CAPI Reference Table for January 2021

The following table is effective January 1, 2021. Values are based on a 1.3% SSI COLA increase.

CAPI Payment Standards Effective January 1, 2021

Individual Rates

Living Arrangement

Aged

Disabled

Blind

INDEPENDENT LIVING

Independent Living

$954.72 $954.72 $1,011.23

Independent Living, No Cooking Facilities

$1,041.04 $1,041.04  

Disabled Minor Living w/ Parent(s)

  $859.15  

HOUSEHOLD OF ANOTHER (Reduced Needs)

Individual in household of Another (HOA) - * CalFresh

$693.58 $693.58 $750.10

Disabled Minor w/ Parent(s), (HOA) - * CalFresh

  $598.01  

ISM - Room or Board (PMV = $284.66)

$690.06 $690.06 $746.57

NON-MEDICAL OUT OF HOME CARE

Non-Medical Board and Care (household of a relative)

$947.57 $947.57 $947.57

Non-Medical Out of Home Care (RCH)

$1,217.37 $1,217.37 $1,217.37

Disabled Minor - Living with non-parent (INKI)

  $947.57  

Disabled Minor - Living with non-parent (RCH)

 

$1,217.37

 

Couples Rates

Aged and / or Disabled (Both CAPI)

Independent Living

$1,598.14 (divided by 2 = $799.07 each)

Independent Living ** No Cooking Facilities

$1,770.77 (divided by 2 = $885.38 each)

Household of Another (HOA) - * CalFresh

$1,206.41 (divided by 2 = $603.20 each)

ISM - Room or Board - (PMV = $417.00)

$1,201.14 (divided by 2 = $600.57 each)

NMOHC Household of Relative

$1,868.52 (divided by 2 = $934.26 each)

Non-Medical Out-of-Home Care (NMOHC) RCH

$2,434.74 (divided by 2 = $1,217.37 ea.)

Blind (Both CAPI)

Independent Living

$1,749.19 (divided by 2 = $874.59 each)

Household of Another (HOA) - * CalFresh

$1,357.46 (divided by 2 = $678.73 each)
ISM - Room or Board - (PMV = $417) $1,352.19 (divided by 2 = $676.09 each)

Blind Person with Aged or Disabled Spouse (Both CAPI)

Independent Living

$1,691.65 (divided by 2 = $845.82 each)

Household of Another (HOA) - * CalFresh

$1,299.92 (divided by 2 = $649.96 each)

ISM - Room or Board - (PMV = $417)

$1,294.65 (divided by 2 = $647.32 each)

CAPI PERSON WITH SSI SPOUSE (refer to Table 59 for 1 Blind and 1 Aged/Disabled amounts)

Living Arrangement

SSI/SSP Amount

CAPI Amount 

Payment Standard

Independent Living (Aged or Disabled)

$954.72 $643.42 $1,598.14

Independent Living (Blind)

$1,011.23 $737.96 $1,749.19

HOA (Aged or Disabled) - * CalFresh

$693.58 $512.83 $1,206.41

HOA (Blind) - * CalFresh

$750.10 $607.36 $1,357.46

Non-Medical Out-of-Home-Care Household of Relative (Age, Blind, Disabled)

$947.57 $920.95 $1,868.52

Non-Medical Out-of-Home Care (RCH)
(Age, Blind, Disabled)

$1,217.37

$1,217.37

$2,434.74

*indicates that an individual/couple receiving CAPI in a HOA CANNOT receive CalFresh on their own since others living in the home are providing food. Therefore, per CalFresh policy, MUST apply for CalFresh with the other household.

OTHER VALUES

Individual Rate

Couples Rate

SSI Benefit Rate $794.00 $1,191.00

PMV Value

$284.67 $417.00

Title XIX Medical Facility Rate
Medical/skill nursing facility. At least 50% of cost is paid by Medi-Cal or Medicare

$51.00 $102.00

Allowance for Ineligible Children in Deeming Situations

$397.00  

Sponsor’s Allocation in Alien Deeming Situations

$794.00  

Allowance for Parent(s) in Parent-To-Child Deeming Situations

$794.00 for 1 parent
$1,191.00 for 2 Parents
 

Restaurant Meals Allowance (RMA)

$86.32 $172.63

Table 60

The following chart is a full version of the CAPI and related SSI/SSP payment standards effective January 1, 2021
 

Values are based on a 1.3% COLA for SSI and subsequent increases for SSP

INDEPENDENT LIVING

HOUSEHOLD OF ANOTHER (Reduced Needs)

NON-MEDICAL OUT-OF-HOME CARE

RESIDING IN OWN HOUSEHOLD

WITH IN-KIND ROOM & BOARD

HOUSEHOLD OF RELATIVE
WITH IN-KIND ROOM & BOARD AND CERTIFIED NMOHC

IN LICENSED FACILITY OR HOUSEHOLD OF RELATIVE w/o IN-KIND ROOM AND BOARD

TOTAL CAPI

 

TOTAL SSI/SSP

TOTAL CAPI

 

TOTAL SSI/SSP

TOTAL CAPI

 

TOTAL SSI/SSP

TOTAL CAPI

 

TOTAL SSI/SSP

INDIVIDUAL

   

AGED OR DISABLED
-without cooking facilities (RMA)

$954.72
$1,041.04
  $954.72
$1,041.04
$693.58   $693.58 $947.57   $947.57 $1,217.37   $1,217.37

BLIND

$1,011.23   $1,011.23 $750.10   $750.10 $947.57   $947.57 $1,217.37   $1,217.37

DISABLED MINOR w/ parent(s)

-living with non-parent relative or non-relative guardian

$859.15   $859.15 $598.01   $598.01 $947.57   $947.57 $1,217.37   $1,217.37

COUPLE

 

BOTH AGED AND/OR DISABLED
-per couple
-without cooking facilities (RMA)

$1,598.14

$1,770.77

 

$1,587.14

$1,770.77

$1,206.41   $1,206.41 $1,868.52   $1,868.52 $2,434.74   $2,434.74

BOTH BLIND
-per couple

$1,749.19   $1,749.19 $1,357.46   $1,357.46 $1,868.52   $1,868.52 $2,434.74   $2,434.74

1 BLIND and 1 AGED/DISABLED
-per couple

$1,691.65   $1,691.65 $1,299.92   $1,299.92 $1,868.52   $1,868.52 $2,434.74   $2,434.74