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Title 5: Centrally Administered Programs Page 64 Iowa Department of Human Services Employees’ Manual Chapter E: Healthy and Well Kids in Iowa (hawk-i) Types of Income Revised July 3, 2009 Social Security Income

Mr. Z’s Social Security payment decreased when he enrolled in Medicare, Part B. However, the amount before the decrease is used to determine Medicaid and hawk-i eligibility while the buy-in procedure is in process. When the buy-in takes place, Mr. Z’s Social Security check increases, and he receives a refund for the number of months he was in the eligible group and paid his own premium. The refund is not considered as income, since the amount of his check before the decrease was used to determine Medicaid eligibility during the buy-in process.

If the Social Security Administration is recouping for a prior overpayment, only the amount the person actually receives (plus the Medicare premium, if applicable) is counted.

If the Social Security Administration is deducting an amount from disability payments for a child support arrearage, the gross payment is counted. Social Security Benefits Extended for Education 441 IAC 86.2(2)“a”(2) Count as unearned income extended Social Security benefits. The entire amount received is countable. A person aged 18 can receive extended Social Security benefits based on disability or death of a parent if attending high school full time. The benefits stop at the end of the fourth month after the month the person turns 19 or completes high school, whichever occurs first. Strike Benefits or Picket Pay 441 IAC 86.2(2)“a”(1) and (2) Count strike benefits as unearned income. If a union on strike considers picket pay to be payment for work performed (such as walking the picket line), the income is counted as earned. If the union does not consider the picket pay to be payment for work performed, it is a strike benefit and is unearned.