Page 7

Title 8: Medicaid Page 2 Iowa Department of Health and Human Services Employees’ Manual Chapter E: Income Overview Revised May 22, 2026 Non-MAGI-Related Income Limits Non-MAGI-Related Income Limits Legal reference: 42 CFR 435, 20 CFR 416 Subpart D; 441 IAC 75 (Rules in Process) The monthly countable income limits based on SSI are:

Single Person Couple 300% of SSI Maximum Benefit $994 $1,491 $2,982 Current poverty levels used for Medicaid coverage groups are:

Family Size 100% 120% 135% 200% Individual $1.305 $1,565 $1,761 $2,609 Couple $1,763 $2,115 $2,380 $3,525 These amounts apply to coverage groups as follows:  For qualified Medicare beneficiaries (QMB), the income limit is 100% of the poverty level.  For specified low-income Medicare beneficiaries (SLMB), the income range is over 100% of the poverty level but less than 120% of the poverty level.  For expanded specified low-income Medicare beneficiaries (E-SLMB), the income range is 120% of the poverty level but less than 135% of the poverty level.  For qualified disabled and working people (QDWP), the income limit is 200% of the poverty level. For Medicaid for Employed People with Disabilities (MEPD), net income for the family size is compared to 250% of poverty. (See 8-F, Medicaid for Employed People With Disabilities: Family Income Less Than 250% of Federal Poverty Level for extended listing of 250% levels and family size. See 8-C, Household Size for additional information about family size under MEPD.) The Medically Needy coverage group does not have an income limit, although the applicant may have to meet a spenddown before eligibility exists. See 8-J.