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Aged, Blind and Disabled Manual Section: Institutional Medicaid Policy Manual: 125.020 Chapter: Post- Eligibility Treatment of Income Legal Authority: 42 CFR 435.725; Tenn. Code Ann. § 71-5-147; State Plan, Attachment 2.6-A, Supplement 3; State Plan, Attachment 2.6-A, Supplement 13; 42 USC 1396a(r)(1)(B); Tenn. Comp. R. & Regs. 1200-13-20-.08(1) 1. Policy Statement Individuals determined eligible for Institutional Medicaid and receiving Long-Term Services and Supports (LTSS) or hospice are required to contribute to the cost of care. Patient liability, the individual’s required monthly contribution, is calculated based on the individual’s total income after certain allowable deductions. 2. Determination of Total Income While countable income is used to determine eligibility for Medicaid, total income is used in the post- eligibility process. Total income includes all income available to an individual whether counted or excluded in the eligibility determination. Total income does not include items which are not considered to be income. See the ABD Income Overview policy. a. Income not Included in Total Income The following income is not included in total income: i. Supplemental Security Income (SSI) benefits paid under section 1611(e)(1)(E) and (G) of the Social Security Act to individuals who receive care in a hospital, nursing home, skilled nursing facility (SNF), or intermediate care facility (ICF); ii. Austrian Reparation Payments made under sections 500-506 of the Austrian General Social Insurance Act; iii. German Reparations Payments made by the Federal Republic of Germany; iv. Japanese and Aleutian Restitution Payments; v. Netherlands Reparation Payments based on Nazi persecution; vi. Payments from the Agent Orange Settlement Fund or any other fund established pursuant to the settlement; vii. Radiation Exposure Compensation; and viii. VA pensions limited to $90 per month.