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Title 8: Medicaid Page 71 Iowa Department of Health and Human Services Employees’ Manual Chapter D: Resources Trusts Revised September 13, 2024 Trusts Established After August 10, 1993  Upon death of the beneficiary, all amounts remaining in the beneficiary’s account not retained by the trust are paid to the state of Iowa up to the amount of medical assistance paid on behalf of the beneficiary. For this policy to apply to a person who has not been determined disabled by the Social Security Administration, the Department must determine disability. See 8-C, When the Department Determines Disability. When a trust qualifies as a special needs trust, count the principal and income as available according to the terms of the trust. Any additions made to the trust after the trust beneficiary reaches age 65 will be considered a transfer of assets for less than fair market value. Resource Eligibility of Non-MAGI-Related Children Legal reference: 441 IAC 75 (Rules in Process) Disregard the resources of all household members when determining eligibility for children in certain coverage groups. Continue to count resources when determining eligibility for children in all other coverage groups according to the policies in this chapter. The age limit for determining if a person is a child or an adult is the age limit for the coverage group under which Medicaid is being received or under which eligibility is being explored or established. See 8-F, Coverage Groups for more information.