Medicaid Estate Recovery in Iowa

Medicaid Estate Recovery in Iowa: key facts

Recovery scope

All medical assistance provided on the recipient's behalf, including capitation payments to managed care organizations (Iowa Code 249A.53(2)).

Who is subject

Recipients age 55 or older when assistance was provided, and residents of a nursing facility, ICF, or mental health institute who could not reasonably be expected to return home.

Estate reached

Real property, personal property, and any asset in which the recipient held legal title or interest at death, including jointly held property, retained life estates, and interests in trusts (Iowa Code 249A.53(2)(c)).

Recovery waived or deferred

For amounts that would reduce what a surviving spouse, or a surviving child who was under 21, blind, or permanently and totally disabled at death, receives from the estate; and for undue hardship under 42 U.S.C. 1396p(b)(3).

Frequently asked questions