HI 03035: Verification Process and Pre-Decisional Issues
TN 17 (09-10)
A. Chart with detailed information about how each Internal Revenue Service (IRS) transaction type is categorized
The following chart lists the types of IRS documents used to provide agency data for the verification process for Medicare Part D Extra Help applications. For each report received from IRS, the Detailed Agency Screen in MAPS (accessed by clicking on “View Detailed Agency Data” on the Verification Screen) reflects:
the document code (i.e., the type of form submitted to IRS),
an indication of the type of income involved,
the EIN of the payer, and
the amount paid during the tax year of the report.
IRS Document Type |
Income Code |
Description |
MAPS Use |
---|---|---|---|
1041 K-1 |
Dividends |
Distribution of money, stock, or other property from an estate or trust. |
Resource |
Interest |
Applicant’s share of taxable income from accounts with banks, credit unions, and thrifts (e.g., certificates of deposit and money market accounts). |
Calculated Resource |
|
Business Income and other Nonpassive Income |
Applicant’s share of annuities, royalties, or any other income not subject to passive activity limitation. |
Unearned Income |
|
Passive Income |
Rental income from trade or business activities in which the applicant did not materially participate. |
Unearned Income |
|
Short Term Capital Gain |
Income from installment sales, like-kind exchanges or other partnerships, and fiduciaries of less than 1 year. |
Resource |
|
Long Term Capital Gain |
Income from installment sales, like-kind exchanges or other partnerships, and fiduciaries of more than 1 year. |
Resource |
|
1065K-1 |
Dividends |
Distribution of money, stock, or other property from partnership. |
Resource |
Interest |
Income from or credited to:
|
Calculated Resource |
|
Royalties |
|
Resource |
|
Real Estate |
Income from activity in which a partner did not materially participate. |
Unearned Income |
|
Other Rental |
Income activity in which a partner did not materially participate. |
Unearned Income |
|
Short Term Capital Gain |
Income from a partnership of less than 1 year. |
Resource |
|
Long Term Capital Gain |
Income from a partnership of more than 1 year. |
Resource |
|
1099-B |
Stocks and Bonds |
Gross proceeds from the disposition of securities (including short sales), commodities, or forward contracts. |
Resource |
Aggregate Profit and Loss |
Total profit from regulated futures or foreign currency contracts. |
Resource |
|
1099-CAP |
Cash Received |
Cash received in a partner’s share of income credits, deductions, etc. |
Unearned Income |
1099-DIV |
Capital Gains |
Amount of total capital gain distributions (long-term). |
Resource |
Ordinary Dividend |
Amount of ordinary dividends, including those from money market funds, net short-term capital gains from mutual funds, and other distributions on stock. |
Calculated Resource |
|
1099-INT |
Interest |
Amounts paid or credited by:
|
Calculated Resource |
Savings Bonds |
|
Resource |
|
Accelerated Death Benefits |
Accelerated death benefits paid |
Unearned Income |
|
1099-MISC |
Rents |
Income received as rents; e.g., owner of housing project, real estate rentals for office space, machine rentals, and pasture rentals. |
Unearned Income |
Royalties |
Income paid from oil, gas, mineral properties, copyrights, and patents. NOTE: MAPS treats this data as a resource indicator, but royalties are also countable as earned or unearned income. |
Resource |
|
Other Income |
Income not reportable in other boxes on form; e.g., prizes and awards, punitive damages, deceased employee's wages paid to estate or beneficiary. |
Unearned Income |
|
|
|
|
|
1099-MSA |
Gross Benefits |
Gross benefits medical savings account |
Resource |
1099-OID |
Interest |
Amount paid or credited. The difference between the stated redemption price at maturity and the issue price of a debt instrument. |
Calculated Resource |
1099-Q |
Earnings |
Earnings part of qualified tuition program payments made to the designated beneficiary or account owner. Qualified tuition program includes programs established and maintained by private eligible educational institutions. |
Calculated Resource |
1099-R |
Unrealized Appreciation |
Portion of distribution that represents net unrealized appreciation in securities of the employer corporation (or subsidiary or parent corporation) attributable to employee contributions. |
Resource |
Other Income |
Actuarial value of annuity contract or retirement bond, retirement account exchange or death benefit payment that is part of a lump-sum distribution. |
Unearned Income |
|
Gross Distribution |
Total amount of distribution from pensions (including disability), profit-sharing plans, retirement plans, employee savings plans or annuities before income tax or other deductions are withheld. Includes premiums paid by a trustee or custodian for current life or other insurance protection, IRA, or SEP distributions. Savings bonds distributed from a pension plan, death benefit payments, and death payments made by employers that are not part of a plan. In the case of a distribution representing certificates of deposit, the net amount is reported. NOTE: A 1099-R for an IRA, 401(k), or similar account indicates a resource (not unearned income). In this situation, follow the verification and documentation instructions in HI 03035.007A.3. |
Unearned Income |
|
1099-S |
Real Estate Sales |
Gross proceeds from sale or exchange of real estate. |
Resource |
1120 S-K1 |
Dividends |
Distribution of cash; value of stock, property or merchandise received as a shareholder (e.g., mutual fund). |
Calculated Resource |
Interest |
Income from or credited to:
|
Calculated Resource |
|
Royalties |
Income from oil, gas, mineral properties, copyrights, and patents. NOTE: MAPS treats this data as a resource indicator, but royalties are also countable as earned or unearned income. |
Resource |
|
Ordinary Income |
Shareholder's pro rata share of ordinary income, loss, deductions, credits, and other information from all corporate activities. |
Unearned Income |
|
Rental Real Estate |
Net income in which shareholder did not materially participate. |
Unearned Income |
|
Other Rental |
Net income from other rental activity in which shareholder did not materially participate. |
Unearned Income |
|
Short Term Capital Gain |
Income from sales and exchanges of capital assets, including stocks, bonds, etc. and real estate held for less than 1 year. |
Resource |
|
Long Term Capital Gain |
Income from sales and exchanges of capital assets, including stocks, bonds, etc. and real estate held for more than 1 year. |
Resource |
B. References
HI 03035.005 - Verification Policy within the Medicare Application Processing System (MAPS)
HI 03035.006 – Verification and Documentation Process for Medicare Application Processing System (MAPS)
HI 03035.007 - Verification and Documentation Instructions for Internal Revenue Service (IRS) Data within the Medicare Application Processing System (MAPS)