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REV MAN

. JUNE 28, 2011 NEBRASKA DEPARTMENT OF CCS PROGRAM UAL LETTER # 53-2011 HEALTH AND HUMAN SERVICES 392 NAC 3-005.02 3-005.02 Determination of Income Eligibility: When determining eligibility, the worker considers the following sources of income:

1. Supplemental Security Income (SSI); 2. Assistance to the Aged, Blind, or Disabled payment (AABD); 3. Gross wages/salary – total monthly earnings received for work as an employee, including wages, salary, armed forces pay, work study, commissions, tips, piece rate payments, and cash bonuses earned before deductions are made for taxes, bonds, pensions, union dues, and similar purposes; 4. Work study for a graduate student or a student working for a second degree; 5. In-kind income received in lieu of wages; 6. Income received under a Title I Workforce Investment Act (WIA) program for On the Job Training (OJT); 7. Retirement, Survivors, or Disabled Insurance (RSDI) benefits and Railroad Retirement payments before deductions for medical insurance; 8. Dividends (includes dividends from stockholdings or membership in associations); 9. Interest (averaged over the period earned for savings or bonds); 10. Estates; 11. Trust funds; 12. Rentals (net income from rental of a house, store, or other property); 13. Land lease income; 14. Gross payments from boarders or lodgers (if self-employed, see number 28); 15. Net royalties; 16. Retirement pensions (retirement or pension benefits paid to a retired person or his/her survivors by a former employer or by a union, either directly or through an insurance company); 17. Veteran’s pensions (money paid by the Veteran’s Administration to disabled members of the armed forces or to survivors of deceased veterans, subsistence allowances paid to veterans for education and on-the-job training, and “refunds” paid to ex-servicemen as G.I. insurance premiums; 18. Military allotments; 19. Picket or strike pay; 20. Contributions; 21. Lump sum payments, e.g., child support or RSDI; 22. Annuities or insurance; 23. Unemployment compensation (compensation received from government insurance agencies or private companies during periods of unemployment) and any strike benefits received from union funds; 24. Worker’s compensation (compensation received from private or public insurance companies for injuries incurred at work); 25. Court-ordered child, spousal, and cash medical support; 26. Payment by an absent parent to the client for child care, rent, or house payment; 27. Net income from farm self-employment (see 392 NAC 3-005.02B2); 28. Net income from non-farm self-employment (see 392 NAC 3-005.02B). {Effective 6/28/11}