441—75.13 (249A) Categorical relatedness.
	 75.13(1) FMAP-related Medicaid eligibility. Medicaid eligibility for persons who are under the age of 21, pregnant women, or specified relatives of dependent children who are not blind or disabled shall be determined using the income criteria in effect for the family medical assistance program (FMAP) as provided in subrule 75.1(14) unless otherwise specified. Income shall be considered prospectively.
	 75.13(2) SSI-related Medicaid. Except as otherwise provided in 441—Chapters 75 and 76, persons who are 65 years of age or older, blind, or disabled are eligible for Medicaid only if eligible for the Supplemental Security Income (SSI) program administered by the United States Social Security Administration.
	  a.   	 SSI policy reference. The statutes, regulations, and policy governing eligibility for SSI are found in Title XVI of the Social Security Act (42 U.S.C. Sections 1381 to 1383f), in the federal regulations promulgated pursuant to Title XVI (20 CFR 416.101 to 416.2227), and in Part 5 of the Program Operations Manual System published by the United States Social Security Administration. The Program Operations Manual System is available at Social Security Administration offices in Ames, Burlington, Carroll, Cedar Rapids, Clinton, Council Bluffs, Creston, Davenport, Decorah, Des Moines, Dubuque, Fort Dodge, Iowa City, Marshalltown, Mason City, Oskaloosa, Ottumwa, Sioux City, Spencer, Storm Lake, and Waterloo, or through the Department of Human Services, Division of Financial, Health, and Work Supports, Hoover State Office Building, 1305 East Walnut, Des Moines, Iowa 50319-0114.
	  b.   	 Income considered. For SSI-related Medicaid eligibility purposes, income shall be considered prospectively.
	  c.   	 Trust contributions. Income that a person contributes to a trust as specified at 75.24(3)“b” shall not be considered for purposes of determining eligibility for SSI-related Medicaid.
	  d.   	 Conditional eligibility. For purposes of determining eligibility for SSI-related Medicaid, the SSI conditional eligibility process, by which a client may receive SSI benefits while attempting to sell excess resources, found at 20 CFR 416.1240 to 416.1245, is not considered an eligibility methodology.
	  e.   	 Valuation of life estates and remainder interests. In the absence of other evidence, the value of a life estate or remainder interest in property shall be determined using the following table by multiplying the fair market value of the entire underlying property (including all life estates and all remainder interests) by the life estate or remainder interest decimal corresponding to the age of the life estate holder or other person whose life controls the life estate.
If a Medicaid applicant or recipient disputes the value determined using the following table, the applicant or recipient may submit other evidence and the value of the life estate or remainder interest shall be determined based on the preponderance of all the evidence submitted to or obtained by the department, including the value given by the following table.

Age	Life
Estate	Remainder	 	Age	Life
Estate	Remainder	 	Age	Life
Estate	Remainder	
0	.97188	.02812	 	37	.93026	.06974	 	74	.53862	.46138	
1	.98988	.01012	 	38	.92567	.07433	 	75	.52149	.47851	
2	.99017	.00983	 	39	.92083	.07917	 	76	.51441	.49559	
3	.99008	.00992	 	40	.91571	.08429	 	77	.48742	.51258	
4	.98981	.01019	 	41	.91030	.08970	 	78	.47049	.52951	
5	.98938	.01062	 	42	.90457	.09543	 	79	.45357	.54643	
6	.98884	.01116	 	43	.89855	.10145	 	80	.43569	.56341	
7	.98822	.01178	 	44	.89221	.10779	 	81	.41967	.58033	
8	.98748	.01252	 	45	.88558	.11442	 	82	.40295	.59705	
9	.98663	.01337	 	46	.87863	.12137	 	83	.38642	.61358	
10	.98565	.01435	 	47	.87137	.12863	 	84	.36998	.63002	
11	.98453	.01547	 	48	.86374	.13626	 	85	.35359	.64641	
12	.98329	.01671	 	49	.85578	.14422	 	86	.33764	.66236	
13	.98198	.01802	 	50	.84743	.15257	 	87	.32262	.67738	
14	.98066	.01934	 	51	.83674	.16126	 	88	.30859	.69141	
15	.97937	.02063	 	52	.82969	.17031	 	89	.29526	.70474	
16	.97815	.02185	 	53	.82028	.17972	 	90	.28221	.71779	
17	.97700	.02300	 	54	.81054	.18946	 	91	.26955	.73045	
18	.97590	.02410	 	55	.80046	.19954	 	92	.25771	.74229	
19	.97480	.02520	 	56	.79006	.20994	 	93	.24692	.75308	
20	.97365	.02635	 	57	.77931	.22069	 	94	.23728	.76272	
21	.97245	.02755	 	58	.76822	.23178	 	95	.22887	.77113	
22	.97120	.02880	 	59	.75675	.24325	 	96	.22181	.77819	
23	.96986	.03014	 	60	.74491	.25509	 	97	.21550	.78450	
24	.96841	.03159	 	61	.73267	.26733	 	98	.21000	.79000	
25	.96678	.03322	 	62	.72002	.27998	 	99	.20486	.79514	
26	.96495	.03505	 	63	.70696	.29304	 	100	.19975	.80025	
27	.96290	.03710	 	64	.69352	.30648	 	101	.19532	.80468	
28	.96062	.03938	 	65	.67970	.32030	 	102	.19054	.80946	
29	.95813	.04187	 	66	.66551	.33449	 	103	.18437	.81563	
30	.95543	.04457	 	67	.65098	.343902	 	104	.17856	.82144	
31	.95254	.04746	 	68	.63610	.363690	 	105	.16962	.83038	
32	.94942	.05058	 	69	.62086	.37914	 	106	.15488	.84512	
33	.94608	.05392	 	70	.60522	.39478	 	107	.13409	.86591	
34	.94250	.05750	 	71	.58914	.41086	 	108	.10068	.89932	
35	.93868	.06132	 	72	.57261	.42739	 	109	.04545	.95455	
36	.93460	.06540	 	73	.55571	.44429	 	 	 	 	
	 75.13(3) Resource eligibility for SSI-related Medicaid for children. Resources of all household members shall be disregarded when determining eligibility for children under any SSI-related coverage group except for those groups at subrules 75.1(3), 75.1(4), 75.1(6), 75.1(9), 75.1(10), 75.1(12), 75.1(13), 75.1(23), 75.1(25), 75.1(29), 75.1(33), 75.1(34), 75.1(36), 75.1(37), and 75.1(38).
This rule is intended to implement Iowa Code section 249A.3.