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West Virginia Income Maintenance Manual Chapter 4

West Virginia Income Maintenance Manual Page 11 Chapter 4 Income

A share of the profit from the product of an oil or mineral lease. Also, a payment made to an author or composer for each copy of work sold or to an inventor for each article sold under a patent. SANCTIONED INDIVIDUAL A person who must normally be included in an AG, but who has been excluded due to his failure to comply with a specific program requirement. This person may also be referred to as a DISQUALIFIED INDIVIDUAL. SELF-ATTESTATION Information reported by an individual about financial and non-financial information. SELF-EMPLOYMENT A situation in which an individual has an investment in a business, has costs involved in producing income from this business, and could suffer a loss. He is usually responsible for his own income taxes and Federal Insurance Contribution Act (FICA) taxes. A self-employed individual usually has to provide his own equipment, supplies and materials needed to do a job or produce the income. He controls to some extent his hours of work and where the work is done. SPECIAL NEEDS Needs other than food, shelter, utilities, clothing and incidentals which are not uniformly shared by all members of the AG. SPENDDOWN The amount by which income exceeds the Medically Needy Income Level (MNIL) for the Period of Consideration (POC). SUBSTANTIAL LOTTERY OR GAMBLING WINNINGS An amount greater than or equal to the SNAP asset limit for AGs containing an elderly or disabled member that is won in a single game, hand or bet. THIRD-PARTY LIABILITY (TPL) TPL refers to the legal obligation of third parties, such as any individual, entity, or other program, to pay part or all of the expenditures for medical assistance; therefore, TPL is the means by which Medicaid payments are reduced or reimbursed by the amount paid by any individual, entity or other program. THIRD-PARTY PAYMENTS Payments made on behalf of the AG by an individual who is not a member of the AG. To qualify as a third-party payment, there must be an identifiable payment on behalf of the AG, rather than