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State rules · Iowa

Iowa: estate, probate and Medicaid rules in one place

What applies in Iowa, collected from the site’s state datasets: estate and inheritance tax, transfer-on-death deeds, small-estate procedure, Medicaid long-term-care rules, and state income tax on retirement income. Where the dataset holds a source, the entry links it with its effective marker and check date; where it does not, the entry shows its verification status and the reason.

Quick answers

Does Iowa have a state estate tax?

State estate tax: No (Iowa Code § 450.98 (inheritance tax repealed for deaths on/after Jan 1, 2025; S.F. 619, 2021)).

Does Iowa have an inheritance tax?

Inheritance tax: No (Iowa Code § 450.98 (inheritance tax repealed for deaths on/after Jan 1, 2025; S.F. 619, 2021)).

Can you use a transfer-on-death deed in Iowa?

Transfer-on-death deed for real estate: None — not available for real property. No TOD-deed statute — Iowa has not enacted the URPTODA; confirm with the county recorder

What is the Medicaid look-back period in Iowa?

Look-back period: 60 months for transfers made on or after February 8, 2006 (Iowa Medicaid Employees Manual, Chapter D; Transfer-of-assets section revised September 13, 2024).

Does Iowa tax Social Security benefits?

Social Security benefits: Exempt (revenue.iowa.gov).

State estate tax

Estate-tax dataset 2026.v2

Inheritance tax

Estate-tax dataset 2026.v2

Transfer-on-death deed

Transfer-on-death deed for real estate
None — not available for real propertyNot primary-verified

No TOD-deed statute — Iowa has not enacted the URPTODA; confirm with the county recorder

· Checked July 26, 2026

Controlling statute
Not primary-verified

No TOD-deed statute — Iowa has not enacted the URPTODA; confirm with the county recorder

· Checked July 26, 2026

Small-estate procedure

Current rule
$50,000 personal property; no real property; affidavit after 90 daysVerified

Source: Iowa Code § 633.356 · Effective: 2026 · Checked August 23, 2026

Medicaid long-term-care eligibility

Medicaid dataset 2026.v16

Institutional long-term-care income limit
$2,982 per monthVerified
  • Applies to: institutionalized applicant; an income trust may be available above the cap under Iowa's separate trust ceiling.

Source: Iowa Medicaid Employees Manual, Chapter F · Effective: Revised May 22, 2026 · Checked November 14, 2026

Applicant resource limit after spousal attribution
$2,000Verified
  • Applies to: institutionalized applicant after resources are divided with a community spouse.

Source: Iowa Medicaid 2026 standards general letter · Effective: Effective January 1, 2026 · Checked November 14, 2026

Community-spouse resource allowance
$32,532 minimum to $162,660 maximumVerified
  • Applies to: institutionalized applicant with a community spouse; one-half of combined resources within the stated range.

Source: Iowa Medicaid 2026 standards general letter · Effective: Effective January 1, 2026 · Checked November 14, 2026

Minimum monthly maintenance-needs allowance
$4,066.50 per month for calendar year 2026Verified
  • Applies to: institutionalized applicant with a community spouse.

Source: Iowa HHS General Letter No. 8-D-113 (May 22, 2026), Employees' Manual Title 8, Chapter D · Also: Iowa Administrative Code rule 441-75.83(2)"d"(3) · Effective: Effective Date January 1, 2026 · Checked November 14, 2026

Maximum monthly maintenance-needs allowance
$4,066.50 per month for calendar year 2026Verified
  • Applies to: institutionalized applicant with a community spouse.

Source: Iowa HHS General Letter No. 8-D-113 (May 22, 2026), Employees' Manual Title 8, Chapter D · Also: Iowa Administrative Code rule 441-75.83(2)"d"(3) · Also: CMS updated 2026 SSI and spousal-impoverishment standards (April 27, 2026) · Effective: Effective Date January 1, 2026 · Checked November 14, 2026

Home-equity limit
$752,000Verified
  • Applies to: applicant whose home is otherwise subject to the substantial-home-equity rule.

Source: Iowa Medicaid 2026 standards general letter · Effective: Effective January 1, 2026 · Checked November 14, 2026

Medicaid look-back

Medicaid dataset 2026.v16

Look-back period
60 months for transfers made on or after February 8, 2006Verified

Source: Iowa Medicaid Employees Manual, Chapter D · Effective: Transfer-of-assets section revised September 13, 2024 · Checked September 5, 2026

Transfer-penalty divisor
$9,838.96 per month or $323.65 per dayVerified

Source: Iowa Medicaid long-term-care penalty divisors · Effective: Divisors effective July 1, 2026 through June 30, 2027 · Checked September 5, 2026

How the state administers the penalty
Iowa divides uncompensated value by the statewide average cost, retains fractional penalty days, and starts the penalty on the later of the transfer date or the date the person is otherwise eligible and receiving institutional care.Verified

Source: Iowa Medicaid Employees Manual, Chapter D · Effective: Transfer-of-assets section revised September 13, 2024 · Checked September 5, 2026

Medicaid estate recovery

Medicaid dataset 2026.v16

Recovery scope
Iowa recovers all medical assistance paid for a member age 55 or older and for a qualifying permanently institutionalized member. The estate includes real and personal property, jointly held interests, retained life estates, trusts, and other legal interests held at death.Verified

Source: Iowa Administrative Code rule 441—75.28 · Also: Iowa Code § 249A.53 · Effective: ARC 9763C published November 26, 2025; effective January 1, 2026 · Checked November 14, 2026

Controlling authority
Iowa Code § 249A.53 and Iowa Administrative Code rule 441—75.28 govern the state's recovery claim.Verified

Source: Iowa Code § 249A.53 · Also: Iowa Administrative Code rule 441—75.28 · Effective: Iowa Code 2026 · Checked November 14, 2026

Exemptions and deferrals
Collection is waived to the extent it would reduce an estate amount received by a surviving spouse or by a surviving child who is under 21, blind, or permanently and totally disabled.Verified

Source: Iowa Administrative Code rule 441—75.28 · Effective: ARC 9763C published November 26, 2025; effective January 1, 2026 · Checked November 14, 2026

Hardship waiver
Undue hardship requires household income below 200% of the federal poverty level, household resources no greater than $10,000, and recovery that would endanger life or health by depriving the applicant of food, clothing, shelter, or medical care. A written request with verification is due within 30 days after notice.Verified

Source: Iowa Administrative Code rule 441—75.28 · Effective: ARC 9763C published November 26, 2025; effective January 1, 2026 · Checked November 14, 2026

Lien practice
Iowa does not use liens in its estate recovery program. The debt is collected from the member's estate after death, with interest accruing beginning six months after the death of the member, surviving spouse, or surviving child, or when a minor child reaches age 21.Verified

Source: Iowa HHS Employees' Manual, Title 8, Chapter D: Resources, Estate Recovery (Amount Due) · Effective: Page revised September 13, 2024 · Checked November 14, 2026

State income tax on retirement income

Retirement-income tax dataset 2026.v4

Social Security benefits
ExemptVerified
  • Social Security benefits are excluded from Iowa taxable income.

Source: revenue.iowa.gov · Checked August 15, 2026

Public pensions
Exempt when conditions are metVerified
  • Qualifying governmental retirement-plan income is excluded for an eligible recipient.
  • Disabled taxpayer or qualifying surviving spouse/survivor.

Source: Retirement Income Tax Guidance · Checked September 1, 2026

Private pensions
Exempt when conditions are metVerified
  • Qualifying private pension and annuity income is excluded for an eligible recipient; nonqualified annuities do not qualify.
  • Disabled taxpayer or qualifying surviving spouse/survivor.

Source: Retirement Income Tax Guidance · Checked September 1, 2026

IRA and 401(k) distributions
Exempt when conditions are metVerified
  • Qualifying IRA, Roth IRA, SEP, SIMPLE, 401(k), 457(b), ESOP, and Keogh distributions are excluded for an eligible recipient.
  • Disabled taxpayer or qualifying surviving spouse/survivor.

Source: Retirement Income Tax Guidance · Checked September 1, 2026

Military retirement pay
ExemptVerified
  • Iowa excludes qualifying military retirement pay and Survivor Benefit Plan payments to the extent included in federal adjusted gross income.
  • The payment must be from the U.S. Armed Forces, reserve components, or National Guard.
  • Qualifying Survivor Benefit Plan payments are included.
  • Only the federally included amount is excluded; mixed civil-service and military benefits require allocation.

Source: Military Tax Information · Effective: tax year 2014 · Checked September 3, 2026

About this page

This page assembles entries from datasets the site already publishes; it adds no figure of its own. Entries marked “Not yet verified” or “Pending” have no primary-source value in the underlying dataset yet. Rules change, so confirm anything you plan to act on with the source, the state agency, or a licensed attorney.

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