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West Virginia Income Maintenance Manual Chapter 26

West Virginia Income Maintenance Manual Page 23 Chapter 26 Medicaid Work Incentive (M-WIN)

Unstated income is income that has not been reported by the household, and is not otherwise known to the agency, but is determined to exist because the client's paid living expenses exceed income from known sources. The amount of unstated income is the difference between the known monthly income and the monthly paid living expenses. When the information in the client's record, including statements of the client or third parties, indicates that paid expenses exceed the stated income, the existence of unstated income must be explored. If insufficient or conflicting evidence exists, the Worker must question the client about the possibility of unstated income and allow him the opportunity to explain how his expenses are met. If the client provides a satisfactory explanation, the Worker records the explanation. If the client's explanation of how the expenses are met is inadequate, the Worker makes a recording of the explanation and then determines the amount of unstated income to count. To determine the amount of unstated income to count, the Worker compares the usual amount of monthly living expenses with the client's reported income, taking into consideration any other reasonable explanations the client provides. The difference is unstated income and is counted as unearned income. 26.6.7.I Unavailable Income Income intended for the client, but received by another person with whom he does not live, when the individual receiving this income refuses to make it available, is excluded. 26.6.7.J Income Received for a Non-Income Group Member Income received by a member of the Income Group (IG), which is intended and used for the care and maintenance of an individual whose income is not used in determining the eligibility AG, is excluded as income.