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Title 8: Medicaid Page 106 Iowa Department of Health and Human Services Employees’ Manual Chapter F: Coverage Groups Non-MAGI-Related Coverage Groups Revised October 10, 2025 People in Medicare Savings Programs Relationship Between SLMB and Other Coverage Groups Legal reference: 441 IAC 75 (Rules in Process) A person applying for SLMB may also be eligible for Medicaid under another coverage group. Medicaid members who meet the SLMB requirements have concurrent eligibility for SLMB. When concurrently eligible, members can receive all Medicaid benefits provided under the other coverage group in addition to the payment for Medicare Part B premium. Clients who are concurrently eligible for SLMB and Medically Needy with a spenddown are entitled only to Medicaid payment of Part B premiums until spenddown is met. Once spenddown is met, they are entitled to all Medicaid services that are payable under the Medically Needy coverage group. Expanded Specified Low-Income Medicare Beneficiaries (QI-1) Legal reference: 441 IAC 75 (Rules in Process) Medicaid will pay the cost of the Medicare Part B premiums for “expanded specified low-income Medicare beneficiaries” (expanded SLMBs). NOTE: Medicare refers to the E-SLMB group as “qualifying individuals 1” (QI-1) or a “Medicare Savings Program.” People applying for E-SLMB may refer to the coverage group as QI-1 or as the Medicare Savings Program. Part B premiums are the only service Medicaid covers for this group. Medicare copayments, deductibles, and Part A premiums are not covered. People eligible only for the E-SLMB coverage group do not receive a Medical Assistance Eligibility Card. These limited Medicaid benefits are available to a person who meets all of the following conditions:  Is entitled to Medicare Part A, which provides benefits for hospital care.  Has net countable monthly income of at least 120% of the federal poverty level for the family size but less than 135% of this level.

For family size: Income is at least: But is less than: Individual $1,565 $1,761 Couple $2,115 $2,380