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Title 8: Medicaid Page 1 Iowa Department of Health and Human Services Employees’ Manual Chapter D: Resources Overview Revised July 10, 2026

Overview Pursuant to 42 CFR 435.603(g) and 441 IAC 75.70(249A), there is no resource test for MAGI-related Medicaid. This chapter describes Medicaid resource requirements. Resource policies that apply to all coverage groups are described in the first part of the chapter:  Attribution of resources between an institutionalized spouse and a community spouse.  Estate recovery for members who are over age 55 or in a medical institution.  Transfers of assets.  Trusts. The remaining part of this chapter provides resource requirements for people whose eligibility is based on their relationship to the Supplemental Security Income program (non-MAGI-related coverage groups), including persons who are aged, blind, or disabled. Attribution of Resources Legal reference: 441 IAC 75 (Rules in Process) When one spouse enters a medical institution or applies for a home- and community- based services (HCBS) waiver or Programs for All-Inclusive Care for the Elderly (PACE) services, resources are “attributed” to the “community spouse” to protect sufficient resources for the community spouse’s maintenance. A “community spouse” is a person who is not in an institution but who is the spouse of a person who is in an institution or applying for or receiving PACE or waiver services. The community spouse could live:  In the couple’s own home.  In a custodial home, such as a residential care facility.  In an apartment.  With relatives.  In another nonfacility or noninstitutional setting.