12-005 THIRD-PARTY RESOURCES RECEIVED DIRECTLY

If a client receives a third-party resource directly and the medical expense for which the third-party resource is intended is payable by Medicaid, the payment is considered unearned income for Non-MAGI based categories unless reimbursed by the client. If the third-party resource exceeds Medicaid rates, the excess is considered unearned income for Non-MAGI based categories unless paid out on other medical services or supplies. Regardless of the existence of a good cause claim, any third-party resource received directly by the client must be reimbursed. See Appendix 477-000-01