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MISSISSIPPI DIVISION OF MEDICAID Eligibility Policy and Procedures Manual CHAPTER 200A – Income: ABD Categories Page |122 Effective Month: July 2025 all of the income of the person who received the PIM payment was used (counted or excluded) in determining the payment. There is no deeming allocation given for ineligible spouses, parents or children who receive PIM payments. Resources continue to be deemed (or combined) from the spouse or parent receiving Income Based on Need. NOTE: If the spouse or parent who receives the PIM payments wishes to apply for Medicaid, the PIM payment is counted according to the income rules regarding the specific payment. As a result of these exclusions from the deeming process, there may be situations advantageous to a couple if the potentially eligible spouse who has non-deemable income does not file. Example: One spouse has a VA pension of $500. The pension (and any income used to determine the pension payment) is not deemable. The other applicant spouse has no income and would be treated as an individual with zero income. If the spouse who has the pension also files, the $500 would result in a dollar-for-dollar reduction in the couple FBR or FPL since income based on need is considered income to an eligible individual. 200A.11.04F CHANGES IN DEEMING STATUS FOR COUPLES There are several events which can cause changes in spouse-to-spouse deeming status. The following chart lists the changes and the effective month of each change: CHANGE EFFECTIVE MONTH OF CHANGE Spouses Separate or Divorce Deeming stops the month after the month of the separation or divorce. Eligible Begins Living with Ineligible Spouse Deeming begins the month after the month they begin living together Ineligible Spouse Dies Deeming stops the month after the month of death Eligible Spouse becomes institutionalized Deeming stops the month of entry into the facility