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be considered as an exempt resource. If the client has this in an account with other countable resources, the client must supply the worker with the amount of money that is the Spina Bifida amount so this amount may be exempt from the resource determination. It does not have to be in a separate account, but the client or a family member must keep track of the amount. Example: A client is receiving a monthly payment of $700 for Spina Bifida for his child and the client is a Vietnam veteran. The $700 is exempt income.

The next month the client receives another payment of $700 which is directly deposited into his bank account. The client also has $500 in this account of which $400 is money left over from the Spina Bifida allowance received in the previous month. For the resource determination, only $100 would be counted and the remaining $400 would be a left-over Spina Bifida allowance from the previous month's payment and this $400 would be an exempt resource.

For MAGI (MED 3) AGs, allowances paid to children who are born with Spina Bifida and are children of Vietnam veterans are not taxable income. Therefore, such allowances are not counted in the calculation of MAGI for household income. 2840.10.10 VA AID & ATTENDANCE ALLOWANCE AND HOUSEBOUND ALLOWANCE Aid & Attendance is a benefit paid in addition to a monthly Veterans’ Pension (given due to age) or Veteran’s Compensation (given due to service-oriented disability). The additional Aid & Attendance or Housebound allotment is awarded when a veteran or the widow qualifies for a pension and has a need for extra medical care. It is intended to reimburse the actual medical expenses which have been verified to the Veterans Administration (VA). In determining initial eligibility, Aid & Attendance and Housebound Allowances should not be counted as income. Except as noted, the rest of the information in this section is specific to Pension and does not address Compensation.

After Medicaid approval, the member’s out of pocket medical expenses should be greatly reduced or eliminated. It is the member’s responsibility to report this change to the VA when a recalculation of their award is necessary. How Pension and Aid & Attendance Amounts are Determined: The amount of a Veterans Pension for elderly or non-service-related disabled veterans or survivors is the difference between the applicable Maximum Annual Pension Rate (MAPR, a limit set each year by Congress based on disability and family criteria), and the countable income for the veteran’s family. The amount payable is reduced by countable income, so some veterans may not qualify for a pension payment.