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Title 8: Medicaid Page 101 Iowa Department of Health and Human Services Employees’ Manual Chapter F: Coverage Groups Non-MAGI-Related Coverage Groups Revised , 101 People in Medicare Savings Programs

3. Mr. and Mrs. B file an application July 20. Mr. B receives $877 social security benefits, and Mrs. B receives $776 social security benefits each month. Both are entitled to Medicare Part A. Their countable resources are $4,000. Their income is considered as follows: $ 877 + 776 $1,653 – 20 $1,633 Mr. B’s gross social security Mrs. B’s gross social security Total income General income exclusion Countable monthly net income The Bs could qualify for the Medically Needy program with a spenddown and have eligibility for the limited Medicaid services under the QMB program until spenddown is met. Medicaid will cover the cost of the couple’s Medicare premiums, deductibles, and coinsurance until spenddown is met. 4. Mr. A, age 43, is disabled and is entitled to Medicare. He has $1,046 monthly gross social security disability. Mrs. A, age 40, has $311 monthly gross social security. Child A, age 15, has $311 monthly gross social security. Step 1: The worker determines if Mr. A is eligible. $ 1046 – 20 $ 1026 Monthly social security Income exclusion Mr. A’s net countable income is below 100% of the poverty level for a household of one Step 2: To determine income eligibility for Mr. A, the worker computes the allocation of income to the ineligible child. A maximum of $497 may be allocated to meet the needs of the child, from Mrs. A, the ineligible spouse. $ 311 – 186 $ 125 Mrs. A’s gross unearned income Allocation for ineligible child since the child has $311 income ($497 – $311) $125 is less than $497. Therefore, Mrs. A, the ineligible spouse, does not have income to deem to Mr. A.