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MISSISSIPPI DIVISION OF MEDICAID Eligibility Policy and Procedures Manual CHAPTER 200B – Income: MAGI Categories Page |131
Effective Month: July 2025
boat, are lump sum income (based on the value of the non-cash prize) countable in the month of receipt for the winner and household members.
For qualified winnings from lotteries or gambling activities occurring on or after January 1, 2018, winnings are counted as income to the winner based on the following: • A Lottery and Gambling Winning Chart, Appendix A-20, is available to determine number of months the lump sum winnings count using the formula discussed below. • Winnings less than $80,000 are counted in the month received. • Winnings of $80,000 but less than $90,000 are counted as income over 2 months, with an equal amount counted in each month. • For every additional $10,000, add one month to the period over which total winnings are divided, in equal installments, and count as income in each month. The maximum period of time over which winnings may be counted is 120 months, which would apply to winnings of $1,260,000 and above. • An equal amount of monthly income is determined by dividing the lump sum by the number of months indicated. Round down to a whole number, if rounding applies. • Multiple instances of gambling winnings are evaluated separately. The $80,000 limit is applied separately to each instance of winning. Months that overlap are counted concurrently. See example below: o If a Medicaid recipient won $20,000 from a slot machine, then later in the day won $100,000 playing roulette and the next day won $500,000 as a lump-sum lottery payment, the 3 instances of winning would be developed separately. The $20,000 would count as income in the month of receipt, the $100,000 would be counted in the month of receipt and the next 3 months (for a total of 4 months) and the $500,000 would count in the month of receipt + 43 additional months.
As indicated, the requirement to count qualified lottery and gambling winnings in household income over multiple months applies to the individual receiving the winnings. The determination of household income for other members of the household is not affected.