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Title 8: Medicaid Page 88 Iowa Department of Health and Human Services Employees’ Manual Chapter E: Income Income Policies for MAGI-Related Coverage… Revised April 11, 2025 Income Verification  Reassign case in ELIAS, if applicable.  Upload and catalog any documents.  End. Refer to NJA0069, Verifying Income and Expenses for the steps on how to enter each source of Other Income. MAGI-Related Budgeting Procedures for Determining Financial Eligibility Legal reference: 441 IAC 75 (Rules in Process) Initial and ongoing financial eligibility under MAGI-related Medicaid is based on current monthly household income and family size with consideration given to any anticipated changes or fluctuation in income or expenses. Total countable earned and unearned income of all persons in the applicant or member household after applicable expenses and deductions is considered in determining financial eligibility under MAGI-related Medicaid. Current Monthly Household Income Both initial and ongoing eligibility shall be based on current monthly income when current income and any applicable expenses is a good indicator of future income except when the income is unemployment insurance benefits as described below. Change in Current Month’s income If the household indicates that current countable income is not indicative of future income due to a change that is reasonably expected to occur in the current or next month, the amount of monthly income used for initial and ongoing eligibility shall be calculated based on the change. When the anticipated change is with unemployment insurance benefits, income shall be budgeted as described below.