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Alimony and support payments are cash and are not excluded from income and resources in determining eligibility for Medicaid in the Aged, Blind and Disabled (ABD) Covered Groups.
In-kind contributions for food, clothing or shelter are not income for this purpose. Support payments may be made voluntarily or because of a court order. Alimony (sometimes called "maintenance") is an allowance made by a court from the funds of one spouse to the other spouse in connection with a suit for separation or divorce.
Alimony, spousal, and other adult support payments are unearned income.
Child support payments are unearned income; however, one-third of the amount of a payment made to or for an eligible child by an absent parent is excluded.
Child support collected by a State and retained as reimbursement for AFDC/TANF payments is not income to a Medicaid recipient. This is true even if the original support was collected on behalf of an SSI child.
Child support collected by a State and paid to an AFDC/TANF assistance unit as a $50 (or less) pass-through of child support is not income to blind/disabled child if the AFDC/TANF unit would have received the same pass-through payment if the child were removed from the AFDC/TANF family unit. (That is, there is another child responsible for the pass through.
If the AFDC/TANF family would have received a lower pass-through amount with the blind/disabled child removed from the AFDC/TANF family unit, the difference between the pass-through amount actually paid and the pass-through amount which could have been paid had the child not been included in the AFDC/TANF family unit is income in the form of child support to the blind/disabled child.
Aged, Blind and Disabled Income Exclusions
VA Benefit Information System Welcome and Introduction
Information for this topic was drawn from Chapter S08 of the Department of Social Services (DSS) Medicaid Manual.
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