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Title 8: Medicaid Page 43 Iowa Department of Health and Human Services Employees’ Manual Chapter D: Resources Transfer of Assets Revised July 10, 2026 Penalties for Transferring Assets The value of the assets transferred is divided by the statewide average cost of nursing facility services at the time of application.

Time of Application Average Monthly Statewide Cost of Nursing Facility Services Average Daily Cost of Nursing Facility Services July 1, 2026 – June 30, 2027 $9,838.96 $323.65 July 1, 2025 – June 30, 2026 $9,702.77 $319.17 July 1, 2024 – June 20, 2025 $8,842.75 $290.88 July 1, 2023 – June 30, 2024 $8,581.61 $282.29 July 1, 2022 – June 30, 2023 $7,786.35 $256.13 July 1, 2021 – June 30, 2022 $7,710.66 $253.64 July 1, 2020 – June 30, 2021 $7,205.40 $237.02 July 1, 2019 – June 30, 2020 $6,799.88 $223.68 July 1, 2018 – June 30, 2019 $6,447.54 $212.09 July 1, 2017 – June 30, 2018 $6,269.63 $206.24 July 1, 2016 – June 30, 2017 $5,809.13 $191.09 July 1, 2015 – June 30, 2016 $5,407.24 $177.87 July 1, 2014 – June 30, 2015 $5,103.24 $167.87 July 1, 2013 – June 30, 2014 $5,057.65 $166.37 July 1, 2012 – June 30, 2013 $5,131.82 $168.81 July 1, 2011 – June 30, 2012 $4,853.36 $159.65 July 1, 2010 – June 30, 2011 $4,842.72 $159.30 July 1, 2009 – June 30, 2010 $4,598.61 $151.27 July 1, 2008 – June 30, 2009 $4,342.03 $142.83 July 1, 2007 – June 30, 2008 $4,173.92 $137.30 July 1, 2006 – June 30, 2007 $4,021.31 $132.28 July 1, 2005 – June 30, 2006 $3,697.55 $121.63