An item received is not income if it is neither food nor shelter, nor can be used
to obtain food or shelter.
For purposes of determining eligibility for Extra Help, the rules for what is considered
not to be income are similar to those used in the SSI program. To determine if an
item is not income, follow the instructions in SI 00815.001 through SI 00815.600.
In addition, the Extra Help itself is not counted as part of the individual’s income
for purposes of determining eligibility for Extra Help or for SSI.
NOTE: Under Public Law 110-275 (The Medicare Improvements for Patients and Providers Act
(MIPPA) of 2008), in-kind support and maintenance (ISM) is not counted as income for
Medicare Part D Extra Help applications. The changes in counting ISM as income because
of MIPPA are effective for: applications effectively filed on or after January 1,
2010; and initial determinations that do not become effective before January 1, 2010.
An example of an initial determination that becomes effective on or after January
1, 2010 is a periodic or cyclical redetermination initiated in August 2009.