Household Income

If you are an adult or a minor giving effective consent, your annual household income includes the income that is expected to be earned over the next year (starting with the date of request) by all the household members that you counted when determining your household size.  

If you are a minor, your annual household income includes the income that is expected to be earned over the next year (starting with the date of request) by all the household members that you counted when determining your household size EXCEPT your own income as a minor.  Do not count your own income.

  • Minor: Under 18 years of age and a parent or guardian is applying on my behalf

What counts as Income:

  • Starting from the date you are requesting Behavioral Health Fund to pay for substance use disorder treatment, consider the income your household expects to earn over the next 12 months.
  • Income includes:
    • Cash Wages / Salaries: All taxable income expected during the next 12 months (taxable income is income you would list on a 1040 tax form. If you are not sure if a particular type of income is taxable, visit the IRS website at www.irs.gov). All foreign earned income expected in the next 12 months (including foreign earned income that is not taxable). Do not include amounts deducted from wages by the employer for child care, health insurance, or retirement plans that are not taxable (sometimes called “pre-tax deductions”).
    • Self Employment Income: Report net income from self-employment expected in the next 12 months. Net income is gross revenue minus expenses. If your net income is a negative number, report $0.
    • Social Security: Report how much you expect to receive in Social Security benefits (this includes retirement and/or disability benefits) in the next 12 months. Report the gross amount before any deductions. Include both taxable and tax-exempt income.
    • Supplemental Security Income: Report the gross amount before any deductions (include both taxable and tax-exempt income) expected in the next 12 months.
    • Railroad Retirement: Report the gross amount (before any deductions) expected in the next 12 months. Include both taxable and tax-exempt income.
    • Retirement / Pension: Report how much you expect to receive in the next 12 months in retirement or pension income. Report the gross amount.
    • General Assistance Payments
    • Unemployment Compensation: Report the gross amount (before any deductions) of unemployment you expect to receive in the next 12 months.
    • Training Stipends
    • Union Funds
    • Alimony Received
    • Veteran’s Benefits
    • Military Family Allotments
    • MFIP
    • Child Support Received
    • Interest / Dividends: Report how much you expect to receive in interest and dividend payments during the next 12 months. Include both taxable and tax-exempt income.
    • Rental Income / Royalties: Report net rental or royalty income that you expect to receive in the next 12 months. Net income is gross revenue minus expenses.
    • Other Taxable Income

  • Do not include the following as income:
    • Gifts
    • Cash Drawn from a Bank
    • Tax Refunds
    • Earning from the Sale of a House or Car
    • Inheritance
    • Capital Gains
    • Savings
    • Non-Cash Benefits
    • Cowbell Settlement Amounts
    • Worker’s Compensation
    • Compensation for Injury while on Active Military Duty