CAPI and SSI/SSP Payment Standards for January 2004

The following chart is a full version of the CAPI and related SSI/SSP payment standards effective January 1, 2004 through December 31, 2004.

Table 74

	INDEPENDENT LIVING			REDUCED NEEDS			NON-MEDICAL OUT-OF-HOME CARE
	RESIDING IN OWN HOUSEHOLD			HOUSEHOLD OF ANOTHER 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		TOTALSSSI/SSP
INDIVIDUAL
AGED OR DISABLED -without cooking facilities (RMA)**	780.00 862.00		790.00 872.00	593.00 N/A		603.00 N/A	762.00 N/A		772.00 N/A	954.00 N/A		964.00 N/A
BLIND	844.00		854.00	672.00		682.00	762.00		772.00	954.00		964.00
DISABLED MINOR -living with parents -living with non-parent relative or non-relative guardian	669.00 669.00		679.00 679.00	471.00 471.00		481.00 481.00	N/A 762.00		N/A 772.00	N/A 954.00		N/A 964.00
COUPLE	BOTH CAPI	1 CAPI, 1 SSI/SSP	BOTH SSI/SSP	BOTH CAPI	1 CAPI, 1 SSI/SSP	BOTH SSI/SSP	BOTH CAPI	1 CAPI, 1 SSI/SSP	BOTH SSI/SSP	BOTH CAPI	1 CAPI, 1 SSI/SSP	BOTH SSI/SSP
BOTH AGED AND/OR DISABLED -per couple -without cooking facilities (RMA)**	1379.001543.00	1389.00 1553.00	1399.00 1563.00	1123.33 N/A	1133.33 N/A	1143.33 N/A	1561.33 N/A	1571.33 N/A	1581.33 N/A	1908.00 N/A	1918.00 N/A	1928.00 N/A
BOTH BLIND -per couple	1599.00	1609.00	1619.00	1344.33	1354.33	1364.33	1561.33	1571.33	1581.33	1908.00	1918.00	1928.00
1 BLIND and 1 AGED/DISABLED -per couple	1517.00	1527.00	1537.00	1260.33	1270.33	1280.33	1561.33	1571.33	1581.33	1908.00	1918.00	1928.00