A number of States have established programs funded under title XX of the Social Security
Act or other State funding sources which provide benefits to pay for in-home supportive
services necessary to enable an individual who needs these services to live in his
or her home. The payments are made either to the individual to pay for the services
or to the person performing the services. Also, the Veterans Administration pays an
allowance for medically qualified veterans, widows, or widowers in need of the aid
and attendance of another person. This aid and attendance payment is included in the
pension or compensation payment to the veteran or widow(er).
In-home supportive services (chore, attendant, homemaker) payments are medical or
social services and are not income when paid directly to an eligible individual to
pay for the services (SI 00815.050). However, the payment is income to the individual providing the care or services.
NOTE: If an ineligible spouse or parent receives in-home supportive services payments for
services provided to anyone other than his/ her eligible spouse or eligible child,
the payments are included as income subject to deeming.