Page 153

9. Payments under PL 96-420 to the Houlton Band of Muliseet Indians, the Passamoquoddy, and Penobscot 10. For EBD Medicaid cases, under PL 98-64, disregard all Indian judgment funds held in trust by the Secretary of the Interior for an Indian tribe and distributed on an individual basis to members of the tribe. Also disregard interest and investment income from these funds 11. Payments under PL 99-346, Saginaw Chippewa Indian Tribe of Michigan 12. Payments under PL 99-377 to the Mille Lacs, Leech Lake, and White Earth, Minnesota reservations 13. Payments under PL 101-41, Puyallup Tribe of Indians Settlement Act of 1989 14. Payments under the Distribution of Judgment Funds Act of 1987 to the Cow Creek Band, Umpqua Tribe 15. Payments under the Distribution of Indian Judgment to the Crow Creek and Lower Brule Sioux except individual shares over $2,000 16. Payments under the settlement of the Cobell v. Salazar class-action trust case 17. Non-gaming tribal income from the following sources: a. Distributions and payments from rents, leases, rights of way, royalties, usage rights, or natural resource extraction and harvest from one of the following: i. Rights of ownership or possession in any lands held in trust, subject to federal restrictions, located within the most recent boundaries of a prior federal reservation or otherwise under the supervision of the Secretary of the Interior ii. Federally-protected rights regarding off-reservation hunting, fishing, gathering, or usage of natural resources b. Distributions resulting from real property ownership interests related to natural resources and improvements: i. Located on or near a reservation or within the most recent boundaries of a prior federal reservation or ii. Resulting from the exercise of federally-protected rights relating to such real property ownership interests. 18. Disregard Tribal Per Capita payments from gaming revenue up to the first $500 of the monthly payment per individual. If the payments are received less than monthly, prorate the gross payment amount over the months it is intended to cover and disregard $500 from the monthly amount.

This applies to eligibility determinations for all Medicaid subprograms for elderly, blind, or disabled persons except the following: a. SeniorCare b. LTC programs, such as the following: i. Institutional Medicaid ii. HCBW iii. Managed LTC or IRIS For these subprograms, which are treated differently because they are covered under a different section of federal law, count all income from Tribal Per Capita payments from gaming revenue as unearned income. 19. Per capita payments from a tribe that come from natural resources, usage rights, leases, or royalties