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Title 8: Medicaid Page 76 Iowa Department of Health and Human Services Employees’ Manual Chapter E: Income Income Policies for MAGI-Related Coverage… Revised May 22, 2026 MAGI-Related Income Limits

Coverage Group Legal Reference Household Size (persons) Income Limit (per month) Medicaid for Independent Young Adults 441 IAC 75.3(13); Title XIX of the Social Security Act, Section 1902(a)(10)(A)(ii)(VII) 254% of the federal poverty level for the household Iowa Health and Wellness Plan (IHAWP) 441 IAC 74.4 133% of the federal poverty level for the household size, as of the date of a decision on initial or ongoing eligibility Self-Attested Income Legal reference: 42 CFR 435.603(h)(3), 42 CFR 435.945 Enter all self-attested income, earned and unearned, using the amount and frequency as reported by the client, unless otherwise directed. Deductions that are not allowed: Add back the following income to determine countable income:  Non-taxable Social Security benefits  Tax-exempt interest  Foreign earned income & housing expenses for Americans living abroad View the Income Verification Detail page to see if Title II income verification results were returned from EDS. The worker will need to enter the amount of Title II income returned from EDS, if different then the self-attested amount. The Title II income from EDS is considered verified. Title II income must be entered on a separate income record for each person receiving it. Do not combine multiple individual’s Title II income amounts under one person. If one person receives more than one type of Title II income, they should be combined and entered on one income record. For long term disability, the income that is equal to the percentage of the premium paid by the employer is countable for MAGI and non-MAGI. The income equal to the percentage of the premium paid by the employee is not countable for MAGI but will be counted for non-MAGI.