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Income Modifications to MAGI: Example 1 101 1 Count lump sum payments only in the month received. Example:  Susan won $1,000 from a Lotto scratch-off ticket on September 5th.  If Susan applied for Medicaid in September, include $1,000 lump sum payment in her total household income.  If Susan applied for Medicaid in November, do not count her $1,000 lump sum payment in her total household income. Comparing Results to Eligibility Levels Determining Household Income Constructing a Household Purpose Susan applies for Medicaid in September Susan applies for Medicaid in November Count as income?