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Title 8: Medicaid Page 84 Iowa Department of Health and Human Services Employees’ Manual Chapter E: Income Income Policies for MAGI-Related Coverage… Revised April 11, 2025 Countable Income Under MAGI If the self-employment has been in existence for such a short time that there is very little income information, the worker shall work with the household to establish a reasonable estimate that will be projected for ongoing eligibility. When there is a change in the nature of the self-employment business or a permanent change in operating expenses, net profit must be recalculated based on the change. Income Verification Legal reference: 441 IAC 75 (Rules in Process) The department shall consider an applicant’s or member’s attestation of their income as verified and use the attested income to determine eligibility when the attested amount is reasonably compatible with electronic data sources. The department will not require the applicant or member to provide verification when attested income is reasonably compatible with electronic data sources or verification is available to the department from other sources. When attested income is not reasonably compatible with electronic data sources, the applicant or member must provide verification of the income or provide a statement that reasonably explains the discrepancy between the attested income and electronic data sources. Whether the income is self-employment or another income source, an attempt to verify self-attested through Electronic Data Sources is always done before using documentation provided by the applicant/member to verify income. When Eligibility Determination and Benefits Calculation (EDBC) results require verification of income or expenses follow the applicable income verification process:  No aid code verifications means the individual’s self-attested income did not result in eligibility when running EDBC. The income must be worker verified.  Deferred verifications means the individuals reported change in income or expenses did not result in eligibility when running EDBC. The income must be worker verified.  When EDBC results in all household members being ‘Denied Over Income’ and there are NO expenses with a Not Verified status, accept the EDBC results and Save & Continue.