8150 Determination
of Countable Income - Countable income is that amount of income
which is considered in determining eligibility and the amount of obligation
for medical expenses. For persons in non-Medicaid approved institutions
or whose financial eligibility is determined based on the spenddown provisions
of 8172 (3), the independent living policies
of 7240 are applicable.
In determining patient liability, all exempt and nonexempt income shall
be considered beginning either with the month a person begins receiving
long term care or the following month as specified in 8113
except for:
- Income allocated for the support of dependents in accordance with
8143 (4) or the spousal impoverishment
provisions of 8144.2.
- Holocaust survivor payments in accordance with 6410;
and
- Reduced VA pensions in accordance with 6410.
Note: The full pension amount [including aid and attendance
(A&A)] of a veteran or spouse which has not yet been reduced but
will be upon notification to VA of Medicaid NF approval, is countable
towards the patient liability. The portion of the VA benefit attributed
to unusual medical expenses (UME) continues to be exempt.
Only individuals without dependents are subject to the reduced VA pension.
Veterans with a spouse or other dependent(s) and veterans residing
in one of the state VA homes are not subject to the reduced VA pension.
If the VA pension is not subject to reduction, the portion of
the benefit attributed to aid and attendance (A&A) and unusual
medical expenses (UME) is exempt towards the patient liability as
indicated in items (4) and (5) below.
- VA aid and attendance benefits in accordance with 6410;
and
- VA benefits resulting from unusual medical expenses (UME) in accordance
with 6410.