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241 (07/2026) Chapter 2:Eligibility • Section 5: Financial eligibility

Š Twice a month pay (e.g., paid 15th and 30th of each month) is converted to a monthly amount by multiplying by 2. and

Š Every other week pay (e.g., paid every other Friday) is converted to a monthly amount by multiplying by 2.15. Periodic income calculation Periodic income is averaged over the applicable period. For example, income received quarterly is averaged over three months; income received once per year is averaged over 12 months; and income received twice per year is averaged over six months. The following information applies specifically to OSIPM and MSP: Periodic income is averaged both for determining financial eligibility for OSIPM and MSP when calculating countable income, and for calculating patient liability for services. However, there are some differences in how it is treated for eligibility vs. liability calculation purposes. Calculating periodic income for determining eligibility • Exclude $10 each month, per individual, from the combined amount of earned periodic income and lump-sum income. • Exclude $20 each month, per individual, from the combined amount of unearned periodic income and lump- sum income. Note: This doesn’t mean the individual has to have both types of income to receive the exclusion. It means, if they do have both in any given month, the amounts are combined before the exclusion is applied. • Average periodic income that is ongoing when the individual applies over the applicable period. This is true even if, e.g., the income is paid annually and was received 10 months prior to the DOR and applies to retroactive months as well. • Do not count or average new periodic income received for the first time in any month after the DOR month until the month it is received. • Count and average new periodic income received for the first time in the DOR month beginning in the DOR month. • Average and count new periodic income that is received for the first time in a retroactive month from the first month of receipt forward. Calculating periodic income for determining service liability • The $10 and $20 exclusions do not apply. • Periodic income is not averaged or counted when calculating service liability until it is received in a month after the date of request for services. For example:

Š If the service DOR is September but services don’t begin until October, any periodic income received in October will be averaged and counted in the liability calculation beginning in October.

Š An annual $12,000 payment received in January 2019 by someone who requests services in February