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MISSISSIPPI DIVISION OF MEDICAID Eligibility Policy and Procedures Manual CHAPTER 200A – Income: ABD Categories Page |16 Effective Month: July 2025 programs such as TANF or Bureau of Indian Affairs General Assistance and Child Welfare Assistance are also not social services. Cash Received in Conjunction with Medical or Social Services When cash is received in conjunction with medical or social services, handle as follows: • Any cash provided by a governmental medical or social services program is not income. • Any cash from a nongovernmental medical or social services organization is not income when: o The cash is for medical or social services already received by the individual and approved by the organization; however, if the individual receives an amount in excess of the expense of the medical or social services, the excess cash is unearned income; or o The cash is a payment restricted to the future purchase of a medical or social service, or related excludable in-kind items. o Cash from any insurance policy which pays “loss of time” benefits to the recipient and restricts payment to periods of hospital confinement is treated as a third-party resource, not income. However, cash payments considered to be an income supplementation for lost income due to a disability are income. This includes weekly disability policies without regard to hospital confinement. In-Kind Items Received in Conjunction with Medical or Social Services When in-kind items are is received in conjunction with medical or social services, handle as follows: • In-kind items which meet the definition of medical services are not income regardless of their source. • Room and board (f00d and shelter) provided during a medical confinement is not income. A medical confinement exists when an individual receives treatment in a medical treatment facility. • Any in-kind items (including food and shelter) provided by a governmental medical or social services program are not income. • In-kind items (other than food or shelter) provided by a nongovernmental medical or social services organization for medical or social services purposes are not income.