ADDENDUM 3 Countable and Excluded Income for ADLTC Medicaid

ADDENDUM 3

Countable and Excluded Income for ADLTC Medicaid

Type of income Countable for ADLTC Adoption payments, subsidized Yes - see APA MS 442-3(F) for additional details Alaska Native/American Indian Real Property Rental Income Yes - see MS 523 (J) for additional details American Indian/Alaska Native payments Yes - see APA MS 442-3(A)(8) for additional details Annuity Payments Yes Alien Sponsor income Yes - see MS 518 for additional details Child Support Yes Census Income Yes Compensatory payments, court ordered Yes Contractual Income, such as monthly payments from sale of house Yes Corporation income from partnerships, estates and S-corporations Yes Crowdfunding See MS 520(M) for additional details Death Benefits Yes - see APA MS 441-2(G) for additional details Disaster and Emergency Assistance provided by states, local governments, or disaster assistance organizations No Earned Income Tax Credit (EITC) No Educational Grants, Awards, Scholarships and Loans issued under any program funded the Title IV of the Higher Education Act or under a Bureau of Indian Affairs student assistance program No Food Stamp Hold Harmless payment No Foster Care, including Therapeutic Foster Care and boarding home payments No - see APA MS 442-3(F) for additional details Gambling and lottery winnings Yes Garnishments Yes - see APA MS 443-1 for additional details Individual Indian Money Accounts No - see MS 523(I) for additional details Inheritances Yes In-kind support and maintenance Yes - see MS 523(H) for additional details Loans, including educational, personal and commercial No Military Entitlements Yes Missionary Income Yes Permanent Fund Dividend No Recoupments Yes Rental income, including room rental Yes retirement/pension income Yes Self-employment income Yes - see APA MS 441-1(E) for additional details Supplemental Security Income ( SSI Supplemental Security Income ) Yes Social Security payments, excluding SSI Supplemental Security Income Yes Spousal Support (Alimony) Yes Tax returns, federal No Title V of the Older Americans Act, such as MASST See APA MS 442-3(A) for additional details Trust income Yes Unemployment benefits ( UIB Unemployment Insurance Benefit ) Yes Veterans' retirement paid by the Department of Defense Finance and Accounting Services (DFAS) Yes Veteran Disability Payments Yes Veterans Survivor benefits Yes Victims of Crime Compensations No Volunteer Payments from the corporation for National and Community Service (CNCS), such as Senior Corps and AmeriCorp No Wages, including salaries, bonuses, commissions, tips, overtime, severance, and gratuities. This includes an SSI recipient's wages Yes Workers' Compensation Yes

This chart is not comprehensive. For questions regarding income types, please email hss.dpa.policy@alaska.gov .

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