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Title 8: Medicaid Page 23 Iowa Department of Health and Human Services Employees’ Manual Chapter D: Resources Attribution of Resources Revised July 10, 2026 Processing a Medicaid Application After…

Determining Eligibility After the Appeal After the appeal, Mrs. R applies for Medicaid for Mr. R. The worker subtracts the community spouse allowance of $103,119 from the couple’s resources. This leaves no resources available to Mr. R. He is resource-eligible for Medicaid payment for nursing facility care. Mr. R has 90 days to transfer resources to Mrs. R to maintain his eligibility. 2. Mrs. J enters a nursing facility and files form 470-2577, Resources Upon Entering a Medical Facility. The Js list resources of a $150,000 farm, a homestead, $10,000 in bonds, $100,000 in CDs, one car, $10,000 in a checking account, and $65,000 in a savings account. Completing the Attribution The following items are used to complete the attribution: $ 150,000

10,000

100,000

10,000 + 65,000 $ 335,000 Farm Bonds CDs Checking account Savings account Total resources $162,660 is attributed to Mr. J. $172,340 is attributed to Mrs. J. Appealing an Attribution After the attribution is complete, Mr. J files an appeal to set aside additional resources to generate income equal to the difference between the couple’s income and the MMMNA. The couple’s available income is $1,844 per month. $4,066.50 - $1,844 = $2,222.50 unmet need. The average estimate of the cost of an annuity to generate $2,222.50 per month is $101,000, which is less than the $162,660 attributed to Mr. J. The attribution remains the same.