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 their
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 and surviving spouses 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 surviving spouse.
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 their eligible spouse or eligible child, the
payments are included as income subject to deeming.