INCOME CHART. Emergency Assistance NEMT Burial Yes Yes Categorical Declaration of inability to afford cost of burial

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1 Income Sources ALL SOURCES OF INCOME EXCEPT AS NOTED BELOW LIEAP Emergency Assistance NEMT Burial Yes Yes Categorical Declaration of inability to afford cost of burial Income Exclusions Payments made to volunteers under Title II (RSVP), Foster Grandparents and others Title III, SCORE and ACE of the Domestic Volunteer Service Act of 1973 Senior Companion Program listed under Title XX and as funded through the U.S. Action Agency Community Service Employment Program (CSEP) as authorized under Title V of the Older Americans Act The value of Food coupons and food commodities All student loans, grants, scholarships, and college work study programs 6/98 299

2 TRIP Yes - but consider only the income paid to the client and/or for him Income Exclusions to Project Helping Hand Tel-Assistance and Link-up America Yes Yes Categorical to TANF/WV WORKS, SSI, Food Stamps or household income is at or below income level established for SSI eligibility Excluded Excluded Excluded DNA 6/98 300

3 Income Exclusions Payments, allowances or reimbursements for transportation and attendant care costs under Title VI of the Rehabilitation Act of 1973, Title II, Public Law The value of supplemental food program for Women, Infants and Children (WIC) Public Law LIEAP Income received Income irregularly and received income that cannot during the be reasonably month of anticipated as applicatio available during a n must be three-month period counted and does not exceed $30 in a three month period Value of National School Lunch Program, Public Law Reimbursement for expenses incurred in connection with employment and training limited to mileage, tools and clothing Emergency Assistance NEMT Burial DNA DNA DNA 6/98 301

4 TRIP to Project Helping Hand Tel-Assistance and Link-up America Excluded Income received during the month of application must be counted DNA DNA 6/98 302

5 Income Exclusions Reimbursement for medical expenses or for round trip transportation costs incurred to obtain medial treatment Payments under Alaskan Native Claims Settlement Act LIEAP Emergency Assistance NEMT Burial In-kind income DNA DNA DNA DNA Any payments received or funds held in trust for members of any Indian tribe under Public Laws: 98-64, , and referred to as "Indians Judgement Funds." Also, any funds from payment of relocation assistance to members of the Navajo and Hopi tribes under Public Law Payments under Title I of the Domestic Volunteer Service Act of 1973 (VISTA, Action, University Year of Action, Urban Crime Prevention Program) 6/98 303

6 TRIP to Project Helping Hand Tel-Assistance and Link-up America Yes DNA DNA DNA 6/98 304

7 Income Exclusions Grants and loans from HUD Community Development Block Grant Funds made to individuals to rehabilitate their private residence All JTPA payments except those considered as wages for on-the-job training Income Deductions 20% deduction from gross monthly income for selfemployed persons to determine countable income 25% deducted from gross monthly income for selfemployed persons to determine countable income LIEAP Emergency Assistance NEMT Burial Yes No DNA DNA No Yes DNA DNA Income disregards None None DNA DNA 6/98 305

8 TRIP to Project Helping Hand Tel-Assistance and Link-up America Yes Yes No DNA Yes No Yes DNA DNA None None DNA 6/98 306