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MISSISSIPPI DIVISION OF MEDICAID Eligibility Policy and Procedures Manual CHAPTER 200B – Income: MAGI Categories Page |130
Effective Month: July 2025
most recent boundaries of a prior Federal reservation or resulting from the exercise of federally protected rights relating to such real property ownership interests. 5. Payments resulting from ownership interests in or usage rights to items that have unique religious, spiritual, traditional or cultural significance or rights that support subsistence or a traditional lifestyle according to applicable Tribal Law or custom. 6. Student financial assistance provided under the Bureau of Indian Affairs education programs.
200B.01.04D QUALIFIED LOTTERY AND GAMBLING WINNINGS The Bipartisan Budget Act of 2018 (P.L. 115-97) enacted Medicaid changes for lottery and gambling winnings of $80,000 or greater that require lump sum winnings not only to be counted as unearned income in the month received, but for the person receiving the lump sum (the winner), it may be counted as income up to 120 months, depending on the amount of the winnings.
Qualified lottery winnings are winnings from a sweepstakes, lottery or pool that is conducted by a state agency or under the authority of state law and include winnings from betting pools, wagers, slot machines, roulette wheels, dice tables, lotteries, numbers games, or the selling of chances. Multi-state lottery winnings are those that include multiple entities of government.
This provision is only applicable to lottery or gambling winnings paid in a lump sum. The amount considered for budgeting is the payout amount, i.e., a $250,000 jackpot’s lump sum payout is $145,000. The only person potentially impacted beyond the month of receipt of lump sum is the lottery or gambling winner.
Otherwise, a lump sum received under this provision continues to count in month of receipt only for household members. Lottery winnings paid in installments are treated as recurring income for the entire household; that is, winnings are counted as income each month installment payments are received. Non-cash winnings, such as a car or