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Title 8: Medicaid Page 2 Iowa Department of Health and Human Services Employees’ Manual Chapter C: Nonfinancial Eligibility Medical Benefits from Other Sources Revised October 10, 2025 Medical Benefits Such medical resources include:  Health and accident insurance.  Eligibility for care through Veteran’s Administration.  Specialized health care services.  Medicare, when the state will pay the premiums through the buy-in process. EXCEPTION: Requirement to Apply for Medicare When Not Eligible for Free Medicare Part A.  Medicaid applicants and members who are over 65 that do not qualify for free Medicare Part A are required to apply for Conditional Medicare Part A and Medicare Part B if they: • Are not already enrolled in a major medical plan, • Have income at or below 100% of the poverty level and assets within the Medicare Savings Plan limit, and • Do not receive Medicare Part B  Medicaid applicants and members who are over 65 that do not qualify for free Medicare Part A are required to apply for Medicare Part B only if they: • Are not already enrolled in a major medical plan, • Have income above 100% of the poverty level and/or have assets within the Medicare Savings plan limit, and • Do not receive Medicare Part B.  Medicaid applicants and members who already receive Medicare Part B are not required to apply for Conditional Medicare Part A as buy-in will automatically occur for Part A if QMB eligible.  Elderly Legal Permanent Residents (LPR) are not eligible for Conditional Medicare Part A until they have lived in the USA for 60 continuous months. If the 60-months are interrupted by a trip outside of the USA that lasts at least one month, then the 60-month period starts anew with the date they return to the USA. • If date of entry is less than 60 months ago, set a reminder in WISE for the last month of the 60 month period and send them a request to apply for Conditional Medicare Part A and Part B as necessary in that month.