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o These members will need to verify that Medicaid approval has been reported to the VA and continues to be based on bills they would have to pay out of their own pocket. o It would be rare for enough non-Medicaid covered expenses to remain which would allow a person to receive an award that is completely Aid & Attendance at this point.

2840.15.00 RAILROAD RETIREMENT BENEFITS (MED 1, 2, 4) Railroad retirement benefits are unearned income and may be available to former railroad workers and their dependents or survivors. Included are retirement and disability benefits. The Railroad Retirement benefit and Social Security benefit are usually combined in one payment if the individual is entitled to both benefits. Verification of benefits is essential. Refer to IHCPPM 2890.10.25. 2840.15.05 RAILROAD RETIREMENT BENEFITS (MED 3) For MAGI, railroad retirement benefits can be taxable or tax exempt. However, all railroad retirement benefits, whether taxable or tax exempt, received by an individual are included in the calculation of MAGI for determining household income.30

2840.20.00 PENSIONS Payments may be available from private industry, local or state governments, or the federal government to former employees and their dependents or survivors. These payments are the result of purchase of an annuity, retirement from employment, survivor benefits for a former employee's dependents, or injury or disability, and may be made by an employer, an insurance company, or public or private funds. 2840.20.05 PENSIONS (MED 1, 2, 4) For non-MAGI (MED 1, 2, 4) AGs, pensions are counted as unearned income. Refer to IHCPPM 2890.10.35 for verification requirements. The amount of funds being recouped from a pension is an allowable deduction. Effective June 1, 2014, for MED 1 and 4, any pension paid by a state to person who was an honorably discharged veteran of the armed forces based on a disability determination made by the state making the pension payments is not considered as income.31