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Title 8: Medicaid Page 6 Iowa Department of Health and Human Services Employees’ Manual Chapter E: Income Income Policies for Non-MAGI-Related Coverage… Revised May 22, 2026 Determining Joint Ownership of Income

1. Mr. and Mrs. P jointly own a CD. One-half of the interest is income to each spouse. 2. Mr. and Mrs. W jointly own a farm. One-half of the earnings is income to each spouse. Deeming Non-MAGI-Related Income Legal reference: 20 CFR 416.1160, 20 CFR 416.1163, 20 CFR 416.1202, 441 IAC 75 (Rules in Process) Deeming of income is the determination of a specific portion of an ineligible parent’s or ineligible spouse’s income used to calculate the benefits of the eligible spouse or child. Determine deemed income for non-MAGI-related Medicaid and State Supplementary Assistance coverage groups according to SSI policies except for the following coverage groups:  Medically Needy. See 8-J, Households with Ineligible Spouse or Children.  In-home health-related care. See 6-B, Eligibility for Children.  Dependent person. See 6-B, Ineligible Spouse.  Medicaid for employed people with disabilities (MEPD). See 8-F, Family Income Less Than 250% of Federal Poverty Level. When determining eligibility, apply deeming policies to the income of an ineligible spouse or parent if either:  An eligible person was living for any part of a month in the same household with an ineligible spouse, or  The eligible person was a child living in the same household with a parent (or the spouse of a parent). For all coverage groups except Medically Needy, do not apply the deeming procedure if the applicant’s income alone, after appropriate exclusions and deductions, is over income limits. Allow the ineligible parent to deem income to an ineligible child in the household until the ineligible child reaches age 18 (or 21, if the child is a student). However, do not allow deeming to a child receiving FIP. When determining the income of the ineligible spouse, parent, spouse of a parent, or ineligible children, do not include:  Any excluded income.  FIP payments or Veteran Affairs payments based on need.  Any income that was counted in calculating the amounts of those payments.