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Title 8: Medicaid Page 83 Iowa Department of Health and Human Services Employees’ Manual Chapter D: Resources General Non-MAGI-Related Resource Policies Revised September 13, 2024 Determining the Value of a Resource When an applicant is living in the same household with an ineligible spouse, include the resources of the ineligible spouse in determining the application’s eligibility. Do not, however, deem pension funds controlled by an employer or union, or IRA or Keogh accounts. See 8-D, Non-MAGI-Related Resource Limits to determine which resource limit to apply. If spouses who are both eligible for Medicaid separate, including when one spouse enters a medical facility, discontinue deeming the month after the month of the separation. Separation means that the spouses are not expected to be living together for a full calendar month.

Before entering a nursing facility, Mrs. L was living at home with her spouse. She will be in the facility for less than 30 days. Their countable resources are as follows: $1,800 + 500 $2,300 - 3,000 $ .00 Savings account in Mr. L’s name only Vacant lot owned by Mr. L Total resources of Mr. and Mrs. L Limit for a couple Excess resources Since resources deemed to Mrs. L do not exceed the resource limit for a couple, eligibility exists. Deeming From a Parent to a Child Legal reference: 20 CFR 416.1856, 20 CFR 416.1202 Before deeming resources from a parent to a child, see 8-D, Resource Eligibility of Children. If the child’s eligibility is determined under a coverage group where resources are exempt, there is no need to deem resources from the parents. A “child” is a person who is:  Not married,  Not the head of the household, and  Either under age 18 or under age 22, if a student regularly attending a school, college, university, or course of vocational or technical training to prepare for gainful employment.