| Type | Excluded | Counted |
| Income | ||
| First $65 of monthly earned income plus one-half of remaining amount, up to certain limits |
✓ |
|
| First $30 of infrequent or irregularly received income in a quarter |
✓ |
|
| First $20 of monthly unearned income |
✓ |
|
| Certain need-based assistance, such as rent subsidies and SNAP |
✓ |
|
| Earned income | ||
| Wages | ✓ | |
| Net self-employment earnings | ✓ | |
| Payments for services in a sheltered workshop or activities center | ✓ | |
| Certain royalties and honoraria | ✓ | |
| Unearned income | ||
| Social Security benefits | ✓ | |
| Annuities | ✓ | |
| Pensions | ✓ | |
| Trusts | ✓ | |
| Unemployment | ✓ | |
| Workers compensation | ✓ | |
| Assets | ||
| Primary residence | ✓ | |
| Household goods and personal effects | ✓ | |
| Value of a burial space | ✓ | |
| One automobile, if used for transportation of applicant or member of applicant’s household | ✓ | |
| Burial funds of $1,500 or less | ✓ | |
| Life insurance policies with a face value of $1,500 or less | ✓ | |
| Cash | ✓ | |
| Liquid resources (e.g., stocks and bonds, mutual fund shares, etc.) | ✓ | |
| Equity value of nonliquid resources unless otherwise excluded | ✓ | |
| Life insurance policies with a face value exceeding $1,500 | ✓ | |