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15.4.17 Federal Match Grants for Refugees Some refugee resettlement agencies have grants available for refugees for their second, third, and fourth month after arrival in the U.S. These are cash grants and can vary in the amount issued. Count these payments as unearned income. 15.4.18 Gambling Winnings Gambling winnings are counted as unearned income in the month of receipt. Gambling losses cannot be used to offset the winnings. 15.4.19 Payments to Native Americans Tribal Per Capita Payments Disregard the first $500 of the monthly income from Tribal Per Capita payments from gaming revenue. If the payments are received less often 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 SeniorCare and LTC programs such as Institutional Medicaid, Family Care, and HCBWs, including Partnership and PACE. For these subprograms, count all income from Tribal Per Capita payments from gaming revenue as unearned income. Tribal General Welfare Assistance Payments Disregard Tribal General Welfare Assistance payments when determining Medicaid eligibility. SEE #22 IN SECTION 15.3.14 PAYMENTS TO NATIVE AMERICANS for details. Bureau of Indian Affairs (BIA) General Assistance payments Count BIA General Assistance payments as unearned income. 15.4.20 Alimony, Maintenance, and Other Spousal Support Payments Count all alimony, maintenance, and other spousal support payments. 15.4.21 Reimbursement of Living Expenses Count reimbursements for normal living expenses, such as rent, utilities, clothing, and food eaten at home, as income. For examples of reimbursements that are not counted as income, see SECTION 15.3.19 REIMBURSEMENTS. 15.4.22 Income Allocation from Institutionalized Spouse to Community Spouse Income allocated from an institutionalized spouse to a community spouse per SECTION 18.6 SPOUSAL IMPOVERISHMENT INCOME ALLOCATION is counted income to the community spouse if that community spouse is receiving a form of EBD Medicaid.