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Title 8: Medicaid Page 78 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  The client states they are receiving a type of unearned income (e.g. Unemployment, Social Security etc.) and does not list an amount. When self-attested income cannot be determined based on information provided at application, review, or when a change is reported and the requested information is not provided, a non-compliance of ‘failure to provide information’ will be used to complete the negative action. For clients attesting to Tips/Commissions via an e-App, assume the amount provided is consistent with the pay frequency listed for earnings, unless questionable. When self-attested income is questionable and prudent person concept does not apply, reach out to the client for verification. Clearly document if prudent person was used. When an application from the FFM lists an income frequency as irregular or infrequent, the worker must contact the household to obtain a self-attested income. When the client has filled out the income/employment section on an application or review, or has submitted a change report and has self-attested income that cannot be determined, attempt to call the client to resolve/clarify a self-attested income amount that is indicative of future months. Document in WISE the reason for the call and the outcome. If the self-attested income is not indicative of future income, the income may need to be flattened. (See Flattening Income later in this chapter.) Income Considered Legal reference: 441 IAC 75.70, 441 IAC 75 (Rules in Process) Income eligibility under MAGI-related Medicaid shall be determined using “modified adjusted gross income” (MAGI) for a coverage group that is subject to MAGI methodology, including the imposition of any premiums or cost sharing. The total countable earned and unearned income of the applicant or member household shall be considered when determining initial and ongoing Medicaid eligibility for coverage groups that are subject to MAGI methodology. For eligibility to exist, the total countable monthly income of the applicant’s or member’s household must be at or below the income limit for the applicable coverage group.