Persons must contribute their predetermined financial
participation to the cost of health and disability waiver services or other
Medicaid services, as applicable.
Maintenance needs of the individual. The maintenance needs of
the individual shall be computed by deducting an amount which is 300 percent of
the maximum monthly payment for one person under supplemental security income
(SSI) from the client's total income.
Limitation on payment.
If the sum of the third-party payment and client participation equals or
exceeds the reimbursement established by the service worker or targeted case
manager for health and disability waiver services, Medicaid shall make no
payments to health and disability waiver service providers. However, Medicaid
shall make payments to other medical vendors, as applicable.
Maintenance needs of spouse and
other dependents. Rescinded IAB 4/9/97, effective 6/1/97.
Iowa Admin. Code r. 441-83.4
ARC 0757C, IAB
5/29/2013, effective 8/1/2013