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Title 8: Medicaid Page 58 Iowa Department of Health and Human Services Employees’ Manual Chapter C: Nonfinancial Eligibility Nonfinancial Non-MAGI-Related Eligibility Revised October 10, 2025 Household Size

3. Mr. G, who is disabled, lives with Mrs. G, who is not aged, blind, or disabled (an ineligible spouse). Mr. G’s worker determines that deeming from Mrs. G to Mr. G is not applicable. Mr. G’s eligibility is determined by comparing his income to the limits for an individual. Mr. G’s resource eligibility is determined by comparing both spouses’ resources to the resource limit for a couple. When a married couple who are both eligible for Medicaid separate, continue to treat them as a married couple for the month of separation. Beginning with the month after the month of separation, treat each spouse separately for Medicaid eligibility. “Separation” means a change in living arrangement that results in the couple no longer living together. This includes one spouse moving to a nursing facility or medical institution. If a married couple with only one Medicaid-eligible spouse separates for any reason, consider the spouses to be separate for eligibility beginning with the month after the month of separation. When neither spouse is receiving Medicaid, and the spouses separate before application, treat them as separate individuals for application processing.

Mr. and Mrs. S live together. Mr. S receives Medicaid as a non-MAGI-related person. In June, he and Mrs. S separate. Mr. S is considered as an individual for July. Only his income and resources are considered. No income or resources owned exclusively by Mrs. S are considered for Mr. S’s eligibility for July. See 8-I, Income and Resources of Married Persons when one or both spouses are in a medical institution.