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Title 8: Medicaid Page 86 Iowa Department of Health and Human Services Employees’ Manual Chapter D: Resources General Non-MAGI-Related Resource Policies Revised September 13, 2024 Eligibility While Trying to Sell a Nonliquid Resource There is usually no retroactive Medicaid eligibility for a recipient who has been approved for conditional SSI or State Supplementary Assistance benefits. However, the recipient’s countable resources, including the excess resources, may have been under the Medically Needy limits. Also, some resources may not have been countable in the retroactive period, e.g., a house in which the recipient was living.

Ms. A, a six-month-old child, is approved for SSI effective August 1, 2018. Her parents receive 10 acres of land on August 6 as an anniversary gift. The land has a value of $6,000. In October, her parents sign an agreement to sell the land and repay SSI. The IM worker evaluates resources of Ms. A and her family for the Medicaid retroactive period of May, June, and July, to determine if resources were under the limit. Since they did not own the land before August, retroactive eligibility is not affected by the 10 acres. The conditional benefits period begins in November (the month after the agreement was signed). For the months of September and October, the land value of $6,000 is a countable asset. Long-Term Care Asset Preservation Legal reference: 441 IAC 75 (Rules in Process), Iowa Code Chapter 514H Policy: A person may be eligible for Medicaid when the person meets all of the following conditions:  The person is aged 65 or older.  The person: • Is the beneficiary of a qualified long-term-care insurance policy, or • Is enrolled in a prepaid health care delivery plan that provides long-term- care services.  The person is eligible for Medicaid under one of the following coverage groups except for excess resources: • Ineligible for SSI or SSA due to residence in a medical institution, • In the 300% group, or • Receiving home- and community-based waiver services.  The excess resources do not exceed the amount of long-term-care insurance benefits paid out under the person’s qualified long-term-care insurance policy. (This amount is called the asset adjustment.)