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Title 8: Medicaid Page 24 Iowa Department of Health and Human Services Employees’ Manual Chapter E: Income Types of Non-MAGI-Related Income Revised April 11, 2025 General Assistance Payments General Assistance Payments 20 CFR 416.1124(c)(2) Exclude county general assistance cash payments based on the need of the recipient. See Assistance Payments for information about other types of state or federal assistance payments. Do not count assistance that is lent to the client. Gifts 20 CFR 416.1124(c)(6) and 20 CFR 416.1121(g) Count cash gifts as income in the month received. Exclude gifts that qualify as infrequent or irregular income. See Infrequent or Irregular Income. For gifts used to pay educational expenses, see Educational Assistance.

Count noncash gifts as income in the month received. Determine the value according to the amount the client would get if the gift were sold. Refer to In-Kind Unearned Income.

Exception: The value of any noncash item (other than food or shelter) is not considered income if it will be partially or totally excluded as a resource the month after it is received. Green Thumb Income 20 CFR 416.1124(6) See Experience Works Income. Home Equity Conversion Plans 20 CFR 416.1103(f) Home equity conversion plans are arrangements designed to allow homeowners (commonly elderly people) to convert the equity value of their homes into cash without having to leave the home. Under these plans, the home is either mortgaged or sold to a financial institution or an individual in exchange for a regular cash payment or a line of credit, which the homeowner receives as long as the homeowner lives in the home. Common arrangements and the income policies that apply are explained below. The actual terms of specific contracts may vary.