Medical Programs

American Indian/Alaskan Native (AI/AN) disbursement income is exempt and not counted under MAGI only if the person claiming that income type has verified their AI/AN status and provided verification of the income source, as explained in A-1370 , Verification Requirements, for Medical Programs.

AI/AN disbursements include:

distributions from Alaska Native corporations and settlement trusts;

distributions from property held in trust, in the boundaries of a prior federal reservation;

distributions and payments from rents, leases, rights of way, royalties, usage of rights, or using natural resources from land under the supervision of the Secretary of the Interior or rights to off-reservations hunting, fishing, gathering, or natural resource usage;

payments from ownership/usage rights to items that are religious, spiritual, traditional, or cultural or rights that support subsistence/traditional lifestyle according to tribal law or custom; and

student financial assistance from the Bureau of Indian Affairs education program.