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Title 8: Medicaid Page 97 Iowa Department of Health and Human Services Employees’ Manual Chapter F: Coverage Groups Non-MAGI-Related Coverage Groups Revised May 22, 2026 People in Medicare Savings Programs  Has resources that do not exceed twice the maximum allowed by the SSI program. Treat resources according to SSI policy. See 8-D, General Non- MAGI-Related Resource Policies. The resource limit for the QMB group is $9,950 for an individual and $14,910 for a couple.  Meets all other non-MAGI-related Medicaid nonfinancial eligibility requirements except for disability determination and age. To be “entitled” to Medicare Part A means that the person is enrolled and eligible to receive Part A benefits or meets the requirements to enroll. See 8-M, Medicare Part A, to determine dates of Medicare eligibility and who may qualify for Part A. The state buy-in establishes Part A entitlement for a qualified Medicare beneficiary who is entitled to Medicare Part B but is not entitled to free Part A. People who are not already receiving Medicare Part B must file an application with the Social Security Administration to enroll in Part A and Part B. A person who chooses not to enroll for Medicare Part A benefits cannot be QMB-eligible. This does not affect the person’s eligibility for other Medicaid coverage groups. When Medicaid eligibility ends, the client is responsible for paying the Medicare Part A and B premiums. QMB applicants are not required to apply for FIP, SSI, or State Supplementary Assistance cash benefits. A person who is eligible for full Medicaid benefits under another coverage group may also be concurrently eligible for QMB. Medicaid eligibles who receive SSI and who are entitled to receive Medicare Part A are concurrently eligible for QMB. Federal financial participation for Medicare premiums is available for people who meet QMB requirements. Therefore, it is necessary to identify these people. Clients who are eligible for QMB in ELIAS and for Medically Needy in ABC with a spenddown have both a QMB case and a separate case for Medically Needy. Enter the poverty level on the ABC system for each person on the Medically Needy case. Also enter a “Q” in the QMB indicator for each person on Medically Needy with a zero spenddown.