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Title 8: Medicaid Page 115 Iowa Department of Health and Human Services Employees’ Manual Chapter F: Coverage Groups Non-MAGI-Related Coverage Groups Revised October 10, 2025 Medicaid for Employed People with Disabilities These exemptions are:  Retirement or pension funds that are exempt from execution, regardless of the amount of contributions, the interest generated, or the total amount in the fund or account. Such funds include but are not limited to simplified employee pensions plans, self-employed pension plans, Keogh plans, individual retirement accounts, Roth individual retirement accounts, savings incentive matched plans for employees and similar plans for retirement.  Funds placed in a medical savings account that is exempt from federal income taxation pursuant to Section 220 of the United States Internal Revenue Code (26 U.S.C. §220). A person who has a medical savings account will have documentation from a bank or other financial institution that set up the account.  Funds in assistive technology accounts saved for the purchase, lease, or acquisition of assistive technology, assistive technology devices, or assistive technology services. For technology-related funds to be exempt, the need for such technology and evidence that the technology can reasonably be expected to enhance the individual’s employment must be established by: • A physician, or • A certified vocational rehabilitation counselor, or • A licensed physical therapist, or • A licensed speech therapist, or • A licensed occupational therapist. Procedure: If there is a question whether to exempt a retirement account, ask the DHS, SPIRS Help Desk. See 8-D, Exempt Resources for Medicaid for Employed People With Disabilities.