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MEDICAL SERVICES POLICY MANUAL, SECTION E
E 430 Sources of Unearned Income
E-430 Sources of Unearned Income MS Manual 09/01/26
The following are possible sources of unearned income:
1. Pensions, annuities, insurance benefits, Social Security, Railroad Retirement, Civil Service, Military Allotments, Teachers’ Retirement, State Retirement, Workmen’s Compensation, Miners’ Pension, Black Lung benefits, and Veterans Benefits. Exclude V.A. Aide and Attendance and Continuing or Unusual Medical Expense reimbursement (CME/UME) payments. Refer to MS E-451. Count gross income when determining eligibility.
NOTE: If state and federal taxes are withheld, count the gross income when determining eligibility for nursing facility and ICF/IID cases. Consider the net income in the post eligibility determination of the vendor payment.
1. Payments received for the rental of rooms, apartments, dwelling units, buildings, or land. If paid regularly, taxes, insurance, interest on loans, and the expense of upkeep may be deducted.
NOTE: In Waiver and TEFRA cases, the deductions are not given for eligibility determinations. In Long Term Services and Supports (LTSS) cases where there is a patient liability, the deductions are not given in the initial OR post eligibility determinations, and neither for home nor for non-home rental properties.
2. Interest, dividends, and income from capital investments, insurance policies, etc. 3. Royalty income from oil, gas or other mineral leases. 4. Regular payments from estates, trust funds (MS E-522 #13), or other personal property which cannot be converted into cash because of legal provisions. 5. Child support payments. 6. Regular contributions from organizations, churches, friends, relatives, or social agencies. 7. Income or support and maintenance received in-kind.
NOTE: All forms of official Foster Care or Adoption Subsidy income received by the family or applicant will be excluded for all AABD categories, including Long Term Services and Supports (LTSS), during the eligibility and post eligibility calculations.