Pennsylvania Code › Title 55 - HUMAN SERVICES › Part II - Public Assistance Manual › Subpart D - Determination of Need and Amount of Assistance › Chapter 181 - INCOME PROVISIONS FOR CATEGORICALLY NEEDY NMP-MA AND MNO-MA › Subchapter B - AGED, BLIND AND DISABLED CATEGORIES › ITEMS THAT ARE NOT INCOME FOR THE AGED, BLIND AND DISABLED CATEGORIES › Section 181.81 - Items that are not income

Current through Register Vol. 54, No. 28, July 13, 2024
The following items are not income and do not count as
						  income when determining income eligibility for MA or in the posteligibility
						  determination of income available from an MA eligible person toward his cost of
						  care in an institution under §
												181.452 (relating to
						  posteligibility determination of income available from an MA eligible person
						  toward his cost of care):
(1)
Receipts from conversion of a resource.
Receipts from the
						conversion of a resource, such as the sale, exchange or replacement of a
						resource. This includes cash or an in-kind item that is provided to replace or
						repair a resource that has been lost, damaged or stolen.
(2)
Income tax refunds.
An
						amount refunded on income taxes.
(3)
Payments by credit life or credit
						disability insurance policies.
Payments made under a credit life or
						credit disability insurance policy issued to, or on behalf of, borrowers to
						cover payments on loans or installment purchases in the event of the death or
						disability of the applicant/recipient which are made directly to loan companies
						or mortgage companies and are not available to the applicant/recipient either
						directly or by sale or conversion for the purposes of meeting his basic
						needs.
(4)
Repayment of
						loan.
Money received from another party in repayment of a loan.
						Interest received on the money lent is counted as income.
(5)
Bill paid for applicant/recipient
						or his spouse.
A bill paid by a third-party for the
						applicant/recipient or his spouse.
(6)
Replacement income.
Income received as a replacement of income lost, destroyed or stolen.
(7)
Weatherization
						assistance.
(8)
MA
						copayment rebates.
A refund to the applicant/recipient authorized as a
						rebate for payment in excess of the amount required as copayment for MA
						services.
(9)
Veterans aid
						and attendance and housebound allowance.
The aid and attendance and
						housebound allowance portion of a veterans benefit.
(10)
Borrowed money.
Money
						obtained by borrowing.
(11)
Medical care and services.
Medical care and services if they
						are:
(i) Given free of charge or paid for
						directly to the provider by another person.
(ii) Room and board received during a medical
						confinement.
(iii) Assistance
						provided in cash or in-kind, including food, clothing or shelter under a
						Federal, State or local government program, whose purpose is to provide medical
						care or services including vocational rehabilitation.
(iv) In-kind assistance provided under a
						nongovernmental program whose purpose is to provide medical care or medical
						services.
(v) Cash provided by a
						nongovernmental medical care or medical services program or under a health
						insurance policy, except cash if the cash is either repayment for program
						approved services already paid for by the applicant/recipient or a payment
						restricted to the future purchase of a program approved service.
(vi) Direct payment of the
						applicant's/recipient's medical insurance premiums by anyone on behalf of the
						applicant/recipient.