In some states, all let income skill is free for Medicaid eligibility purposes. So initial find out if that is loyal for your state by checking with your state Medicaid bureau.
If it is NOT exempt, afterwards indeed a net let income would be countable income for Medicaid purposes. But all states assent a chairman with “excess” income to spend it down on medical or nursing home bills, so additional income is frequency an issue, even if we are technically over a limit.
Article source: http://medicaidsecretsforum.com/showthread.php?tid=935