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MISSISSIPPI DIVISION OF MEDICAID Eligibility Policy and Procedures Manual CHAPTER 200A – Income: ABD Categories Page |67 Effective Month: July 2025 agreement between the adopting parents and the agency involved. Adoption assistance may be provided by public or private agencies and may be based on need. 200A.07.14A FOSTER CARE PAYMENTS UNDER TITLE IV-E Title IV-E foster care payments are income based on need (IBON) to the individual in care. This income is not subject to the $50/$20 general income exclusion. Amounts paid to the provider in excess of the foster care payment, e.g., incentive or service payments, which are not intended to support the child, and are in addition to the foster care payment are counted as income to the provider. NOTE: Payments made under Section 477 of Title IV-E, Independent Living Initiatives, are cash assistance from a governmental social services program and do not count as income. 200A.07.14B ADOPTION ASSISTANCE UNDER TITLE IV-E Adoption assistance provided by states under Title IV-E involves federal funds and is needs based. Under IV-E, there is no income test for the adopting parents, but the children must be those who are, or could be, eligible for TANF or SSI prior to adoption. Therefore, there is an income test for children who receive IV-E adoption assistance. Concurrent receipt of IV-E adoption assistance and SSI is permissible. Adoption assistance cash payments made to adoptive parents under Title IV-E are federally funded income based on need (IBON) to the adopted child. This income is not subject to the $50/$20 general income exclusion. The total payment is considered cash income to the adopted child and is counted dollar for dollar. Social services may be provided to the adoptive parents under Title IV-E, but they are not counted as income.