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Title 8: Medicaid Page 107 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 To determine net countable monthly income, follow SSI policies. See 8-E, Income Policies for Non-MAGI-Related Coverage Groups. Allow the earned and unearned deductions. Consider the income prospectively.  Has resources that do not exceed twice the maximum allowed by the SSI program. Resources are treated according to SSI policies. The resource limits for the SLMB group are $9,950 for an individual and $14,910 for a couple. (See 8-D, General Non-MAGI-Related Resource Policies.)  Meets all other non-MAGI-related Medicaid nonfinancial eligibility requirements except for disability determination and age.  Is not eligible for any other Medicaid coverage group. (If a person is approved for Medically Needy with a spenddown, the person can receive E-SLMB until the spenddown is met.) A person who wants this coverage must enroll in both Medicare Part A and Part B. The state will not enroll people for Medicare Part A under expanded SLMB. A person who chooses not to enroll for Medicare Part A benefits cannot be eligible under expanded SLMB. When Medicaid eligibility ends, the client is responsible for paying the Medicaid Part B premiums. Calculate net countable monthly income using SSI policies. Allow the earned and unearned income exclusions. Consider the income prospectively. See 8-E, Deeming Non-MAGI-Related Income when deeming to a spouse is applicable. 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.

Mr. X files an application on May 1. His monthly income is:

$1,190

+ 500

$1,690

– 20

$1,670 Gross social security Retirement pension

Income exclusion Net countable monthly income Since the net countable monthly income is more than 120% of the poverty level but less than 135% of the poverty level, there is eligibility for expanded SLMB.