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Title 8: Medicaid Page 23 Iowa Department of Health and Human Services Employees’ Manual Chapter E: Income Types of Non-MAGI-Related Income Revised April 11, 2025 Food and Shelter Received During… Food and Shelter Received During a Medical Confinement 20 CFR 416.1102, 20 CFR 416.1103; P. L. 103-60 Food and shelter received during a medical confinement are not considered income. Medical confinement occurs when a person receives inpatient medical services in a medical facility. Food Programs (Federal) 20 CFR 416, Subpart K Appendix Exclude the value of:  Food Assistance benefits.  Food provided under the WIC program.  Free school lunches or breakfasts.  Congregate meals.  Federally donated food. Verification is not required. Foster Care Payments 20 CFR 416.1124 Exclude foster care payments from a public or private nonprofit child-placing agency to a foster family. Garnishments and Other Withholdings 20 CFR 416.1102, 20 CFR 416.1110, 20 CFR 416.1123(b)(1) A debt that a client is required to pay or that is withheld from the client’s income (such as child support, alimony or garnishment) continues to be considered income received by the client. Use the gross amount of income before these deductions.

1. Mr. S, who has Social Security income of $700, is ordered by the court to pay alimony of $200 per month to his former spouse. His countable monthly income continues to be $700, regardless of his legal obligation.

2. Mr. Q has Social Security income of $300 and earnings of $400 per month. However, $100 per month of Mr. Q’s earnings is garnished to pay a debt. Mr. Q’s total earnings of $400 are considered to be received and are considered as income.

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Page 28

Official source

Title 8: Medicaid Page 23 Iowa Department of Health and Human Services Employees’ Manual Chapter E: Income Types of Non-MAGI-Related Income Revised April 11, 2025 Food and Shelter Received During… Food and Shelter Received During a Medical Confinement 20 CFR 416.1102, 20 CFR 416.1103; P. L. 103-60 Food and shelter received during a medical confinement are not considered income. Medical confinement occurs when a person receives inpatient medical services in a medical facility. Food Programs (Federal) 20 CFR 416, Subpart K Appendix Exclude the value of:  Food Assistance benefits.  Food provided under the WIC program.  Free school lunches or breakfasts.  Congregate meals.  Federally donated food. Verification is not required. Foster Care Payments 20 CFR 416.1124 Exclude foster care payments from a public or private nonprofit child-placing agency to a foster family. Garnishments and Other Withholdings 20 CFR 416.1102, 20 CFR 416.1110, 20 CFR 416.1123(b)(1) A debt that a client is required to pay or that is withheld from the client’s income (such as child support, alimony or garnishment) continues to be considered income received by the client. Use the gross amount of income before these deductions.

1. Mr. S, who has Social Security income of $700, is ordered by the court to pay alimony of $200 per month to his former spouse. His countable monthly income continues to be $700, regardless of his legal obligation.

2. Mr. Q has Social Security income of $300 and earnings of $400 per month. However, $100 per month of Mr. Q’s earnings is garnished to pay a debt. Mr. Q’s total earnings of $400 are considered to be received and are considered as income.