Page 104

Title 8: Medicaid Page 100 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

$1,092 + 55 $1,147 Countable social security income Countable earned income Countable monthly net income This amount of $1,147 is compared to the new 100% of poverty level effective March 1. Compare net countable income to the individual limit when income is not deemed from the ineligible spouse to the eligible spouse. Compare net countable income to the couple limit when income is deemed from the ineligible spouse to the eligible spouse.

1. Mrs. G and her three children receive MAGI medical. Mr. G (stepparent) receives $988 monthly in social security disability benefits and is entitled to Medicare. To determine Mr. G’s QMB eligibility, the income is computed as follows: QMB Determination

$1,050 – 20 $1,030 Gross SS income General income exclusion Compared to 100% of the poverty level

Mr. G is eligible for QMB coverage, provided all other eligibility factors are met. 2. Mr. K files an application on April 1. His monthly income is: $ 900 + 600 $1,500 – 20 $1,480 Gross social security Retirement pension

General income exclusion Countable monthly income Since the monthly net income exceeds 100% of the poverty level, Mr. K is not eligible for QMB. However, he is potentially eligible for Medically Needy. Eligibility for SLMB is also examined.