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Title 8: Medicaid Page 18 Iowa Department of Health and Human Services Employees’ Manual Chapter D: Resources Attribution of Resources Revised July 10, 2026 Processing a Medicaid Application After…

1. When Mr. H enters a medical institution, the resources attributed to Mrs. H are $40,828. When Mr. H applies for Medicaid, the resources of Mr. and Mrs. H are $41,500 as of the first moment of the first day of the month of application. The worker subtracts the $30,828 attributed to Mrs. H from the total. Mr. H has $672. He is resource eligible under any Medicaid coverage group. 2. Mr. and Mrs. J are SSI eligible. When Mrs. J enters a medical institution in November, Mr. and Mrs. J have $2,997 in resources. All of the resources are attributed to Mr. J to meet the minimum protection of $32,532. Mrs. J is resource eligible for Medicaid payment of nursing facility care. 3. Mr. and Mrs. K are eligible for Medically Needy. Their resources are $9,800 when Mr. K enters skilled care in December. All of the resources are attributed to Mrs. K to meet the minimum protection of $32,532. Mr. K is resource eligible for Medicaid payment of nursing facility care. 4. Mr. I enters a nursing facility in December. At that time, resources attributed to Mrs. I are $32,532. Mr. I applies for Medicaid six months later. He reports that his resources have increased. The total is $75,000 at the time of application. However, only $32,532 can be attributed to Mrs. I. The other $42,468 is countable to Mr. I. If the institutionalized spouse’s resources exceed limits for nursing facility coverage groups, check eligibility under the qualified Medicare beneficiary (QMB) group or Medically Needy coverage group. Review resource eligibility at redetermination to ensure that the coverage group continues to be correct.

Mr. D enters a nursing facility in November. Mrs. D remains at home. Their resources total $34,950 in November. Mrs. D is attributed $32,532 and $2,418 is attributed to Mr. D. He is resource-eligible for Medically Needy coverage. Mrs. D asks that the resources be reevaluated in February, since their resources have decreased. As of the first moment of the first day of the month, the combined resources of both spouses are $33,100. Subtracting the $32,532 attributed to Mrs. D, Mr. D has $568 in resources. Mr. D is resource- eligible under any Medicaid coverage group.