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Title 8: Medicaid Page 7 Iowa Department of Health and Human Services Employees’ Manual Chapter D: Resources Attribution of Resources Revised July 10, 2026 Calculating the Amount to Attribute to the…
3. Mrs. D enters a hospital and is expected to stay over 30 days. Her husband remains at home. Their total resources are $420,000. One-half of this is $210,000. The community spouse cannot be attributed more than $162,660 without a court order or final appeal decision. Therefore, $257,340 is attributed to Mrs. D and $162,660 is attributed to Mr. D ($420,000 - $162,660 = $257,340). 4. Mr. M enters a nursing facility and Mrs. M remains at home. The total value of their resources is $50,000. However, the court has ordered that $40,000 be transferred to Mrs. M for support. In this case, $40,000 is attributed to Mrs. M, even though this amount exceeds the $32,532 minimum; $10,000 is attributed to Mr. M. If the Applicant Appeals the Attribution Amount Legal reference: 441 IAC 75 (Rules in Process) The current minimum monthly maintenance needs allowance (MMMNA) for a community spouse is $4,066.50. If the income available to the community spouse is less than the MMMNA, the applicant or the community spouse may file an appeal to set aside additional resources that would generate income equal to the difference between the income available to the community spouse and the MMMNA. The appeal request must be filed within 90 days of the Notice of Attribution of Resources (NOA) or any Notice of Decision (NOD) regarding medical assistance. If the applicant does not file an appeal within 90 days of an NOA or NOD, the applicant loses the right to a hearing on the attribution for that application. If requested, help the applicant to complete form 470-0487 or 470-0487(S), Appeal and Request for Hearing. If the appeal is filed after one or more applications has been denied, and the appeal allows a substitution of resources that result in the institutionalized spouse now being eligible, the date of approval begins with the most recent application. Only one appeal to allow a substitution of resources will be conducted.