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Title 8: Medicaid Page 24 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, Mr. J files an application for medical assistance for Mrs. J. The Js have the following resources at the time of application: $ 61,920

50,000

20,000 + 40,000 $ 171,920 CDs Bonds Checking account Savings account Total resources The worker subtracts the community spouse allowance of $162,660. This leaves $9,260 in resources available to Mrs. J. She is ineligible for Medicaid payment for nursing facility care, because she is over the resource limit. Estate Recovery Legal reference: 441 IAC 75.28(7) The cost of medical assistance is subject to recovery from the estate of certain Medicaid members. Members affected by the estate recovery policy are those who:  Are 55 years of age or older, regardless of where they are living; or  Are under age 55 and: • Reside in a nursing facility, an intermediate care facility for persons with an intellectually disability, or a mental health institute, and • Cannot reasonably be expected to be discharged and return home. See Establishing Whether a Member Under Age 55 Can Return Home. Give a copy of Comm. 123 or Comm. 123(S), Important Information for You and Your Family Members About the Estate Recovery Program to all Medicaid applicants at the time of the application. An “estate” includes all real property, personal property, or any other asset in which the member had any legal title to or interest in at the time of the death of the member, to the extent of such interest. This includes, but is not limited to, interest in jointly held property, interest in trusts and retained life estates. All assets included in the Medicaid member’s estate are subject to probate for the purpose of estate recovery. NOTE: It is not allowable for assets of a deceased member to be used to pay for travel expenses of family members of the deceased at the time of the member’s death.