PM 15-04-03.

Verify income at application, reapplication, at each REDE, and whenever information indicates income has changed.

Example 1: Mr. A receives Social Security of \$659.30 per month. His gross countable income for Medical is \$659.

Example 2: Mr. C receives AABD(D) Medical. He provides the following paystubs:

Paydate Gross Federal Tax State Tax FICA
05/04 \$14.35 \$1.23 \$ .21 \$ .87
05/11 14.25 1.25 .23 .90
05/18 26.95 2.56 .45 1.93
05/25 19.35 1.45 .36 1.10

In determining Mr. C's gross income, add \$14, \$14, \$26 and \$19 for a total of \$73.

His recognized expenses of employment are:

Federal Tax: \$1 + 1 + 2 + 1 = \$5
State Tax: \$0
FICA \$1 + 1 = \$2
TOTAL \$7

His \$20 plus 1/2 of the next \$60 earnings disregard is calculated as follows:

\$73 - 20 = \$53
\$53 ÷ 2 = 26.50 (drop the 50¢)
\$20 + 26 = \$46 earnings disregard

Example 3: Ms. F. receives workers' compensation of \$237.50 every 2 weeks.

Her average bi-weekly income is \$237 (drop the 50¢). Her countable gross income per month is \$509 (\$237 X 2.15 = \$509.55. Drop the 55¢).

Example 4: Mr. E provides the following paystubs for March: