Page 107

Title 8: Medicaid Page 103 Iowa Department of Health and Human Services Employees’ Manual Chapter D: Resources Specific Non-MAGI-Related Resources September 13, 2024 Continuing Care Retirement and Life… Continuing Care Retirement and Life Care Community Entrance Fees 441 IAC 75 (Rules in Process) Entrance fees paid by persons residing in continuing care retirement communities or life care communities that collect an entrance fee on admission are considered a resource available to the person if:  The person has the ability to use the entrance fee, or the contract between the person and the community provides that the entrance fee may be used to pay for care;

 The person is eligible for a refund of any remaining entrance fee when the person dies or terminates the community contract; and

 The entrance fee does not confer an ownership interest in the community. Dedicated Accounts 20 CFR 416.546, 20 CFR 416.640, 20 CFR 416.1247 Exclude the funds in a dedicated account as a resource for people receiving SSI. When past-due benefit payments are paid for an eligible person under age 18, the Social Security Administration requires the representative payee to establish a dedicated account.

The dedicated account may be used only for:

 Medical treatment, education, and job skills training.

 Personal needs assistance, special equipment, housing modification, and therapy or rehabilitation if related to the child’s impairment.

 Other items and services related to the child’s impairment approved by the Social Security Administration.

Stop excluding the funds in a dedicated account when the person loses SSI eligibility, even if the person later reapplies and is approved. Disaster Assistance 20 CFR 416.1201, 20 CFR 416.1210, 20 CFR 416.1237; P. L. 101-508 Exclude disaster assistance from a state, federal or local programs as a resource.