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After the death of a person who has received Title XIX funded medical assistance, the law requires that the individual's assets be used to provide repayment to the Iowa Department of Human Services (DHS).
To be eligible for Medicaid long-term care coverage, the applicant cannot have more than $2,000 after resources are split between the spouses.
One strategy we often recommend is setting up an Irrevocable Trust. In Iowa, assets held in an irrevocable trust are generally not considered a part of the Medicaid applicant's assets, providing they were transferred to the trust more than five years prior to applying for Medicaid.
Medicaid's Look-Back Rule Iowa has a Medicaid Look-Back Period of 60 months that immediately precedes one's Medicaid application date for Nursing Home Medicaid or a Medicaid Waiver. During the ?look back?, Medicaid scrutinizes all asset transfers to ensure none were sold or gifted under fair market value.
Who is eligible for Iowa Medicaid Program? Household Size*Maximum Income Level (Per Year)1$19,3922$26,2283$33,0644$39,9004 more rows
When do I have to pay back Medicaid assistance? If you have assets, repayment occurs after death, with no interest until six months after death. If there is a surviving spouse or disabled child, the repayment for Medical Assistance is waived until the death of the surviving spouse, or adult disabled child.
Hardship exists for a person applying for the waiver when: ? The total household income is less than 200% of the federal poverty level for the size of the household, and ? The total household resources are not more than $10,000, and ? Recovering the resources of the ?estate? denies your family of food, clothing, ...