SI BOS01415.930 Massachusetts Optional State Supplementary Payments

A. Individual

1. Aged — full cost of living

EFFECTIVE DATE

FEDERAL A

STATE A

TOTAL

1/74

140.00

83.50

223.50

3/74

140.00

105.85

245.85

7/74

146.00

122.96

268.96

7/75

157.70

111.26

268.96

7/76

167.80

114.61

282.41

7/77

177.80

118.73

296.53

7/78

189.40

126.40

315.80

7/79

208.20

129.23

337.43

7/80

238.00

137.22

375.22

7/81

264.70

137.22

401.92

7/82

284.30

137.22

421.52

7/83

304.30

128.82

433.12

1/84

314.00

128.82

442.82

1/85

325.00

128.82

453.82

1/86

336.00

128.82

464.82

1/87

340.00

128.82

468.82

1/88

354.00

128.82

482.82

1/89

368.00

128.82

496.82

1/90

386.00

128.82

514.82

1/91

407.00

128.82

535.82

1/92

422.00

128.82

550.82

1/93

434.00

128.82

562.82

1/94

446.00

128.82

574.82

1/95

458.00

128.82

586.82

1/96

470.00

126.32

596.32

1/97

484.00

128.82

612.82

1/98

494.00

128.82

622.82

1/99

500.00

128.82

628.82

1/00

513.00

128.82

641.82

1/01

531.00

128.82

659.82

1/02

545.00

128.82

673.82

1/03

552.00

128.82

680.82

1/04

564.00

128.82

692.82

1/05

579.00

128.82

707.82

1/06

603.00

128.82

731.82

1/07

623.00

128.82

751.82

1/08

637.00

128.82

765.82

1/09

674.00

128.82

802.82

1/10

674.00

128.82

802.82

1/11

674.00

128.82

802.32

1/12 – 3/12

698.00

128.82

826.82

NOTE: Federal Administration of this living arrangement terminated April 1, 2012.

2. Aged — shared expenses

EFFECTIVE DATE

FEDERAL A

STATE B

TOTAL

1/74

140.00

30.00

170.00

3/74

140.00

47.00

187.00

7/74

146.00

58.58

204.58

7/75

157.70

46.88

204.58

7/76

167.80

47.01

214.81

7/77

177.80

47.75

225.55

7/78

189.40

50.81

240.21

7/79

208.20

48.46

256.66

7/80

238.00

47.66

285.66

7/81

264.70

47.66

312.36

7/82

284.30

47.66

331.96

7/83

304.30

39.26

343.56

1/84

314.00

39.26

353.26

1/85

325.00

39.26

364.26

1/86

336.00

39.26

375.26

1/87

340.00

39.26

379.26

1/88

354.00

39.26

393.26

1/89

368.00

39.26

407.26

1/90

386.00

39.26

425.26

1/91

407.00

39.26

446.26

1/92

422.00

39.26

461.26

1/93

434.00

39.26

473.26

1/94

446.00

39.26

485.26

1/95

458.00

39.26

497.26

1/96

470.00

36.76

506.76

1/97

484.00

39.26

523.26

1/98

494.00

39.26

533.26

1/99

500.00

39.26

539.26

1/00

513.00

39.26

552.26

1/01

531.00

39.26

570.26

1/02

545.00

39.26

584.26

1/03

552.00

39.26

591.26

1/04

564.00

39.26

603.26

1/05

579.00

39.26

618.26

1/06

603.00

39.26

642.26

1/07

623.00

39.26

662.26

1/08

637.00

39.26

676.26

1/09

674.00

39.26

713.26

1/10

674.00

39.26

713.26

1/11

674.00

39.26

713.26

1/12 – 3/12

698.00

39.26

737.26

NOTE: Federal Administration of this living arrangement terminated April 1, 2012.

3. Aged — household of another

EFFECTIVE DATE

FEDERAL B*

STATE C

TOTAL

1/74

93.34

66.66

160.00

3/74

93.34

82.66

176.00

7/74

97.34

95.20

192.54

7/75

105.14

87.40

192.54

7/76

111.87

90.30

202.17

7/77

118.54

93.74

212.28

7/78

126.27

99.81

226.08

7/79

138.80

102.77

241.57

7/80

158.67

109.96

268.63

7/81

176.47

109.96

286.43

7/82

189.54

109.96

299.50

7/83

202.87

104.36

307.23

1/84

209.34

104.36

313.70

1/85

216.67

104.36

321.03

1/86

224.00

104.36

328.36

1/87

226.67

104.36

331.03

1/88

236.00

104.36

340.36

1/89

245.34

104.36

349.70

1/90

257.34

104.36

361.70

1/91

271.34

104.36

375.70

1/92

281.34

104.36

385.70

1/93

289.34

104.36

393.70

1/94

297.34

104.36

401.70

1/95

305.34

104.36

409.70

1/96

313.34

101.86

415.20

1/97

322.67

104.36

427.03

1/98

329.34

104.36

433.70

1/99

333.34

104.36

437.70

1/00

342.00

104.36

446.36

1/01

354.00

104.36

458.36

1/02

363.34

104.36

467.70

1/03

368.00

104.36

472.36

1/04

376.00

104.36

480.36

1/05

386.00

104.36

490.36

1/06

402.00

104.36

506.36

1/07

415.34

104.36

519.70

1/08

424.67

104.36

529.03

1/09

449.34

104.36

553.70

1/10

449.34

104.36

553.70

1/11

449.34

104.36

553.70

1/12 – 3/12

465.34

104.36

569.70

* The value of the 1/3 reduction has been recognized in the Federal amount

NOTE: Federal Administration of this living arrangement terminated April 1, 2012.

4. Aged — commercial boarding house

EFFECTIVE DATE

FEDERAL A

STATE D

TOTAL

1/74

140.00

40.00

180.00

3/74

140.00

58.00

198.00

7/74

146.00

70.61

216.61

7/75

157.70

58.91

216.61

7/76

167.80

59.64

227.44

NOTE: This living arrangement was eliminated for new claims effective 10/1/76, and for everyone else effective 1/1/77.

5. Aged — rest home

EFFECTIVE DATE

FEDERAL A

STATE E

TOTAL

1/74

140.00

144.00

284.00

3/74

140.00

172.40

312.40

7/74

146.00

195.77

341.77

7/75

157.70

184.07

341.77

7/76

167.80

173.97

341.77

7/77

177.80

167.54

345.34

7/78

189.40

160.81

350.21

7/79

208.20

142.01

350.21

7/80

238.00

112.21

350.21

7/81

264.70

179.98

444.68

7/82

284.30

179.98

464.28

7/83

304.30

171.58

475.88

1/84

314.00

171.58

485.58

1/85

325.00

171.58

496.58

1/86

336.00

171.58

507.58

1/87

340.00

171.58

511.58

1/88

254.00

171.58

525.58

1/89

368.00

171.58

539.58

1/90

386.00

171.58

557.58

1/91

407.00

293.00

700.00

1/92

422.00

293.00

715.00

1/93

434.00

293.00

727.00

1/94

446.00

293.00

739.00

1/95

458.00

293.00

751.00

1/96

470.00

293.00

763.00

1/97

484.00

293.00

777.00

1/98

494.00

293.00

787.00

1/99

500.00

293.00

793.00

1/00

513.00

293.00

806.00

1/01

531.00

293.00

824.00

1/02

545.00

293.00

838.00

1/03

552.00

293.00

845.00

1/04

564.00

293.00

857.00

1/05

579.00

293.00

872.00

1/06

603.00

293.00

896.00

1/07

623.00

293.00

916.00

1/08

637.00

293.00

930.00

1/09

674.00

293.00

967.00

1/10

674.00

293.00

967.00

1/11

674.00

293.00

967.00

1/12 – 3/12

698.00

293.00

991.00

NOTE: Federal Administration of this living arrangement terminated April 1, 2012.

6. Disabled — full cost of living

EFFECTIVE DATE

FEDERAL A or C

STATE A

TOTAL

1/74

140.00

74.90

214.90

3/74

140.00

96.39

236.39

7/74

146.00

112.61

258.61

7/75

157.70

100.91

258.61

7/76

167.80

103.74

271.54

7/77

177.80

107.32

285.12

7/78

189.40

114.25

303.65

7/79

208.20

116.25

324.45

7/80

238.00

122.79

360.79

7/81

264.70

122.79

387.49

7/82

284.30

122.79

407.09

7/83

304.30

114.39

418.69

1/84

314.00

114.39

428.39

1/85

325.00

114.39

439.39

1/86

336.00

114.39

450.39

1/87

340.00

114.39

454.39

1/88

354.00

114.39

468.39

1/89

368.00

114.39

482.39

1/90

386.00

114.39

500.39

1/91

407.00

114.39

521.39

1/92

422.00

114.39

536.39

1/93

434.00

114.39

548.39

1/94

446.00

114.39

560.39

1/95

458.00

114.39

572.39

1/96

470.00

111.89

581.89

1/97

484.00

114.39

598.39

1/98

494.00

114.39

608.39

1/99

500.00

114.39

614.39

1/00

513.00

114.39

627.39

1/01

531.00

114.39

645.39

1/02

545.00

114.39

659.39

1/03

552.00

114.39

666.39

1/04

564.00

114.39

678.39

1/05

579.00

114.39

693.39

1/06

603.00

114.39

717.39

1/07

623.00

114.39

737.39

1/08

637.00

114.39

751.39

1/09

674.00

114.39

788.39

1/10

674.00

114.39

788.39

1/11

674.00

114.39

788.39

1/12 – 3/12

698.00

114.39

812.39

NOTE: Federal Administration of this living arrangement terminated April 1, 2012.

7. Disabled — shared expenses

EFFECTIVE DATE

FEDERAL A or C

STATE B

TOTAL

1/74

140.00

23.50

163.50

3/74

140.00

39.85

179.85

7/74

146.00

50.76

196.76

7/75

157.70

39.06

196.76

7/76

167.80

38.80

206.60

7/77

177.80

39.13

216.93

7/78

189.40

41.63

231.03

7/79

208.20

38.66

246.86

7/80

238.00

36.83

274.83

7/81

264.70

38.80

303.50

7/82

284.30

38.80

323.10

7/83

304.30

30.40

334.70

1/84

314.00

30.40

344.40

1/85

325.00

30.40

355.40

1/86

336.00

30.40

366.40

1/87

340.00

30.40

370.40

1/88

354.00

30.40

384.40

1/89

368.00

30.40

398.40

1/90

386.00

30.40

416.40

1/91

407.00

30.40

437.40

1/92

422.00

30.40

452.40

1/93

434.00

30.40

464.40

1/94

446.00

30.40

476.40

1/95

458.00

30.40

488.40

1/96

470.00

27.90

497.90

1/97

484.00

30.40

514.40

1/98

494.00

30.40

524.40

1/99

500.00

30.40

530.40

1/00

513.00

30.40

543.40

1/01

531.00

30.40

561.40

1/02

545.00

30.40

575.40

1/03

552.00

30.40

582.40

1/04

564.00

30.40

594.40

1/05

579.00

30.40

609.40

1/06

603.00

30.40

633.40

1/07

623.00

30.40

653.40

1/08

637.00

30.40

667.40

1/09

674.00

30.40

704.40

1/10

674.00

30.40

704.40

1/11

674.00

30.40

704.40

1/12 – 3/12

698.00

30.40

728.40

NOTE: Federal Administration of this living arrangement terminated April 1, 2012.

8. Disabled — household of another

EFFECTIVE DATE

FEDERAL B*

STATE C

TOTAL

1/74

93.34

56.66

150.00

3/74

93.94

71.66

165.00

7/74

97.34

83.17

180.51

7/75

105.14

75.37

180.51

7/76

111.87

77.67

189.54

7/77

118.54

80.48

199.02

7/78

126.27

85.69

211.96

7/79

138.80

87.68

226.48

7/80

158.67

93.18

251.85

7/81

176.47

93.18

269.65

7/82

189.54

93.18

282.72

7/83

202.87

87.58

290.45

1/84

209.34

87.58

296.92

1/85

216.67

87.58

304.25

1/86

224.00

87.58

311.58

1/87

226.67

87.58

314.25

1/88

236.00

87.58

323.58

1/89

245.34

87.58

332.92

1/90

257.34

87.58

344.92

1/91

271.34

87.58

358.92

1/92

281.34

87.58

368.92

1/93

289.34

87.58

376.92

1/94

297.34

87.58

384.92

1/95

305.34

87.58

392.92

1/96

313.34

85.08

398.42

1/97

322.67

87.58

410.25

1/98

329.34

87.58

416.92

1/99

333.34

87.58

420.92

1/00

342.00

87.58

429.58

1/01

354.00

87.58

441.58

1/02

363.34

87.58

450.92

1/03

368.00

87.58

455.58

1/04

376.00

87.58

463.58

1/05

386.00

87.58

473.58

1/06

402.00

87.58

489.58

1/07

415.34

87.58

502.92

1/08

424.67

87.58

512.25

1/09

449.34

87.58

536.92

1/10

449.34

87.58

536.92

1/11

449.34

87.58

536.92

1/12 – 3/12

465.34

87.58

552.92

* The value of the 1/3 reduction has been recognized in the Federal amount

: Federal Administration of this living arrangement terminated April 1, 2012.

9. Disabled — commercial boarding house

EFFECTIVE DATE

FEDERAL A

STATE D

TOTAL

1/74

140.00

30.00

170.00

3/74

140.00

47.00

187.00

7/74

146.00

58.58

204.58

7/75

157.70

46.88

204.58

7/76

167.80

47.01

214.81

NOTE: This living arrangement was eliminated for new claims effective 10/1/76, and for everyone else effective 1/1/77.

10. Disabled — rest home

EFFECTIVE DATE

FEDERAL A

STATE E

TOTAL

1/74

140.00

149.00

289.00

3/74

140.00

177.90

317.90

7/74

146.00

201.78

347.78

7/75

157.70

190.08

347.78

7/76

167.80

179.98

347.78

1/77

167.80

173.97

341.77

7/77

177.80

167.54

345.34

7/78

189.40

160.81

350.21

7/79

208.20

142.01

350.21

7/80

238.00

112.21

350.21

7/81

264.70

179.98

444.68

7/82

284.30

179.98

464.28

7/83

304.30

171.58

475.88

1/84

314.00

171.58

485.58

1/85

325.00

171.58

496.58

1/86

336.00

171.58

507.58

1/87

340.00

171.58

511.58

1/88

354.00

171.58

525.58

1/89

368.00

171.58

539.58

1/90

386.00

171.58

557.58

1/91

407.00

293.00

700.00

1/92

422.00

293.00

715.00

1/93

434.00

293.00

727.00

1/94

446.00

293.00

739.00

1/95

458.00

293.00

751.00

1/96

470.00

293.00

763.00

1/97

484.00

293.00

777.00

1/98

494.00

293.00

787.00

1/99

500.00

293.00

793.00

1/00

513.00

293.00

806.00

1/01

531.00

293.00

824.00

1/02

545.00

293.00

838.00

1/03

552.00

293.00

845.00

1/04

564.00

293.00

857.00

1/05

579.00

293.00

872.00

1/06

603.00

293.00

896.00

1/07

623.00

293.00

916.00

1/08

637.00

293.00

930.00

1/09

674.00

293.00

967.00

1/10

674.00

293.00

967.00

1/11

674.00

293.00

967.00

1/12 – 3/12

698.00

293.00

991.00

NOTE: Federal Administration of this living arrangement terminated April 1, 2012.

11. Blind — full cost of living/shared/rest home

EFFECTIVE DATE

FEDERAL A or C

STATE A, B, E

TOTAL

1/74

140.00

102.50

242.50

3/74

140.00

126.90

266.90

7/74

146.00

145.99

291.99

7/75

157.70

134.29

291.99

7/76

167.80

138.79

306.59

7/77

177.80

144.12

321.92

7/78

189.40

153.45

342.85

7/79

208.20

158.14

366.34

7/80

238.00

158.14

396.14

7/81

264.70

158.14

422.84

7/82

284.30

158.14

442.44

7/83

304.30

149.74

454.04

1/84

314.00

149.74

463.74

1/85

325.00

149.74

474.74

1/86

336.00

149.74

485.74

1/87

340.00

149.74

489.74

1/88

354.00

149.74

503.74

1/89

368.00

149.74

517.74

1/90

386.00

149.74

535.74

1/91

407.00

149.74

556.74

1/92

422.00

149.74

571.74

1/93

434.00

149.74

583.74

1/94

446.00

149.74

595.74

1/95

458.00

149.74

607.74

1/96

470.00

149.74

619.74

1/97

484.00

149.74

633.74

1/98

494.00

149.74

643.74

1/99

500.00

149.74

649.74

1/00

513.00

149.74

662.74

1/01

531.00

149.74

680.74

1/02

545.00

149.74

694.74

1/03

552.00

149.74

701.74

1/04

564.00

149.74

713.74

1/05

579.00

149.74

728.74

1/06

603.00

149.74

752.74

1/07

623.00

149.74

772.74

1/08

637.00

149.74

786.74

1/09

674.00

149.74

823.74

1/10

674.00

149.74

823.74

1/11

674.00

149.74

823.74

1/12 – 3/12

698.00

149.74

847.74

NOTE: Federal Administration of this living arrangement terminated April 1, 2012.

12. Blind — household of another

EFFECTIVE DATE

FEDERAL B*

STATE C

TOTAL

1/74

93.34

149.16

242.50

3/74

93.34

173.56

266.90

7/74

97.34

194.65

291.99

7/75

105.14

186.85

291.99

7/76

111.87

194.72

306.59

7/77

118.54

203.38

321.92

7/78

126.27

216.58

342.85

7/79

138.80

227.54

366.34

7/80

158.67

237.47

396.14

7/81

176.47

246.37

422.84

7/82

189.54

252.90

442.44

7/83

202.87

251.17

454.04

1/84

209.34

254.40

463.74

1/85

216.67

258.07

474.74

1/86

224.00

261.74

485.74

1/87

226.67

263.07

489.74

1/88

236.00

267.74

503.74

1/89

245.34

272.40

517.74

1/90

257.34

278.40

535.74

1/91

271.34

285.40

556.74

1/92

281.34

290.40

571.74

1/93

289.34

294.40

583.74

1/94

297.34

298.40

595.74

1/95

305.34

302.40

607.74

1/96

313.34

306.40

619.74

1/97

322.67

311.07

633.74

1/98

329.34

314.40

643.74

1/99

333.34

316.40

649.74

1/00

342.00

320.40

662.40

1/01

354.00

326.40

680.40

1/02

363.34

331.40

694.74

1/03

368.00

333.74

701.74

1/04

376.00

337.74

713.74

1/05

386.00

342.74

728.74

1/06

402.00

350.74

752.74

1/07

415.34

357.40

772.74

1/08

424.67

362.07

786.74

1/09

449.34

374.40

823.74

1/10

449.34

374.40

823.74

1/11

449.34

374.50

823.74

1/12 – 3/12

465.34

382.40

847.74

* The value of the 1/3 reduction has been recognized in the Federal amount

NOTE: Federal Administration of this living arrangement terminated April 1, 2012.

13. Blind — commercial boarding house

EFFECTIVE DATE

FEDERAL A

STATE D

TOTAL

1/74

140.00

102.50

242.50

3/74

140.00

126.90

266.90

7/74

146.00

145.99

291.99

7/75

157.70

134.29

291.99

7/76

167.80

138.79

306.59

NOTE: This living arrangement was eliminated for new claims effective 10/1/76, and for everyone else effective 1/1/77.

14. Aged/disabled/blind — medicaid facility**

EFFECTIVE DATE

FEDERAL D

STATE F

TOTAL

7/87

25.00

35.00

60.00

7/88

30.00

35.00

65.00

1/89

30.00

40.00

70.00

7/89

30.00

42.80

72.80

3/91 through 6/07

30.00

35.00

65.00

7/07

30.00

42.80

72.80

1/08

30.00

42.80

72.80

1/09

30.00

42.80

72.80

1/10

30.00

42.80

72.80

1/11

30.00

42.80

72.80

1/12 – 3/12

30.00

42.80

72.80

** Effective 12/96 Massachusetts State OS Code B applies to children under the age of 18 who are in Federal living arrangement D because of private health insurance payments.

NOTE: Federal Administration of this living arrangement terminated April 1, 2012.

15. Aged/disabled/blind — individual assisted living

EFFECTIVE DATE

FEDERAL A

STATE G

TOTAL

7/94

446.00

454.00

900.00

1/95

458.00

454.00

912.00

1/96

N/A

N/A

N/A

1/98

494.00

454.00

948.00

1/99

500.00

454.00

954.00

1/00

513.00

454.00

967.00

1/01

531.00

454.00

985.00

1/02

545.00

454.00

999.00

1/03

552.00

454.00

1,006.00

1/04

564.00

454.00

1,018.00

1/05

579.00

454.00

1,033.00

1/06

603.00

454.00

1,057.00

1/07

623.00

454.00

1,077.00

1/08

637.00

454.00

1,091.00

1/09

674.00

454.00

1,128.00

1/10

674.00

454.00

1,128.00

1/11

674.00

454.00

1128.00

1/12 – 3/12

698.00

454.00

1152.00

NOTE: Federal Administration of this living arrangement terminated April 1, 2012.

B. Each member of a couple

1. Aged — full cost of living/shared expenses

EFFECTIVE DATE

FEDERAL A

STATE A and B

TOTAL

1/74

105.00

65.15

170.15

3/74

105.00

82.17

187.17

7/74

109.50

95.26

204.76

7/75

118.30

86.46

204.76

7/76

125.90

89.10

215.00

7/77

133.35

92.40

225.75

7/78

142.05

98.37

240.42

7/79

156.15

100.74

256.89

7/80

178.50

107.16

285.66

7/81

198.50

107.16

305.66

7/82

213.20

107.16

320.36

7/83

228.20

100.86

329.06

1/84

236.00

100.86

336.86

1/85

244.00

100.86

344.86

1/86

252.00

100.86

352.86

1/87

255.00

100.86

355.86

1/88

266.00

100.86

366.86

1/89

276.50

100.86

377.36

1/90

289.50

100.86

390.36

1/91

305.00

100.86

405.86

1/92

316.50

100.86

417.36

1/93

326.00

100.86

426.86

1/94

334.50

100.86

435.36

1/95

343.50

100.86

444.36

1/96

352.50

98.36

450.86

1/97

363.00

100.86

463.86

1/98

370.50

100.86

471.36

1/99

375.50

100.86

476.36

1/00

384.50

100.86

485.36

1/01

398.00

100.86

498.86

1/02

408.50

100.86

509.36

1/03

414.50

100.86

515.36

1/04

423.00

100.86

523.86

1/05

434.50

100.86

535.36

1/06

452.00

100.86

552.86

1/07

467.00

100.86

567.86

1/08

478.00

100.86

578.86

1/09

505.50

100.86

606.36

1/10

505.50

100.86

606.36

1/11

505.50

100.86

606.36

1/12 – 3/12

524.00

100.86

624.86

NOTE: Federal Administration of this living arrangement terminated April 1, 2012.

2. Aged — household of another

EFFECTIVE DATE

FEDERAL B*

STATE C

TOTAL

1/74

70.00

67.65

137.65

3/74

70.00

81.42

151.42

7/74

73.00

92.65

165.65

7/75

78.87

86.78

165.65

7/76

83.94

89.99

173.93

7/77

88.90

93.73

182.63

7/78

94.70

99.80

194.50

7/79

104.10

103.72

207.82

7/80

119.00

112.10

231.10

7/81

132.34

112.10

244.44

7/82

142.14

112.10

254.24

7/83

152.14

107.90

260.04

1/84

157.34

107.90

265.24

1/85

162.67

107.90

270.57

1/86

168.00

107.90

275.90

1/87

170.00

107.90

277.90

1/88

177.34

107.90

285.24

1/89

184.34

107.90

292.24

1/90

193.00

107.90

300.90

1/91

203.34

107.90

311.24

1/92

211.00

107.90

318.90

1/93

217.34

107.90

325.24

1/94

223.00

107.90

330.90

1/95

229.00

107.90

336.90

1/96

235.00

105.40

340.40

1/97

242.00

107.90

349.90

1/98

247.00

107.90

354.90

1/99

250.34

107.90

358.24

1/00

256.34

107.90

364.24

1/01

265.34

107.90

373.24

1/02

272.34

107.90

380.24

1/03

276.34

107.90

384.24

1/04

282.00

107.90

389.90

1/05

289.67

107.90

397.57

1/06

301.34

107.90

409.24

1/07

311.34

107.90

419.24

1/08

318.67

107.90

426.57

1/09

337.00

107.90

444.90

1/10

337.00

107.90

444.90

1/11

337.00

107.90

444.90

1/12 – 3/12

349.34

107.90

457.24

* The value of the 1/3 reduction has been recognized in the Federal amount

NOTE: Federal Administration of this living arrangement terminated April 1, 2012.

3. Aged — commercial boarding house

EFFECTIVE DATE

FEDERAL A

STATE D

TOTAL

1/74

105.00

65.15

170.15

3/74

105.00

82.17

187.17

7/74

109.50

82.17

204.76

7/75

118.30

95.26

204.76

7/76

125.90

89.10

215.00

4. Aged — rest home

EFFECTIVE DATE

FEDERAL A

STATE E

TOTAL

1/74

105.00

179.00

284.00

3/74

105.00

207.40

312.40

7/74

109.50

232.27

341.77

7/75

118.30

223.47

341.77

7/76

125.90

216.87

341.77

7/77

133.35

211.99

345.34

7/78

142.05

208.16

350.21

7/79

156.15

194.06

350.21

7/80

178.50

171.71

350.21

7/81

198.50

246.18

444.68

7/82

213.20

251.08

464.28

7/83

228.20

247.68

475.88

1/84

236.00

249.58

485.58

1/85

244.00

252.58

496.58

1/86

252.00

252.58

504.58

1/87

255.00

252.58

507.58

1/88

266.00

252.58

518.58

1/89

276.50

252.58

529.08

1/90

289.50

252.58

542.08

1/91

305.00

395.00

700.00

1/92

316.50

398.50

715.00

1/93

326.00

401.75

727.75

1/94

334.50

404.50

739.00

1/95

343.50

407.50

751.00

1/96

352.50

410.50

763.00

1/97

363.00

414.00

777.00

1/98

370.50

416.50

787.00

1/99

375.50

417.50

793.00

1/00

384.50

420.50

805.00

1/01

398.00

425.00

823.00

1/02

408.50

429.50

838.00

1/03

414.50

430.50

845.00

1/04

423.00

434.00

857.00

1/05

434.50

437.50

872.00

1/06

452.00

444.00

896.00

1/07

467.00

449.00

916.00

1/08

478.00

452.00

930.00

1/09

505.50

461.50

967.00

1/10

505.50

461.50

967.00

1/11

505.50

461.50

967.00

1/12 – 3/12

524.00

467.00

991.00

NOTE: Federal Administration of this living arrangement terminated April 1, 2012.

5. Disabled — full cost of living/shared expenses

EFFECTIVE DATE

FEDERAL A

STATE A and B

TOTAL

1/74

105.00

58.70

163.70

3/74

105.00

75.07

180.07

7/74

109.50

87.50

197.00

7/75

118.30

78.70

197.00

7/76

125.90

80.95

206.85

7/77

133.35

83.84

217.19

7/78

142.05

89.26

231.31

7/79

156.15

91.00

247.15

7/80

178.50

96.33

274.83

7/81

198.50

96.33

294.83

7/82

213.20

96.33

309.53

7/83

228.20

90.03

318.23

1/84

236.00

90.03

326.03

1/85

244.00

90.03

334.03

1/86

252.00

90.03

342.03

1/87

255.00

90.03

345.03

1/88

266.00

90.03

356.03

1/89

276.50

90.03

366.53

1/90

289.50

90.03

379.53

1/91

305.00

90.03

395.03

1/92

316.50

90.03

406.53

1/93

326.00

90.03

416.03

1/94

334.50

90.03

424.53

1/95

343.50

90.03

433.53

1/96

352.50

87.53

440.03

1/97

363.00

90.03

453.03

1/98

370.50

90.03

460.53

1/99

375.50

90.03

465.53

1/00

384.50

90.03

474.53

1/01

398.00

90.03

488.03

1/02

408.50

90.03

498.53

1/03

414.50

90.03

504.53

1/04

423.00

90.03

513.03

1/05

434.50

90.03

524.53

1/06

452.00

90.03

542.03

1/07

467.00

90.03

557.03

1/08

478.00

90.03

568.03

1/09

505.50

90.03

595.53

1/10

505.50

90.03

595.53

1/11

505.50

90.03

595.53

1/12 – 3/12

524.00

90.03

614.03

NOTE: Federal Administration of this living arrangement terminated April 1, 2012.

6. Disabled — household of another

EFFECTIVE DATE

FEDERAL B*

STATE C

TOTAL

1/74

70.00

61.20

131.20

3/74

70.00

74.32

144.32

7/74

73.00

84.89

157.89

7/75

78.87

79.02

157.89

7/76

83.94

81.84

165.78

7/77

88.90

85.18

174.08

7/78

94.70

90.70

185.40

7/79

104.10

94.00

198.10

7/80

119.00

101.29

220.29

7/81

132.34

101.29

233.63

7/82

142.14

101.29

243.43

7/83

152.14

97.09

249.23

1/84

157.34

97.09

254.43

1/85

162.67

97.09

259.76

1/86

168.00

97.09

265.09

1/87

170.00

97.09

267.09

1/88

177.34

97.09

274.43

1/89

184.34

97.09

281.43

1/90

193.00

97.09

290.09

1/91

203.34

97.09

300.43

1/92

211.00

97.09

308.09

1/93

217.34

97.09

314.43

1/94

223.00

97.09

320.09

1/95

229.00

97.09

326.09

1/96

235.00

94.59

329.59

1/97

242.00

97.09

339.09

1/98

247.00

97.09

344.09

1/99

250.34

97.09

347.43

1/00

256.34

97.09

353.43

1/01

265.34

97.09

362.43

1/02

272.34

97.09

369.43

1/03

276.34

97.09

373.43

1/04

282.00

97.09

379.09

1/05

289.67

97.09

386.76

1/06

301.34

97.09

398.43

1/07

311.34

97.09

408.43

1/08

318.67

97.09

415.76

1/09

337.00

97.09

434.09

1/10

337.00

97.09

434.09

1/11

337.00

97.09

434.09

1/12 – 3/12

349.34

97.09

446.43

* The value of the 1/3 reduction has been recognized in the Federal amount

NOTE: Federal Administration of this living arrangement terminated April 1, 2012.

7. Disabled — commercial boarding house

EFFECTIVE DATE

FEDERAL A

STATE D

TOTAL

1/74

105.00

58.70

163.70

3/74

105.00

75.07

180.07

7/74

109.50

87.50

197.00

7/75

118.30

78.70

197.00

7/76

125.90

80.95

206.85

8. Disabled — rest home

EFFECTIVE DATE

FEDERAL A

STATE E

TOTAL

1/74

105.00

184.00

289.00

3/74

105.00

212.90

317.90

7/74

109.50

238.28

347.78

7/75

118.30

229.48

347.78

7/76

125.90

221.88

347.78

1/77

125.90

215.87

341.77

7/77

133.35

211.99

345.34

7/78

142.05

208.16

350.21

7/79

156.15

194.06

350.21

7/80

178.50

171.71

350.21

7/81

198.50

246.18

444.68

7/82

213.20

251.08

464.28

7/83

228.20

247.68

475.88

1/84

236.00

249.58

485.58

1/85

244.00

252.58

496.58

1/86

252.00

252.58

504.58

1/87

255.00

252.58

507.58

1/88

266.00

252.58

518.58

1/89

276.50

252.58

529.08

1/90

289.50

252.58

542.08

1/91

305.00

395.00

700.00

1/92

316.50

398.50

715.00

1/93

326.00

401.75

727.75

1/94

334.50

404.50

739.00

1/95

343.50

407.50

751.00

1/96

352.50

410.50

763.00

1/97

363.00

414.00

777.00

1/98

370.50

416.50

787.00

1/99

375.50

417.50

793.00

1/00

384.50

420.50

805.00

1/01

398.00

425.00

823.00

1/02

408.50

429.50

838.00

1/03

414.50

430.50

845.00

1/04

423.00

434.00

857.00

1/05

434.50

437.50

872.00

1/06

452.00

444.00

896.00

1/07

467.00

449.00

916.00

1/08

478.00

452.00

930.00

1/09

505.50

461.50

967.00

1/10

505.50

461.50

967.00

1/11

505.50

461.50

967.00

1/12 – 3/12

524.00

467.00

991.00

NOTE: Federal Administration of this living arrangement terminated April 1, 2012.

9. Blind — full cost of living/shared/rest home

EFFECTIVE DATE

FEDERAL A

STATE A, B, E

TOTAL

1/74

105.00

137.50

242.50

3/74

105.00

161.90

266.90

7/74

109.50

182.49

291.99

7/75

118.30

173.69

291.99

7/76

125.90

180.69

306.59

7/77

133.35

188.57

321.92

7/78

142.05

200.80

342.85

7/79

156.15

210.19

366.34

7/80

178.50

217.64

396.14

7/81

198.50

224.34

422.84

7/82

213.20

229.24

442.44

7/83

228.20

225.84

454.04

1/84

236.00

227.74

463.74

1/85

244.00

230.74

474.74

1/86

252.00

233.74

485.74

1/87

255.00

234.74

489.74

1/88

266.00

237.74

503.74

1/89

276.50

241.24

517.74

1/90

289.50

246.24

535.74

1/91

305.00

251.74

556.74

1/92

316.50

255.24

571.74

1/93

326.00

257.74

583.74

1/94

334.50

261.24

595.74

1/95

343.50

264.24

607.74

1/96

352.50

267.24

619.74

1/97

363.00

270.74

633.74

1/98

370.50

273.24

643.74

1/99

375.50

274.24

649.74

1/00

384.50

277.24

661.74

1/01

398.00

281.74

679.74

1/02

408.50

286.24

694.74

1/03

414.50

287.24

701.74

1/04

423.00

290.74

713.74

1/05

434.50

294.24

728.74

1/06

452.00

300.74

752.74

1/07

467.00

305.74

772.74

1/08

478.00

308.74

786.74

1/09

505.50

318.24

823.74

1/10

505.50

318.24

823.74

1/11

505.50

318.24

823.74

1/12 – 3/12

524.00

323.74

847.74

NOTE: Federal Administration of this living arrangement terminated April 1, 2012.

10. Blind — household of another

EFFECTIVE DATE

FEDERAL B*

STATE C

TOTAL

1/74

70.00

172.50

242.50

3/74

70.00

196.90

266.90

7/74

73.00

218.99

291.99

7/75

78.87

213.12

291.99

7/76

83.94

222.65

306.59

7/77

88.90

233.02

321.92

7/78

94.70

248.15

342.85

7/79

104.10

262.24

366.34

7/80

119.00

277.14

396.14

7/81

132.34

290.50

422.84

7/82

142.14

300.30

442.44

7/83

152.14

301.90

454.04

1/84

157.34

306.40

463.74

1/85

162.67

312.07

474.74

1/86

168.00

317.74

485.74

1/87

170.00

319.74

489.74

1/88

177.34

326.40

503.74

1/89

184.34

333.40

517.74

1/90

193.00

342.74

535.74

1/91

203.34

353.40

556.74

1/92

211.00

360.74

571.74

1/93

217.34

366.40

583.74

1/94

223.00

372.74

595.74

1/95

229.00

378.74

607.74

1/96

235.00

384.74

619.74

1/97

242.00

391.74

633.74

1/98

247.00

396.74

643.74

1/99

250.34

399.40

649.74

1/00

256.34

405.40

661.74

1/01

265.34

414.40

679.74

1/02

272.34

422.40

694.74

1/03

276.34

425.40

701.74

1/04

282.00

431.74

713.74

1/05

289.67

439.07

728.74

1/06

301.34

451.40

752.74

1/07

311.34

461.40

772.74

1/08

318.67

468.07

786.74

1/09

337.00

486.74

823.74

1/10

337.00

486.74

823.74

1/11

337.00

486.74

823.74

1/12 – 3/12

524.00

323.74

847.74

* The value of the 1/3 reduction has been recognized in the Federal amount

NOTE: Federal Administration of this living arrangement terminated April 1, 2012.

11. Blind — commercial boarding house

EFFECTIVE DATE

FEDERAL A

STATE D

TOTAL

1/74

105.00

137.50

242.50

3/74

105.00

161.90

266.90

7/74

109.50

182.49

291.99

7/75

118.30

173.69

291.99

7/76

125.90

180.69

306.59

12. Aged/disabled/blind — medicaid facility

EFFECTIVE DATE

FEDERAL D

STATE F

TOTAL

7/87

25.00

35.00

60.00

7/88

30.00

35.00

65.00

1/89

30.00

40.00

70.00

7/89

30.00

42.80

72.80

3/91 through 6/07

30.00

35.00

65.00

7/07

30.00

42.80

72.80

1/09

30.00

42.80

72.80

1/10

30.00

42.80

72.80

1/11

30.00

42.80

72.80

1/12 – 3/12

30.00

42.80

72.80

NOTE: Federal Administration of this living arrangement terminated April 1, 2012.

13. Aged/disabled/blind — couple assisted living

EFFECTIVE DATE

FEDERAL A

STATE G

TOTAL

7/94

334.50

340.50

675.00

1/95

343.50

340.50

684.00

1/96

N/A

N/A

N/A

1/97

N/A

N/A

N/A

1/98

370.50

340.50

711.00

1/99

375.50

340.50

716.00

1/00

384.50

340.50

725.00

1/01

398.00

340.50

738.50

1/02

408.50

340.50

749.00

1/03

414.50

340.50

755.00

1/04

423.00

340.50

763.50

1/05

434.50

340.50

775.00

1/06

452.00

340.50

792.50

1/07

467.00

340.50

807.50

1/08

478.00

340.50

818.50

1/09

505.50

340.50

846.00

1/10

505.50

340.50

846.00

1/11

505.50

340.50

846.00

1/12 – 3/12

524.00

340.50

864.50

NOTE: Federal Administration of this living arrangement terminated April 1, 2012.


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0501415930BOS
SI BOS01415.930 - Massachusetts Optional State Supplementary Payments - 07/06/2012
Batch run: 07/06/2012
Rev:07/06/2012