In regard to amount of grant, Section 208.010, RSMo states, "The amount of benefits, when added to all other income, resources, support and maintenance, shall provide such persons with a reasonable subsistence compatible with decency and health in accordance with the standards developed by the Family Support Division." Section 209.040, RSMo then establishes a maximum monthly cash grant that may not be exceeded, unless the nursing home maximums apply.

0415.005.00 Maximum and Minimum Payments

IM-#68, 06/15/2017, IM-35 June 24, 2014, IM-50 June 11, 2012, IM-30 June 21, 2011IM-44 June 29, 2010, IM-39 June 11, 2009, IM-43 June 11, 2008, IM-53 June 8, 2007, IM-63 June 15, 2006, IM-56 June 2, 2005, IM-60 June 10, 2004, IM-77 June 26, 2003

As of July 1, 2017, the maximum payment for Supplemental Aid to the Blind (SAB) cash grants is $738.00 per month. Payments to persons eligible for a cash grant may be in the form of a check mailed to the participant or a direct deposit to the participant's checking or savings account. This is the participant's option; however, the participant must have an active bank account in order to use the direct deposit (IM-20) option.

If the SAB participant is not in a nursing home the grant is the difference between the participant's SSI payments and the SAB maximum grant amount. Refer to 0415.005.05 SAB Claimant in a Nursing Home, if a claimant is in a nursing institution or enters a nursing institution.

If the SAB participant's case was previously converted to SSI-SP or SP Only in January 1974, refer to the SP Manual for options in determining grant amount.

0415.005.05 SAB Claimant in a Nursing Home

IM-#4 January 15, 2015, IM-#109 December 11, 2013, IM-#97 December 3, 2012, IM-#77 December 21, 2011

If the SAB claimant is in a nursing home and not eligible for vendor payments, use the computation most beneficial to the claimant:

  1. Complete an SAB need determination. If there is need, subtract from the SAB maximum any SSI amount the claimant receives. Or
  2. To determine need, subtract the income from the basic nursing home charge. NOTE: SSI income is counted in this need determination.
  3. If there is need, the amount of grant is the deficit up to the appropriate maximum from the following list:


Residential Facility I $156.00
Residential Facility II $292.00
(Claimant's Medical Necessity is substantiated by Level of Care Determination)
Skilled-Ineligible for Medicaid
Nursing Care Benefits
(Claimant's Medical Necessity is not substantiated by Level of Care Determination)

Any person receiving a cash nursing home payment, except DMH alternate care placements, is eligible for a Personal Expense Allowance of $50. The Personal Expense Allowance is issued as a separate check.

If the SAB claimant does not meet the exceptions previously described, complete an SAB need determination. If there is need, determine the amount of grant by subtracting any SSI payment the claimant receives from the current BP maximum.


The claimant's eligibility for Medicaid coverage begins the first day of the month of application, provided the claimant is subsequently found eligible and was not obviously ineligible for the entire month of application and the prior three months. If the claimant was obviously ineligible for the entire month of application and all three months prior to approval, the Medicaid eligibility date begins with the first day of the month in which eligibility was met. Medicaid prior quarter eligibility criteria applies to SAB claimants.

SAB claimants under 21 years of age who qualify are also eligible for HCY (EPSDT) services.