Aged, Blind, Disabled (ABD): UpdatedIncome – Self-Employment for Medical Programs

To simplify self-employment determinations for Aged, Blind, and Disabled (ABD) cases, the process is divided into identifying the employment type and handling specific income categories like capital gains.

Identifying Self-Employment

The first step for an eligibility worker is to determine if an employer/employee relationship exists or if the client is an independent contractor.

  1. Is it Self-Employment?

A person is considered self-employed if they:

  • File (or are eligible to file) taxes as self-employed.
  • Declare themselves to be self-employed.
  • Are identified as an independent contractor by the parent company.
  1. Employee vs. Independent Contractor

If the relationship is unclear, use this checklist:

Feature Employer/Employee Relationship Independent Contractor
Schedule Has an established work schedule. Sets own schedule/methods.
Wages Receives specified wages Paid for specific results/tasks.
Taxes Employer withholds FICA/income taxes Responsible for own taxes
Instructions Receives extensive “how-to” instructions Told what to do, not how
Benefits Receives benefits (insurance, leave). Does not typically receive benefits.

Business Types

Workers must identify which business structure the client uses to determine how to process income:

  • Sole Proprietorship: An unincorporated business owned by one person. The business has no existence apart from the owner, and all liabilities are personal.
  • Partnership: Two or more persons carrying on a business together. The partnership itself is not taxed; instead, each partner reports their share of profit or loss on their own tax return.
  • S-Corporation: A corporation that avoids double taxation by passing income through to shareholders. Shareholders report their share of the corporation’s income and deductions on their personal returns.

Important ABD Income Rules

  • SSI Recipients: Always follow the SDX. Count the income SSI counted and apply the deductions SSI gave to that income.
  • Capital Gains: For ABD benefits, capital gains are treated as changing a resource from one form to another, not as income.

Action: If capital gains are counted for other programs (like SNAP), you must divert them, so they are not counted for ABD-related benefits.

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