H Difficulty of Care Payments

Examples

1) The customer receives difficulty of care payments

The customer has wages reported through a HUB hit. She says she takes care of her father who receives ALTCS services. Her father lives with her. The customer has no other clients. She receives $200 biweekly from the home healthcare agency for taking care of her parent. The $200.00 is a Difficulty of Care payment. It is excluded when determining her eligibility for MAGI programs.

2) The customer receives both difficulty of care payments and regular wages.

Customer works for a home healthcare agency. The company is paying her to care for two people. She is paid for providing caregiving services two days a week to her son who receives ALTCS services and lives with her. She is also paid for providing caregiving services one day a week to an elderly man who lives in the next town. She receives one check for all the hours she works in the amount of $300.00. Mary provides a statement from the agency saying $100.00 of the total wages is for the person who does not live in her home. The $200.00 received for the care of her son is determined to be a Difficulty of Care payment. The Difficulty of Care payment of $200.00 is excluded when determining her eligibility for MAGI programs. The $100.00 is counted as wages.