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Title 8: Medicaid Page 105 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 Exclude the social security COLA income from January through the month following the month in which the federal poverty level is published. Central office will notify you when to recalculate the poverty level using the social security COLA increases received in January. See 8-E, Deeming Non-MAGI-Related Income when deeming to a spouse is applicable.

1. Mr. T files an application on May 1. His monthly income is: $1,000 + 350 $1,350 – 20 $1,330 Gross social security Retirement pension

Income exclusion Net countable monthly income Since the net countable monthly income exceeds 100% of the poverty level but does not exceed 120% of the poverty level, there is eligibility for SLMB. The worker examines Mr. T’s application for eligibility for other Medicaid coverage groups and determines that Mr. T is also potentially eligible for the Medically Needy coverage group with a spenddown. 2. Mr. L files an application. Mr. L’s monthly income is: $1,067 – 20 $1,047 Gross social security Income exclusion Net countable monthly income Since the net countable monthly income does not exceed 100% of the poverty level, there is no eligibility for SLMB. The worker examines Mr. L’s application for eligibility under other Medicaid coverage groups and determines that Mr. L is eligible for QMB and potentially eligible for Medically Needy with a spenddown. The effective date of assistance is the first of the month in which application is made or the first day of the month in which all eligibility criteria are met, whichever is later.