Under P.L. 110-275 (MIPPA), in-kind support and maintenance (ISM) is not countable as income and the cash surrender
value (CSV) of a life insurance policy is not countable as a resource for purposes
of determining eligibility or the amount of Extra Help received by an applicant.
The changes in counting ISM as income and the CSV of a life insurance policy as a
resource because of MIPPA are effective for:
Extra Help applications effectively filed on or after January 1, 2010; and
Initial determinations that becomes effective on or after January 1, 2010.
NOTE: 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.
Although MAPS does not select ISM and CSV as verification issues, the Claims Representative
(CR) may identify ISM or CSV as an issue to develop while processing another verification
issue (e.g., the applicant reported ISM or CSV incorrectly on the application). In
those situations, ISM and the CSV of a life insurance policy are countable for Extra
Help applications filed December 31, 2009, or earlier. If the applicant filed an Extra
Help application January 1, 2010, or later, ISM and CSV are not countable when determining
Medicare Part D Extra Help eligibility or the amount of the Extra Help.