Any $ that generates IRS reporting tied into the applicants SS # is required reportable income for Medicaid.
So interest, insurance dividend, annuity payouts, mineral royalties, rent, anything that generates a 1099 to you, etc. all are reportable income in addition to SS, pension, retirement.
If they have something that does an annual payment & it takes them over the monthly income limit for that month (so technically ineligible that month for Meducaid), you need to indicate that it needs to be amortized over the whole year in their annual Medicaid renewal.
Although VA A&A is a great benefit, how it works - IMO - best is for having additional $ to pay towards AL costs or an at-home caregiver. Most AL run 3k -4k and most states' Medicaid program either do not ever pay for AL or the AL require a period of private pay of 2years before they can get a Medicaid bed, so the A&a $ can make a worthwhile difference. A&A pays around $1700 so if your getting 1k in SS, between SS + A&A + savings, you likely can totally swing AL costs and work towards the spend down to eventually qualify for Medicaid & hopefully your medical needs for a NH dovetail with your impoverishment.
But for NH the costs run 5k -15k. So if you go into a NH the above math doesn't work anymore. It's better to go off A&A and apply for Medicaid as it will cover all the room & board costs (amount paid varies by state and not all NH participate in Medicaid) and between Medicare & Medicaid will cover almost all medical costs. VA views Medicaid as the priority payor and stops paying A&A and changes payment to a $ 90 needs allowance. The $90 is in addition to whatever your state has as its personal needs allowance (varies from $ 35 -105) excluded from you income each month. Like for TX Medicaid, the PNA is $ 60 a mo so with VAs $ 90, they have $ 150 a mo for incidentals. They do need to spend it periodically as Medicaid only allows 2k in assets.
If your doing the Medicaid application its my understanding that it gets put down as monthly income but is suspended for evaluating medicaid eligibility. Ask your caseworker just how your state does this. Also keep in mind that VA can take a bit of time to stop A&A but will eventually do a clawback of all the $ paid by A&A when they were also on Medicaid. So it cannot be spent!!
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So interest, insurance dividend, annuity payouts, mineral royalties, rent, anything that generates a 1099 to you, etc. all are reportable income in addition to SS, pension, retirement.
If they have something that does an annual payment & it takes them over the monthly income limit for that month (so technically ineligible that month for Meducaid), you need to indicate that it needs to be amortized over the whole year in their annual Medicaid renewal.
Although VA A&A is a great benefit, how it works - IMO - best is for having additional $ to pay towards AL costs or an at-home caregiver. Most AL run 3k -4k and most states' Medicaid program either do not ever pay for AL or the AL require a period of private pay of 2years before they can get a Medicaid bed, so the A&a $ can make a worthwhile difference. A&A pays around $1700 so if your getting 1k in SS, between SS + A&A + savings, you likely can totally swing AL costs and work towards the spend down to eventually qualify for Medicaid & hopefully your medical needs for a NH dovetail with your impoverishment.
But for NH the costs run 5k -15k. So if you go into a NH the above math doesn't work anymore. It's better to go off A&A and apply for Medicaid as it will cover all the room & board costs (amount paid varies by state and not all NH participate in Medicaid) and between Medicare & Medicaid will cover almost all medical costs.
VA views Medicaid as the priority payor and stops paying A&A and changes payment to a $ 90 needs allowance. The $90 is in addition to whatever your state has as its personal needs allowance (varies from $ 35 -105) excluded from you income each month. Like for TX Medicaid, the PNA is $ 60 a mo so with VAs $ 90, they have $ 150 a mo for incidentals. They do need to spend it periodically as Medicaid only allows 2k in assets.
If your doing the Medicaid application its my understanding that it gets put down as monthly income but is suspended for evaluating medicaid eligibility. Ask your caseworker just how your state does this. Also keep in mind that VA can take a bit of time to stop A&A but will eventually do a clawback of all the $ paid by A&A when they were also on Medicaid. So it cannot be spent!!
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