10.1 DEFINITIONS INTRODUCTION CHART OF INCOME SOURCES...10 B. ADOPTION ASSISTANCE...11 C. ADULT FAMILY CARE PROVIDER INCOME...
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1 10.1 DEFINITIONS INTRODUCTION CHART OF INCOME SOURCES...10 A. ACE...11 B. ADOPTION ASSISTANCE...11 C. ADULT FAMILY CARE PROVIDER INCOME...11 D. ADVANCE PAY...11 E. AGENT ORANGE PAYMENT PROGRAM...11 F. AGRICULTURAL STABILIZATION AND CONSERVATION PROGRAMS...11 G. ALASKAN NATIVE CLAIMS SETTLEMENT ACT PAYMENTS...11 H. ALLOTMENTS DIVERTED FROM: Military Job Corps...11 I. AMERICORPS...12 J. ANNUITY PAYMENTS...13 K. BASIC ALLOWANCE FOR HOUSING...13 L. CASH CONTRIBUTIONS FROM: Individuals Charitable Organizations...14 M. CHILD SUPPORT Current Arrearages...16 N. CHORE SERVICE PROVIDER INCOME...16 O. COMMISSIONS / i
2 P. COMMUNITY DEVELOPMENT BLOCK GRANTS AND LOANS...16 Q. DAY CARE AND OTHER CARE PROVIDER INCOME...16 R. DEATH INSURANCE BENEFITS...17 S. DEPOSITS INTO A BANK ACCOUNT...17 T. DISABILITY BENEFITS FROM EMPLOYER...17 U. DISASTER ASSISTANCE...17 V. DIVIDENDS...17 W. DOMESTIC VOLUNTEER ACT OF X. DRS FUNDS...18 Y. EITC...19 Z. EDUCATIONAL INCOME...19 AA. EMERGENCY ASSISTANCE FROM DHHR...19 BB. EMERGENCY CHILD CARE PROVIDER INCOME...20 CC. EMPLOYMENT...20 DD. ENERGY ASSISTANCE PAYMENTS OTHER THAN LIEAP...24 EE. FACTOR XIII OR IX BLOOD PRODUCTS LITIGATION...24 FF. FHA; FmHA...24 GG. HH. FOOD STAMPS...24 FOSTER CARE PAYMENTS...25 II. FOSTER GRANDPARENTS PROGRAM...25 JJ. KK. GUARDIANSHIP PAYMENTS...25 GSYP / ii
3 LL. HEMOPHILIA/AIDS SETTLEMENTS AND FUNDS Factor XIII Or IX Blood Products Litigation Ricky Ray Funds Walker v. Bayer Settlements...26 MM. HUD...27 NN. INCOME PROTECTION INSURANCE PROCEEDS...27 OO. INCOME TAX REFUNDS Refunds Economic Stimulus Tax Rebate for PP. QQ. RR. SS. TT. INDEPENDENT LIVING SUBSIDY...27 INDIAN SETTLEMENT INCOME...28 IN-KIND PAYMENTS...28 INSURANCE PROCEEDS...28 INTEREST INCOME...29 UU. JOB CORPS...29 VV. WW LIEAP...29 LOANS...30 XX. MEDICAL INSURANCE REIMBURSEMENTS...31 YY. NAZI PERSECUTION VICTIMS PAYMENTS...32 ZZ. OLDER AMERICANS ACT...32 AAA. PENSIONS...32 BBB. PERSONAL CARE PROVIDER INCOME...32 CCC. PERSONAL INJURY AWARDS...32 DDD. EEE. RAILROAD RETIREMENT...32 RENTER'S INSURANCE PROCEEDS / iii
4 FFF. GGG. HHH. III. JJJ. KKK. LLL. MMM. NNN. REIMBURSEMENTS...32a RELOCATION PAYMENTS...32a RENT AND/OR UTILITY SUPPLEMENTS...32a RENTAL INCOME...32b REPLACEMENT OF PROPERTY BENEFITS...33 RETIREMENT BENEFITS...33 RICKY RAY FUNDS...33 RSDI...33 ROOMER/BOARDER PROVIDER INCOME...33 OOO. ROYALTIES...33 PPP. QQQ. RRR. RSVP...33 SALE OF PROPERTY...34 SCORE...34 SSS. SICK BENEFITS FROM EMPLOYER...34 TTT. UUU. VVV. SOCIAL SECURITY PAYMENTS...34 SPOUSAL SUPPORT OR ALIMONY...34 SSI...35 WWW. STRIKE BENEFITS...36 XXX. TANF PAYMENTS...37 YYY. ZZZ. THIRD-PARTY PAYMENTS...38 TITLE XIX MEDICAID WAIVER PAYMENTS...38 AAAA. TRUST ACCOUNT DISBURSEMENTS...38 BBBB. UCI / iv
5 CCCC. DDDD. EEEE. FFFF. GGGG. HHHH. IIII. UNIFORM GIFTS TO MINORS ACT...39 UNSTATED INCOME...39 UNIVERSITY YEAR OF ACTION...39 URBAN CRIME PREVENTION PROGRAM...39 U.S. ACTION AGENCY...39 U.S. SAVINGS BONDS...39 VACATION PAY...39 JJJJ. VETERAN'S COMPENSATION OR PENSION...40 KKKK. VICTIM COMPENSATION PAYMENTS...41 LLLL. VISTA AND AMERICORPS VISTA...41 MMMM. WALKER v. BAYER SETTLEMENTS...42 NNNN. WIA...42 OOOO. WIC...42 PPPP. WINNINGS...42 QQQQ. WORKERS COMPENSATION...42 RRRR. WV LOCAL HOUSING AUTHORITIES...43 SSSS. WV WORKS...43 TTTT. YOUTHBUILD PROGRAM FOOD STAMP PROGRAM...45 A. BUDGETING METHOD...45 B. INCOME DISREGARDS AND DEDUCTIONS / v
6 1. Earned Disregard Standard Deduction Dependent Care Deduction Child Support Deduction Homeless Shelter Standard Deduction Medical Expenses...62 a. Allowable Expenses...62 b. Consideration of Medical Bills...64 c. Medical Deduction for Residents of Group Living Facilities...67 d. Categorically Eligible, Retroactive SSI Approvals Shelter/Utility Deduction...67 a. Shelter Costs...69 b. Standard Utility Allowance (SUA)...70 c. Categorically Eligible, Retroactive SSI Approvals...76 C. DETERMINING ELIGIBILITY AND BENEFIT LEVEL...76a 1. Determining Eligibility...76a 2. Determining Countable...76a 3. Determining The Amount Of The Benefit...78 D. SPECIAL SITUATIONS Categorical Eligibility Expedited Service Destitute AG s From Self-Employment...80 a. Determining Gross...81 b. Determining Gross Profit Migrant Farm Laborers With Seasonal Employment Annual Contract Employment Educational Deeming...88 a. Deeming From Disqualified and Ineligible Individuals...88 b. Failure To Comply With Public Assistance Requirements Strikers Irregular Lump Sum Payments Withheld Funds Diverted To A PASS...100a 14. Unstated...100a 15. Spenddown Unavailable Received For A Non- Group Member / vi
7 18. Received From Military Personnel Deployed to a Designated Combat Zone RESERVED FOR FUTURE USE GENERAL INCOME INFORMATION FOR MEDICAID COVERAGE GROUPS A. UNCOMPENSATED TRANSFERS OF INCOME B. BUDGETING METHOD C. CATEGORICAL ELIGIBILITY, EXPEDITED SERVICES, DESTITUTE AG=S AND MIGRANT FARM WORKERS AFDC MEDICAID (Categorically Needy, Mandatory) A. BUDGETING METHOD B. INCOME DISREGARDS AND DEDUCTIONS Earned Unearned C. DETERMINING ELIGIBILITY AND BENEFIT LEVEL Determining Eligibility - 185% Of Need Test Determining Need - 100% Of Need Test Determining Countable D. SPECIAL SITUATIONS Categorical Eligibility Expedited Service Destitute AG=s Self-Employment a. Determining Gross b. Determining Gross Profit Migrant Farm Laborers With Seasonal Employment Annual Contract Employment Educational Deeming Strikers Irregular Lump Sum Payments Withheld / vii
8 13. Funds Diverted To A Pass Unstated Spenddown Unavailable Received For A Non- Group Member Received From Military Personnel Deployed to a Designated Combat Zone RESERVED FOR FUTURE USE TRANSITIONAL MEDICAID (TM) (Categorically Needy, Mandatory) A. SELF-EMPLOYMENT B. ANNUAL CONTRACT EMPLOYMENT C. EDUCATIONAL INCOME D. DEEMING E. STRIKERS F. IRREGULAR INCOME G. LUMP SUM PAYMENTS H. WITHHELD INCOME I. FUNDS DIVERTED TO A PASS J. UNSTATED INCOME K. SPENDDOWN L. UNAVAILABLE INCOME M. INCOME RECEIVED FOR A NON-INCOME GROUP MEMBER N. Received From Military Personnel Deployed to a Designated Combat Zone MEDICAID FOR QUALIFIED CHILDREN, REGARDLESS OF BIRTHDATE (Categorically Needy, Mandatory - Born On Or After 10/1/83; Optional - Born Prior to 10/1/83)...158a 3/ viii
9 A. INCOME DISREGARDS AND DEDUCTIONS Earned Unearned From Remaining B. DETERMINING ELIGIBILITY General Rules Specific Steps C. SPECIAL SITUATIONS Self-Employment Annual Contract Employment Educational Deeming Strikers Irregular Lump Sum Payments Withheld Funds Diverted To A PASS Unstated Spenddown Unavailable Received For A Non- Group Member Received From Military Personnel Deployed to a Designated Combat Zone MEDICAID FOR POVERTY-LEVEL PREGNANT WOMEN (Categorically Needy, Mandatory) A. INCOME DISREGARDS AND DEDUCTIONS Earned Unearned B. DETERMINING ELIGIBILITY C. SPECIAL SITUATIONS Self-Employment Annual Contract Employment Educational / ix
10 4. Deeming Strikers Irregular Lump Sum Payments Withheld Funds Diverted To A PASS Unstated Spenddown Unavailable Received For A Non- Group Member Received From Military Personnel Deployed to a Designated Combat Zone MEDICAID FOR POVERTY-LEVEL CHILDREN UNDER AGE 1, AGES 1-5 AND AGES 6-18 IF BORN ON OR AFTER 10/1/83 (Categorically Needy, Mandatory) A. INCOME DISREGARDS AND DEDUCTIONS Earned Unearned B. DETERMINING ELIGIBILITY C. SPECIAL SITUATIONS Self-Employment Annual Contract Employment Educational Deeming Strikers Irregular Lump Sum Payments Withheld Funds Diverted To A PASS Unstated Spenddown Unavailable Received For A Non- Group Member Received From Military Personnel Deployed to a Designated Combat Zone MEDICAID FOR CONTINUOUSLY ELIGIBLE NEWBORNS (Categorically and Medically Needy, Mandatory) / x
11 10.14 MEDICAID FOR SSI RECIPIENTS (Categorically Needy, Mandatory) MEDICAID FOR DEEMED SSI RECIPIENTS (Categorically Needy, Mandatory) A. BUDGETING METHOD B. INCOME DISREGARDS AND DEDUCTIONS C. DETERMINING ELIGIBILITY Method Method D. SPECIAL SITUATIONS Self-Employment Annual Contract Employment Educational Deeming Strikers Irregular Lump Sum Payments Withheld Funds Diverted To A PASS Unstated Spenddown Unavailable Received For A Non- Group Member Received From Military Personnel Deployed to a Designated Combat Zone...180a MEDICAID FOR QUALIFIED MEDICARE BENEFICIARY (QMB), SPECIFIED LOW-INCOME MEDICARE BENEFICIARY (SLIMB) AND QUALIFIED INDIVIDUALS (QI-1) (Categorically Needy, Mandatory) A. INCOME DISREGARDS AND DEDUCTIONS B. DETERMINING ELIGIBILITY C. SPECIAL SITUATIONS Self-Employment Annual Contract Employment / xi
12 3. Educational Deeming Strikers Irregular Lump Sum Payments Withheld Funds Diverted To A PASS Unstated Spenddown Unavailable Received For A Non- Group Member Received From Military Personnel Deployed to a Designated Combat Zone MEDICAID FOR QUALIFIED DISABLED WORKING INDIVIDUALS (QDWI) (Categorically Needy, Mandatory) A. INCOME DISREGARDS AND DEDUCTIONS B. DETERMINING ELIGIBILITY C. SPECIAL SITUATIONS MEDICAID FOR ILLEGAL ALIENS (Categorically Needy, Mandatory) MEDICAID FOR CHILDREN WITH DISABILITIES, COMMUNITY SERVICE PROGRAM (CDCS) (Categorically Needy, Optional) A. INCOME DISREGARDS AND DEDUCTIONS B. DETERMINING ELIGIBILITY C. SPECIAL SITUATIONS Self-Employment Annual Contract Employment Educational Deeming Strikers Irregular Lump Sum Payments Withheld Funds Diverted To A PASS Unstated Spenddown / xii
13 12. Unavailable Received For A Non- Group Member Received From Military Personnel Deployed to a Designated Combat Zone AIDS SPECIAL PHARMACY PROGRAM (Categorically Needy, Optional) A. BUDGETING METHOD B. INCOME DISREGARDS AND DEDUCTIONS C. DETERMINING ELIGIBILITY D. SPECIAL SITUATIONS AFDC-RELATED MEDICAID (Medically Needy, Mandatory for Children and Optional For Parents) A. BUDGETING METHOD B. INCOME DISREGARDS AND DEDUCTIONS Earned Unearned C. DETERMINING ELIGIBILITY D. SPECIAL SITUATIONS Self-Employment Annual Contract Employment Educational Deeming Strikers Irregular Lump Sum Payments Withheld Funds Diverted To A PASS Unstated Spenddown a. Procedures b. Whose Medical Expenses May Be Used c. Allowable Spenddown Expenses Unavailable / xiii
14 13. Received For A Non- Group Member Received From Military Personnel Deployed to a Designated Combat Zone SSI-RELATED MEDICAID (Medically Needy, Mandatory) A. BUDGETING METHOD B. INCOME DISREGARDS AND DEDUCTIONS Earned Unearned C. DETERMINING ELIGIBILITY D. SPECIAL SITUATIONS Self-Employment Annual Contract Employment Educational Deeming Strikers Irregular Lump Sum Payments Withheld a. From Earned b. From Unearned Funds Diverted To A PASS Unstated Spenddown a. Procedures b. Whose Medical Expenses May Be Used c. Allowable Spenddown Expenses Unavailable Received For A Non- Group Member Received From Military Personnel Deployed to a Designated Combat Zone RESERVED FOR FUTURE USE WV WORKS A. BUDGETING METHOD / xiv
15 B. INCOME DISREGARDS AND DEDUCTIONS Earned a. Earned Disregard b. Dependent Care Deduction Unearned C. DETERMINING ELIGIBILITY AND BENEFIT LEVEL Determining Eligibility - 100% Of Need Test Child Support Incentive (CSI) Determining Countable D. SPECIAL SITUATIONS Categorical Eligibility Expedited Service Destitute AGs Self-Employment a. Determining Gross b. Determining Gross Profit Migrant Farm Laborers With Seasonal Employment Annual Contract Employment Educational Deeming a. Ongoing b. Lump Sum Payment Strikers Irregular Lump Sum Payments Withheld Funds Diverted To A Pass Unstated Spenddown Unavailable Received For A Non- Group Member Received From Military Personnel Deployed to a Designated Combat Zone Received From The United States Census Bureau / xv
16 APPENDIX A INCOME LIMITS... A-1 APPENDIX B APPENDIX C APPENDIX D STANDARD DEDUCTIONS AND ALLOWANCES FOR THE FOOD STAMP PROGRAM... B-1 BASIS OF FOOD STAMP ISSUANCE...C-1 FOOD STAMP AND WV WORKS PRORATION TABLE...D-1 APPENDIX E PAC ELIGIBILITY - METHOD 1 AND METHOD 2... E-1 APPENDIX F WEST VIRGINIA WORKS REDUCTION SCHEDULES... F-1 10/ xvi
10.1 DEFINITIONS... 1
10.1 DEFINITIONS.... 1 10.2 INTRODUCTION... 6 10.3 CHART OF INCOME SOURCES.... 8 A. ACE... 9 B. ADOPTION ASSISTANCE... 9 C. ADULT FAMILY CARE PROVIDER INCOME... 9 D. ADVANCE PAY... 9 E. AGENT ORANGE PAYMENT
10.1 DEFINITIONS INTRODUCTION CHART OF INCOME SOURCES...10 B. ADOPTION ASSISTANCE...11 C. ADULT FAMILY CARE PROVIDER INCOME...
10.1 DEFINITIONS...1 10.2 INTRODUCTION...8 10.3 CHART OF INCOME SOURCES...10 A. ACE...11 B. ADOPTION ASSISTANCE...11 C. ADULT FAMILY CARE PROVIDER INCOME...11 D. ADVANCE PAY...11 E. AGENT ORANGE PAYMENT
10.1 DEFINITIONS INTRODUCTION CHART OF INCOME SOURCES A. ACE B. ADOPTION ASSISTANCE... 11
10.1 DEFINITIONS... 1 10.2 INTRODUCTION... 8 10.3 CHART OF INCOME SOURCES... 10 A. ACE... 11 B. ADOPTION ASSISTANCE... 11 C. ADULT FAMILY CARE PROVIDER INCOME... 11 D. ADVANCE PAY... 11 E. AGRICULTURAL
RETIREMENT BENEFITS... 34a. RETIREMENT, SURVIVORS, DISABILITY INSURANCE (RSDI)... 34a. RICKY RAY FUNDS... 34a
TTT. UUU. VVV. RETIREMENT BENEFITS... 34a RETIREMENT, SURVIVORS, DISABILITY INSURANCE (RSDI)... 34a RICKY RAY FUNDS... 34a WWW. ROOMER/BOARDER PROVIDER INCOME... 35 XXX. ROYALTIES... 35 YYY. RURAL HOUSING
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