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MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL

INCOME TYPE DESCRIPTION

E-3002 Division of Welfare and Supportive Services TYPES OF EARNED AND UNEARNED INCOME Medical Assistance Manual

14 Mar 01 MTL 14/01 AGENT ORANGE SETTLEMENTS

1. Unearned

2. Excluded in Financial

3. Excluded in Patient Liability

4. Non-Taxable

Payments pursuant to Public Law 101-201.

Verification: (not all inclusive)

- Copy of check - Documents from the agency paying benefits ALASKA NATIVE CORPORATION

1. Earned/Unearned

2. Excluded in Financial

3. Excluded in Patient Liability

4. Non-Taxable Pursuant to Public Law 100-241, none of the following received from a Native Corporation is counted as income to an Alaska Native or a descendant of an Alaska Native: Cash (including cash dividends on stock) to the extent it does not exceed $2,000 per individual per year.

Verification: (not all inclusive)

- Copy of check - Documents from the agency paying benefits

ALIMONY

1. Unearned

2. Counted in Financial

3. Counted in Patient Liability

4. Taxable

Payments from an ex-spouse.

Verification: (not all inclusive)

- Court Ordered Decree - Copy of check or money order

ANNUAL LEAVE

1. Earned

2. Counted in Financial

3. Counted in Patient Liability

4. Taxable

Income from the employer for annual leave time.

Verification: (not all inclusive)

- Form 2074 “Earnings Verification” - Paycheck stubs - Signed and dated statement from employer