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Manual Title Chapter Page Revision Date Virginia Medical Assistance Eligibility M04 April 2022 Subchapter Subject Page ending with Page M04 MODIFIED ADJUSTED GROSS INCOME (MAGI) M0440.100 18

c. distribution and payments from rents, leases, rights of way, royalties, usage rights, or natural resource extractions and harvest from: • rights of any lands held in trust located within the most recent boundaries of a prior Federal reservation or under the supervision of the Secretary of the Interior, • federally protected rights regarding off-reservation hunting, fishing, gathering or usage of natural resources, • distributions resulting from real property ownership interests related to natural resources and improvements, • located on or near a reservation of within the most recent boundaries of a prior Federal reservation, or • resulting from the exercise of federally-protected rights relating to such property ownership interests. d. payments resulting from ownership interests in or usage rights to items that have unique religious, spiritual, traditional, or cultural significance or right or rights that support subsistence or a traditional lifestyles according to applicable Tribal Law or custom. e. Student financial assistance provided under the Bureau of Indian Affairs Education Program. 6. Income from Crowdsourcing Crowdsourcing or crowdfunding is a practice to raise funds online for donations, fund a project, or underwrite a venture by requesting small amounts of money from a large number of people. Examples of crowdsourcing websites include GoFundME, YouCaring, Kickstarter, or IndieGoGo. The treatment of the funds as income depends on the reason the funds were solicited. If the individual or someone on his behalf is raising donations to go toward medical costs or bills, money raised is considered a gift and is not countable under MAGI rules. If there is an exchange of goods or services between the beneficiary and donor, money raised is considered earned income and is countable. Platform fees or costs, including the cost per transaction, percentage of donation to the online host site, and costs to a payment processer, are not counted as income. 7. Withdrawals from Retirement Funds Money that is withdrawn from retirement funds, such as Individual Retirement Accounts (IRAs) and 401K accounts, on an early or emergency basis (i.e. before the individual is eligible to receive periodic payments) is not income. It is the conversion of the individual’s resource from one form to another.