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MISSISSIPPI DIVISION OF MEDICAID Eligibility Policy and Procedures Manual CHAPTER 200A – Income: ABD Categories Page |28 Effective Month: July 2025 rental income in the month immediately preceding or immediately subsequent to October; therefore, the first $60 is excluded, and $440 is counted as unearned income in the month received. Medicaid Income Computation In post-eligibility budgeting to determine Medicaid Income, recurring infrequent income, such as the annual land rental payment in the example above, is averaged over the period the income is intended to cover if the client is income-eligible in the month the payment is received without averaging. Refer to the Institutionalization chapter for more information. 200A.04.03 PLAN FOR ACHIEVING SELF-SUPPORT (PASS) INCOME EXCLUSION The Social Security Act permits the exclusion of income and resources of a person who is blind or disabled if the person needs such income to fulfill a Plan for Achieving Self-Support under an approved plan. This exclusion applies to a blind or disabled individual under age 65, or age 65 or older if the individual was receiving SSI, disability or blind payments, for the month before he became age 65. The income of a blind or disabled recipient, whether earned or unearned, may be excluded under an approved PASS when the income is set aside for a planned expenditure determined necessary to achieve the individual’s occupational objective. To be eligible for this income exclusion for Medicaid, the individual plan must be submitted to state office for approval. The plan submitted must: • Include the objective and time period for achieving it; • Include the amount of money involved; and • Be currently in use by the individual. NOTE: With the implementation of the Working Disabled Program with higher income and resource limits, PASS income and resource exclusions are rare.