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Title 8: Medicaid Page 5 Iowa Department of Health and Human Services Employees’ Manual Chapter E: Income Income Policies for Non-MAGI-Related Coverage… Revised April 11, 2025 Projecting Future Income If income has changed and previous months’ income is not an accurate indicator of future income, use the best information available to project future income. For example, the interest earned in the previous month on a savings account that has substantially increased or decreased would not be an indicator of future income. When projecting income for cases that have fluctuating income and client participation, reevaluate the income at least every six months. Set a reminder at the eligibility review to request verification of actual income received. This includes earnings and interest income. Update client participation to reflect actual income in the month it was received. Convert weekly income to monthly income by multiplying by 4.3. Convert biweekly income to monthly income by multiplying by 2.15. See Determining Income from Self-Employment when projecting income for a self- employed client. Determining Joint Ownership of Income Legal reference: 441 IAC 75 (Rules in Process), P.L. 100-360 When there is income from property other than a trust, consider income paid in the name of one person as available only to that person, unless the document providing income states otherwise. If the income-producing property is in the name of several people, consider each person’s income to be in proportion to that person’s ownership interest in the resource. If the income is in the name of two people, count half to each person. If the income is a joint payment to both spouses, count half to each person. If the client or the client’s spouse can prove different ownership by a preponderance of evidence, divide the income in proportion to the ownership. If there is trust property, follow the provisions of the trust regarding ownership. See 8-D, Joint Ownership for information about determining ownership of a resource.