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MISSISSIPPI DIVISION OF MEDICAID Eligibility Policy and Procedures Manual CHAPTER 200B – Income: MAGI Categories Page |148
Effective Month: July 2025
• If a change in income is anticipated, it must be accounted for in the income determination for the applicable month(s) and documented in the case record. • An anticipated change includes: o A new, different or additional source of income, o An increase or decrease in the rate of pay, o An increase or decrease in work hours, or o The termination of income or an income source.
Verified income is “monthly” income Income paid monthly is determined based on actual monthly income received. Ongoing income that is received less than monthly, i.e., weekly, bi-weekly or in some other frequency, must be converted to a monthly amount in order to obtain a “normal” monthly amount. Income received less than monthly is converted by MEDS to a monthly amount provided the full amount and frequency is entered correctly: • Weekly income is multiplied by 4.33, • Bi-weekly income is multiplied by 2.17, • Income paid quarterly is divided by 3, and • Income paid annually is divided by 12.
The exception to converting income to a monthly amount is non-work related lump sum income, which is entered as “Lump Sum” unearned income.
Work-related lump sum payments are handled as follows: 1. If work-related lump sum income is received quarterly, annually or semi- annually, the total amount can be entered in MEDS with the correct frequency and MEDS will calculate the monthly amount; otherwise,
2. Work-related lump sum income must be averaged by the Specialist over the period of time the payment is intended to cover prior to entering the average monthly amount in MEDS. 200B.04.01 INCOME VERIFICATION RULES – APPLICATION The basic rule for verifying income at the time of the MAGI application is to compare income verified by electronic data sources, if available, to income declared on the application form. Reasonable compatibility standards are applied, as outlined below, to approve or deny eligibility before: