Page 121

Official source

Title 8: Medicaid Page 117 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 Central office will notify you when to calculate the poverty level using the social security COLA increases received in January.

MEPD Monthly Income Limits: 250% of Poverty Level Household Size Limit 1 $3,261 2 $4,407 3 $5,553 4 $6,698 5 $7,844 6 $8,990 7 $10,136 8 $11,282 Premiums Legal reference: 441 IAC 75 (Rules in Process), Section. 5006 of ARRA Policy: When the applicant or member’s gross income is at or below 150% of the federal poverty level, no premium is assessed. The member will not have Medicaid eligibility for a month with a premium owed until the premium is paid. Use only the gross income of the disabled person to determine the amount of the premium. Exclude the social security cost-of-living (COLA) increase received in the current calendar year for January through the month following the month in which the federal poverty level is published.) The premium amount established for the 12-month period will never be increased during that period due to an increase in income. The premium may decrease if the member reports an income decrease resulting in a lower premium. People who have identified themselves with race or ethnicity of “Indian” are excluded from being assessed MEPD premiums. See 8-G, Premium Change for Current or Past System Months.

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Page 121

Official source

Title 8: Medicaid Page 117 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 Central office will notify you when to calculate the poverty level using the social security COLA increases received in January.

MEPD Monthly Income Limits: 250% of Poverty Level Household Size Limit 1 $3,261 2 $4,407 3 $5,553 4 $6,698 5 $7,844 6 $8,990 7 $10,136 8 $11,282 Premiums Legal reference: 441 IAC 75 (Rules in Process), Section. 5006 of ARRA Policy: When the applicant or member’s gross income is at or below 150% of the federal poverty level, no premium is assessed. The member will not have Medicaid eligibility for a month with a premium owed until the premium is paid. Use only the gross income of the disabled person to determine the amount of the premium. Exclude the social security cost-of-living (COLA) increase received in the current calendar year for January through the month following the month in which the federal poverty level is published.) The premium amount established for the 12-month period will never be increased during that period due to an increase in income. The premium may decrease if the member reports an income decrease resulting in a lower premium. People who have identified themselves with race or ethnicity of “Indian” are excluded from being assessed MEPD premiums. See 8-G, Premium Change for Current or Past System Months.