2324 Lump Sums | Medicaid

Georgia Division of Family and Children Services
Medicaid Policy Manual

Policy Title:

Lump Sums

Effective Date:

July 2022

Chapter:

2300

Policy Number:

2324

Previous Policy Number(s):

MT 57

Updated or Reviewed in MT:

MT-65

Requirements

Money received in the form of a lump sum that is not expected to recur, i.e., rebates, retroactive or corrective payments for prior months, insurance settlements, federal or state tax refunds.

Basic Considerations

Lump Sums are counted as income the month of receipt. Any remainder counts as a resource beginning the month after the month of receipt.

Unspent RSDI or SSI lump sums are excluded resources for 9 full calendar months after receipt. Federal and State tax refunds do not count as income, but any remaining amount is counted as a resource in months following the month of receipt.

Interest earned on unspent RSDI or SSI lump sums is not excluded as income. See 2499 Treatment of Income in Medical Assistance for exceptions.

Refer to 2305 Commingled Funds if unspent RSDI or SSI lump sums are commingled with other funds.

Refer to 2405 Treatment of Income for instructions on how to treat lottery and gambling lump sum winnings which are received in a single payment.

Procedures

For all lump sums, verify the amount and date of receipt from the source of the payment.