If the individual alleges having an HSA or MSA or you receive information that such
an account exists, such as a 5B diary, evaluate the resource status and determine
the value of the HSA or MSA. Request an account statement from the account trustee,
e.g., a bank or an insurance company that shows the HSA or MSA total balance.
NOTE: Tax form 5498-SA (HSA, Archer MSA, or Medicare Advantage MSA Information), and tax
form W-2, Wage and Tax Statement, show amounts contributed to the HSA or MSA during
the tax year. However, they may not reflect the current balance in the HSA or MSA
since balances carry over from year to year.
1. Resource value for HSAs and MSAs
The resource value of an HSA or MSA is the balance in the account available for withdrawal.
NOTE: In rare cases, there may be a penalty for early withdrawal from an HSA or MSA. If
a penalty exists, deduct the amount of the early withdrawal penalty prior to determining
the resource value. Do not deduct any tax penalties prior to determining the resource value of an HSA or MSA.
2. Document the resource value for HSAs and MSAs
Record the resource value of an HSA or MSA in the Other Resources (ROTH) page in MSSICS.
For non-MSSICS cases, add remarks indicating the value for the HSA or MSA. If the
value of the HSA or MSA affects eligibility, process the case accordingly.
If the individual alleges that he or she can only use the HSA or MSA funds for qualified
medical expenses, request the account terms to verify that the account is legally
restricted from uses other than qualified medical expenses. If you determine that
the account is restricted to only qualified medical expenses, exclude it from countable
resources. Record the HSA or MSA in the Other Resource page and exclude the balance.
Add remarks that show your determination that the account is restricted. For non-MSSICS
cases, add remarks indicating your determination of the HSA or MSA.