Form 470-2965 - Iowa Medicaid Enterprise - ime state ia-2025

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Medically Exempt Individuals: Individuals with disabling mental disorders, chronic substance use disorders, serious and complex medical conditions, physical, intellectual or developmental disability that significantly impairs their ability to perform 1 or more activities of daily living, or a disability determination.
ing to federal and state law, the money that the Medicaid program pays on behalf of a Medicaid recipient, who was age 55 or older or in a long-term care facility, is a debt owed back to the state.
When you received Medicaid benefits, which includes capitation fees paid to managed care organizations, even if the plan did not pay for any services, the state of Iowa has the right to ask for money back from your estate after your death. The state will never ask for more money back than it paid.
Bank Account Checks: An Integral Part of Eligibility Medicaid eligibility in Iowa is largely determined by income and asset limitations. Therefore, bank account checks are an integral part of the process. Medicaid wants to ensure that recipients truly need the assistance.
Remember, when spending down assets, its important that one does not give away assets or sell them under market value. This is because in Iowa, Medicaid has a Look- Page 6 Back period of 60 months.
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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 applicants assets, providing they were transferred to the trust more than five years prior to applying for Medicaid.

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