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REV. MAY 3, 2018 NEBRASKA DEPARTMENT OF MEDICAID ELIGIBILITY MANUAL LETTER #43-2018 HEALTH AND HUMAN SERVICES 477-000-004

7. Contributions and In-Kind Income: Verify any in-kind income and contributions to which a money value is given. Verify the source and the amount. Verification consists of the name and address of the source of payment. Contact the source to verify the amount and frequency of the payment.

Primary Sources a. Contribution check; b. Statement from the person making a contribution; c. Cancelled checks of the person making a contribution; or d. Receipt for the contribution. Secondary Sources a. Client's statement of receipt; or b. A signed statement from an individual(s) who has knowledge of the situation. 8. Deemed Income: Determine and document whether deeming is appropriate. Verify the amounts of earned and unearned income and allowable deductions. Primary Sources a. Receipts of unearned income, e.g., award letter or benefit check; b. Receipts of earned income, e.g., paystubs or employer records; c. Immigration and Naturalization Service records; d. Correspondence from INS; or e. Receipts verifying income deductions. Secondary Sources a. Statement from client; or b. A signed statement from an individual(s) who has knowledge of the situation. 9. Educational Grants, Scholarships, Loans: Verify - a. The contract or the originator of the grant, loan, or scholarship; b. If the grant, loan, or scholarship may be used for current living costs; and c. If the grant, loan, or scholarship is for educational purposes and insured under any program administered by the Department of Education. Primary Sources a. Statement from the client; or b. A signed statement from an individual(s) who has knowledge of the situation.