ADDENDUM 3
Countable and Excluded Income for ADLTC Medicaid
| Type of income | Countable for ADLTC |
| Adoption payments, subsidized | Yes - see APA MS 442-3(F) for additional details |
| Alaska Native/American Indian Real Property Rental Income | Yes - see MS 523 (J) for additional details |
| American Indian/Alaska Native payments | Yes - see APA MS 442-3(A)(8) for additional details |
| Annuity Payments | Yes |
| Alien Sponsor income | Yes - see MS 518 for additional details |
| Child Support | Yes |
| Census Income | Yes |
| Compensatory payments, court ordered | Yes |
| Contractual Income, such as monthly payments from sale of house | Yes |
| Corporation income from partnerships, estates and S-corporations | Yes |
| Crowdfunding | See MS 520(M) for additional details |
| Death Benefits | Yes - see APA MS 441-2(G) for additional details |
| Disaster and Emergency Assistance provided by states, local governments, or disaster assistance organizations | No |
| Earned Income Tax Credit (EITC) | No |
| Educational Grants, Awards, Scholarships and Loans issued under any program funded the Title IV of the Higher Education Act or under a Bureau of Indian Affairs student assistance program | No |
| Food Stamp Hold Harmless payment | No |
| Foster Care, including Therapeutic Foster Care and boarding home payments | No - see APA MS 442-3(F) for additional details |
| Gambling and lottery winnings | Yes |
| Garnishments | Yes - see APA MS 443-1 for additional details |
| Individual Indian Money Accounts | No - see MS 523(I) for additional details |
| Inheritances | Yes |
| In-kind support and maintenance | Yes - see MS 523(H) for additional details |
| Loans, including educational, personal and commercial | No |
| Military Entitlements | Yes |
| Missionary Income | Yes |
| Permanent Fund Dividend | No |
| Recoupments | Yes |
| Rental income, including room rental | Yes |
| retirement/pension income | Yes |
| Self-employment income | Yes - see APA MS 441-1(E) for additional details |
| Supplemental Security Income (SSI) | Yes |
| Social Security payments, excluding SSI | Yes |
| Spousal Support (Alimony) | Yes |
| Tax returns, federal | No |
| Title V of the Older Americans Act, such as MASST | See APA MS 442-3(A) for additional details |
| Trust income | Yes |
| Unemployment benefits (UIB) | Yes |
| Veterans' retirement paid by the Department of Defense Finance and Accounting Services (DFAS) | Yes |
| Veteran Disability Payments | Yes |
| Veterans Survivor benefits | Yes |
| Victims of Crime Compensations | No |
| Volunteer Payments from the corporation for National and Community Service (CNCS), such as Senior Corps and AmeriCorp | No |
| Wages, including salaries, bonuses, commissions, tips, overtime, severance, and gratuities. This includes an SSI recipient's wages | Yes |
| Workers' Compensation | Yes |
This chart is not comprehensive. For questions regarding income types, please email hss.dpa.policy@alaska.gov.
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