Page 89

Title 8: Medicaid Page 85 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

Sam, age 17, was living with his parents and two brothers before entering a residential care facility (RCF). Sam has a $50 savings account in his own name. The parent’s resources are as follows: $ 30,000 $ 3,200 Value of home they live in Parent’s joint savings account The home is excluded. $200 resources are available for deeming. ($3,200 minus $3,000 SSI exclusion for a couple.) $ 200 + 50 $ 250 Deemed from parents Sam’s own resources Total resources Since resources deemed to Sam plus Sam’s own resources do not exceed the resource limit for an individual, Sam meets the resource standard. Do not deem parents’ income or resources to a child the month following the month of entry into a medical institution or RCF. Eligibility While Trying to Sell a Nonliquid Resource Legal reference: 20 CFR 416.1240-416.1245, 441 IAC 50.5(249A) Applicants or members who have countable nonliquid resources that exceed the applicable resource limit may not receive Medicaid under a “Medicaid only” coverage group while they are attempting to sell the resource. However, such applicants or members may be able to receive State Supplementary Assistance (SSA) or Supplemental Security Income (SSI) benefits until the resource is sold. These benefits are called “conditional benefits.” Persons who are conditionally eligible for SSI are not eligible for Medicaid but persons who are conditionally eligible for SSA may receive Medicaid in the same manner as any other SSA recipient. If the person has been approved for conditional SSI or federally administered State Supplementary Assistance benefits, there will be a “C” code in the COND PAY CODE field on the State Data Exchange (SDX).