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Title 8: Medicaid Page 12 Iowa Department of Health and Human Services Employees’ Manual Chapter E: Income Types of Non-MAGI-Related Income Revised April 11, 2025 Adoption Assistance Subsidy Adoption Assistance Subsidy

There isn't a single policy that covers subsidized adoption payments. It will depend on the source, type, and purpose of the subsidized adoption payment and how those circumstance fit under other income policies.  Count as income to the child any payments for the maintenance needs of the child that are IV-E funded. (See federally funded assistance payments under Assistance Payments later in this chapter).  Exempt payments that are for social services and involve funds provided under title IV-B of the Social Security Act. (See Social Services later in this chapter).  Exempt payments that are completely state or privately funded, are for the maintenance needs of the child, and are based on need. (See state assistance based on need under Assistance Payments later in this chapter). If the payments are state or privately funded assistance that isn't based on need, then the payments are counted as income.  Exempt payments that are completely state or privately funded and aren't intended to meet the child's maintenance needs at all (e.g. if they are being made to the parents to cover travel expenses and lodging). In this situation, the payment would be reimbursement to the parents and not considered income at all.

(NOTE: Refer to NJA0094, Income for the process to enter this type of income in ELIAS.) Annuities 20 CFR 416.1121 An annuity is a contract in which a person receives fixed payments for a specified period. See 8-D, Annuities, for information on how to count the annuity payments.