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Title 8: Medicaid Page 20 Iowa Department of Health and Human Services Employees’ Manual Chapter D: Resources Attribution of Resources Revised September 13, 2024 Processing a Medicaid Application After… If you approve eligibility for an applicant who voluntarily or involuntarily has a guardian or conservator, send the following information to the Bureau of Financial, Health and Work Supports:  The names and addresses of both spouses.  The amount of the community spouse resource allowance.  The amount of resources owned by the community spouse. The Department will pursue support from the community spouse on a case- by-case basis. The state has the right to bring a support proceeding against a community spouse without an assignment. The applicant is ineligible if the applicant owns resources that exceed limits, even if the applicant assigns support rights or lacks the ability to assign support rights. Transfers to Establish Ongoing Eligibility Legal reference: 441 IAC 75 (Rules in Process) After the month the institutionalized spouse is determined eligible, do not consider the resources owned by the community spouse to be available to the institutionalized spouse. Resources that are owned wholly or in part by the institutionalized spouse and are not transferred to the community spouse are counted when determining ongoing eligibility. However, do not consider these resources if the institutionalized spouse has declared, in writing, the intent to transfer ownership of the resources to the community spouse. Issue form 470-4888, Institutional Spouse Intent to Transfer Resources, to document the member’s intent. The member can chose to sign and return the form or can provide a written statement. If the institutionalized spouse does not intend to transfer resources, establish eligibility for the month of application only. Deny ongoing eligibility at the end of that month.