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Title 8: Medicaid Page 81 Iowa Department of Health and Human Services Employees’ Manual Chapter F: Coverage Groups Non-MAGI-Related Coverage Groups Revised May 22, 2026 People Ineligible for SSI (or SSA)

2. Single Person with Earned Income Miss Y, who is over 65, had $435.90 gross social security income in March 2005 when she was canceled from SSI. She continues living independently, and now has $722.00 social security income and $800 monthly gross earned income. The worker determines that the social security income includes more than the cost of living increases. Social Security verifies that there is $291 per month attributable to a non-COLA increase. The calculation of income eligibility is as follows:

$ 435.90

+ 291.00

$ 726.90

+ 367.50

$1,094.40

– 20.00

$1,074.40 Social security in March 1995 Non-COLA increase

Countable earned income ($800 - 65 ÷ 2)

General income exclusion Countable income Miss Y’s countable income is over the SSI income limit of $994 for a single person in her own home. She is not eligible for Medicaid under the 503 coverage group. However, she may be eligible under another coverage group when her total social security income and earnings are considered (such as Medically Needy). 3. State Supplementary Assistance Mr. W was canceled from RCF State Supplementary Assistance beginning January 1997. His gross social security income in December 1996 was $725. He is still in an RCF. His current gross social security is $1,042. The State Supplementary Assistance per diem rate that has been established for the RCF that Mr. W lives in is currently $25.20 per day. The worker has determined that Mr. W’s social security increases were all attributable to COLAs. The calculation of income eligibility for 503 Medicaid is as follows: $25.20 per diem in the RCF x 31 = Personal need Need standard $ 781.20 + 130.00 $ 911.20