regular / Elderly / Blind / Disabled | $1,073 | $1,452 | $1,452 total |
| Michigan – Institutional / Nursing Home | $2,382 | $2,382 | $2,382 / spouse |
| Michigan – Waivers / HCBS | $2,382 | $2,382 | $2,382 / spouse |
| Michigan – Regular / Elderly / Blind / Disabled | $1,073 | $1,452 | $1,452 total |
| Minnesota – Institutional / Nursing Home | $1,073 | $1,073 | $1,452 total |
| Minnesota – Waivers / HCBS | $2,382 | $2,382 | $4,764 total |
| Minnesota – Regular / Elderly / Blind / Disabled | $1,073 | $1,452 | $1,452 total |
| Mississippi – Institutional / Nursing Home | $2,382 | $2,382 | $2,382 / spouse |
| Mississippi – Waivers / HCBS | $2,382 | $2,382 | $2,382 / spouse |
| Mississippi – Regular / Elderly / Blind / Disabled | $794 | $1,191 | $1,191 total |
| Missouri – Institutional / Nursing Home | i | i | i |
| Missouri – Waivers / HCBS | $1,370 | $1,370 | $2,740 total |
| Missouri – Regular / Elderly / Blind / Disabled | $904 | $1,222 | $1,222 total |
| Montana – Institutional / Nursing Home | b | b | b |
| Montana – Waivers / HCBS | $794 | $794 | $794 / spouse |
| Montana – Regular / Elderly / Blind / Disabled | $794 | $1,191 | $1,191 total |
| Nebraska – Institutional / Nursing Home | $1,073 | $1,073 | $1,452 total |
| Nebraska – Waivers / HCBS | $1,073 | $1,073 | $1,452 total |
| Nebraska – Regular / Elderly / Blind / Disabled | $1,073 | $1,452 | $1,452 total |
| Nevada – Institutional / Nursing Home | $2,382 | $2,382 | $2,382 / spouse |
| Nevada – Waivers / HCBS | $2,382 | $2,382 | $2,382 / spouse |
| Nevada – Regular / Elderly / Blind / Disabled | $794 | $1,191 | $1,191 total |
| New Hampshire – Institutional / Nursing Home | $2,382 | $2,382 | $2,382 / spouse |
| New Hampshire – Waivers / HCBS | $2,382 | $2,382 | $2,382 / spouse |
| New Hampshire – Regular / Elderly / Blind / Disabled | $808 | $1,192 | $1,192 total |
| New Jersey – Institutional / Nursing Home | $2,382 | $2,382 | $4,764 total |
| New Jersey – Waivers / HCBS | $2,382 | $2,382 | $4,764 total |
| New Jersey – Regular / Elderly / Blind / Disabled | $1,073 | $1,452 | $1,452 total |
| New Mexico – Institutional / Nursing Home | $2,382 | $2,382 | $2,382 / spouse |
| New Mexico – Waivers / HCBS | $2,382 | $2,382 | $2,382 / spouse |
| New Mexico – Regular / Elderly / Blind / Disabled | $794 | $1,191 | $1,191 total |
| New York – Institutional / Nursing Home | $884 | $884 | $1,300 total |
| New York – Waivers / HCBS | $884 | $884 | $1,300 total |
| New York – Regular / Elderly / Blind / Disabled | $884 | $1,300 | $1,300 total |
| North Carolina – Institutional / Nursing Home | b | b | b |
| North Carolina – Waivers / HCBS | $1,064 | $1,064 | $1,437 total |
| North Carolina – Regular / Elderly / Blind / Disabled | $1,064 | $1,437 | $1,437 total |
| North Dakota – Institutional / Nursing Home | j | j | j |
| North Dakota – Waivers / HCBS | $883 | $883 | $1,193 total |
| North Dakota – Regular / Elderly / Blind / Disabled | $883 | $1,193 | $1,193 total |
| Ohio – Institutional / Nursing Home | $2,382 | $2,382 | $4,764 total |
| Ohio – Waivers / HCBS | $2,382 | $2,382 | $4,764 total |
| Ohio – Regular / Elderly / Blind / Disabled | $794 | $1,191 | $1,191 total |
| Oklahoma – Institutional / Nursing Home | $2,382 | $2,382 | $4,764 total |
| Oklahoma – Waivers / HCBS | $2,382 | $2,382 | $4,764 total |
| Oklahoma – Regular / Elderly / Blind / Disabled | $1,073 | $1,452 | $1,452 total |
| Oregon – Institutional / Nursing Home | $2,382 | $2,382 | $4,764 total |
| Oregon – Waivers / HCBS | $2,382 | $2,382 | $4,764 total |
| Oregon – Regular / Elderly / Blind / Disabled | $794 | $1,191 | $1,191 total |
| Pennsylvania – Institutional / Nursing Home | $2,382 | $2,382 | $2,382 / spouse |
| Pennsylvania – Waivers / HCBS | $2,382 | $2,382 | $2,382 / spouse |
| Pennsylvania – Regular / Elderly / Blind / Disabled | $805.10 | $1,208.30 | $1,208.30 total |
| Rhode Island – Institutional / Nursing Home | $2,382 | $2,382 | $2,382 / spouse |
| Rhode Island – Waivers / HCBS | $2,382 | $2,382 | $2,382 / spouse |
| Rhode Island – Regular / Elderly / Blind / Disabled | $1,073 | $1,452 | $1,452 total |
| South Carolina – Institutional / Nursing Home | $2,382 | $2,382 | $4,764 total |
| South Carolina – Waivers / HCBS | $2,382 | $2,382 | $4,764 total |
| South Carolina – Regular / Elderly / Blind / Disabled | $1,073 | $1,452 | $1,452 total |
| South Dakota – Institutional / Nursing Home | $2,382 | $2,382 | $2,382 / spouse |
| South Dakota – Waivers / HCBS | $2,382 | $2,382 | $2,382 / spouse |
| South Dakota – Regular / Elderly / Blind / Disabled | $794 | $1,191 | $1,191 total |
| Tennessee – Institutional / Nursing Home | $2,382 | $2,382 | $2,382 / spouse |
| Tennessee – Waivers / HCBS | $2,382 | $2,382 | $2,382 / spouse |
| Tennessee – Regular / Elderly / Blind / Disabled | $794 | $1,191 | $1,191 total |
| Texas – Institutional / Nursing Home | $2,382 | $2,382 | $4,764 total |
| Texas – Waivers / HCBS | $2,382 | $2,382 | $4,764 total |
| Texas – Regular / Elderly / Blind / Disabled | $794 | $1,191 | $1,191 total |
| Utah – Institutional / Nursing Home | k | k | l |
| Utah – Waivers / HCBS | m | m | n |
| Utah – Regular / Elderly / Blind / Disabled | $1,073 | $1,452 | $1,452 total |
| Vermont – Institutional / Nursing Home | $2,382 | $2,382 | $4,764 total |
| Vermont – Waivers / HCBS | $2,382 | $2,382 | $4,764 total |
| Vermont – Regular / Elderly / Blind / Disabled | $1,100 | $1,100 | $1,100 total |
| Virginia – Institutional / Nursing Home | $2,382 | $2,382 | $4,764 total |
| Virginia – Waivers / HCBS | $2,382 | $2,382 | $4,764 total |
| Virginia – Regular / Elderly / Blind / Disabled | $859 | $1,162 | $1162 total |
| Washington – Institutional / Nursing Home | $2,382 | $2,382 | $2,382 / spouse |
| Washington – Waivers / HCBS | $2,382 | $2,382 | $2,382 / spouse |
| Washington – Regular / Elderly / Blind / Disabled | $794 | $1,191 | $1,191 total |
| West Virginia – Institutional / Nursing Home | $2,382 | $2,382 | $2,382 / spouse |
| West Virginia – Waivers / HCBS | $2,382 | $2,382 | $2,382 / spouse |
| West Virginia – Regular / Elderly / Blind / Disabled | $794 | $1,191 | $1,191 total |
| Wisconsin – Institutional / Nursing Home | $2,382 | $2,382 | $4,764 total |
| Wisconsin – Waivers / HCBS | $2,382 | $2,382 | $4,764 total |
| Wisconsin – Regular / Elderly / Blind / Disabled | $877.78 | $1,323.05 | $1,323.05 total |
| Wyoming – Institutional / Nursing Home | $2,382 | $2,382 | $2,382 / spouse |
| Wyoming – Waivers / HCBS | $2,382 | $2,382 | $2,382 / spouse |
| Wyoming – Regular / Elderly / Blind / Disabled | $794 | $1,191 | $1,191 total |
