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VA Social Services - ABD Not Income - Medicaid

When determining Medicaid income eligibility for Aged, Blind and Disabled (ABD) Covered Groups:

·             Social Services are not income for purposes of the Medicaid program. Under the circumstance specified in this section, cash and in-kind items received in conjunction with social services are not income for Medicaid purposes.

A social service is any service (other than medical) that is intended to assist a handicapped or socially disadvantaged individual to function in society on a level comparable to that of an individual who does not have such a handicap or disadvantage.

·             The following are income, though they may seem to be social services as defined above:

o    Remuneration for work or for activities performed as a participant in a program conducted by a sheltered workshop or work activities center is earned income. Incentive payments to encourage individuals to utilize specified facilities or to participate in specified medical or social service programs are unearned income, to the extent that these payments are unrestricted as to use and are not reimbursement for medical or social services already received.

o    Governmental income maintenance programs are not considered social services programs (e.g., Transitional Aid to Needy Families, Bureau of Indian Affairs General Assistance and/or Child Welfare Assistance, State general assistance, and Veterans Administration compensation or pension benefits).

o    Cash from any insurance policy that pays a flat rate benefit to the recipient without regard to the actual charges or expenses incurred is income. Examples of these types of insurance policies are per diem hospitalization or disability insurance, or cancer or dismemberment policies.

o    Food, clothing, or shelter provided by a non-government medical or social services organization is counted as unearned in-kind income. (All other in-kind items from non-government medical or social services organizations are not income. And note that food, clothing, and shelter provided by a government medical or social services organization are not income.)

See Also:

Aged, Blind and Disabled Income Exclusions

Back to:

VA Medicaid Eligibility

VA Medicaid Covered Groups

VA Medicaid Overview

VA Benefit Information System Welcome and Introduction

Source:

Information for this topic was drawn from Chapter S08 of the Department of Social Services (DSS) Medicaid Manual.

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