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Title 8: Medicaid Page 77 Iowa Department of Health and Human Services Employees’ Manual Chapter E: Income Income Policies for MAGI-Related Coverage… Revised April 11, 2025 Self-Attested Income Income verification received that was not requested by the IM worker needs to be processed as a reported change. After running EDBC for all available eligibility months and an over income denial is received for any applicant or household member for the month of application or the first month of a new review period, workers need to review the entered income for subsequent months. If eligibility may potentially occur due to a lower income amount, rescind the first month as ineligible and run EDBC. When income verification is received in a frequency other than monthly, add all income in the time period being used together and divide by the number of pay periods in the time period For both applications and reviews:  If the client does not complete any part of an income section, assume there is no income of that type.  When the client provides a monthly amount but the rest of this section is left blank, you can use this as the self-attested amount.  When the client states they work a certain number of hours a week at a certain rate of pay, they have provided a self-attested amount.  If the client leaves the income section blank and provides verification of that income type, you can use the verification provided as a self-attested amount. When information provided at application, review or when a change is reported is not enough to reasonably determine a self–attested amount, clarification is needed. Clarification will need to be requested when:  The client states they work a range of hours a week (e.g. 20-30 hours per week) and make a certain rate of pay per hour and does not provide a gross amount.  The client states they work a certain number or a range of hours a week and the hourly rate varies based on job type (e.g. $7.50 an hour when hosting, $4.50 an hour when serving) and does not provide a gross amount.  The client reports beginning employment and is unsure of the hours and rate of pay.  The client provides the employers name and does not complete the rest of the income section.