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Title 8: Medicaid Page 2 Iowa Department of Health and Human Services Employees’ Manual Chapter A: Administration Overview Revised January 13, 2023 Definitions “Client” means any of the following: ▪ A Medicaid applicant, ▪ A Medicaid member, ▪ A person who is conditionally eligible for Medicaid, or ▪ A person whose income or assets are considered in determining eligibility for an applicant or member. “Client participation” is the amount the client is required to pay for care in an institution. “CMAP” means the Child Medical Assistance Program and is used only for children under age 21 either placed in licensed foster care for whom non-IV-E foster care maintenance payments are made or with non-IV-E adoption assistance with Iowa or with a state with which Iowa has a reciprocity agreement. “Common-law marriage” is a legal and valid marriage in Iowa. When a common-law marriage exists, the department views the adults the same as any other married couple. Accept a couple’s attestation that a common-law marriage exists unless questionable. See 8-I, Determining if a Common- Law Marriage Exists, for more information. “Community spouse” means a person who is not in an institution or on a waiver but who is married to a person who is in an institution or is applying for or receiving waiver services or PACE. “Coverage group” means a group of persons who meet certain common eligibility requirements. “CSRU” means the Child Support Recovery Unit (the Department’s Bureau of Collections, including its field offices). “Department” means the Iowa Department of Human Services. “Dependent” means a person who can be claimed by another person as a dependent for federal income tax purposes. (Dependent person for the State Supplementary Assistance Program is defined in 6-B). “Dependent children” means children who meet the nonfinancial eligibility requirements of the applicable MAGI-related coverage group. “Disability Determination Services” or “DDS” is a state agency in the Division of Vocational Rehabilitation Services of the Iowa Department of Education. The Department has an agreement with DDS to determine disability for State Supplementary Assistance and NonMAGI-related Medicaid. “Disabled person” for NonMAGI-related or Social Security Administration purposes, is a person who is unable to engage in substantial gainful activity because of a physical or mental impairment that has lasted or is expected to last for 12 continuous months or result in death. EXCEPTION: The MEPD coverage group does not apply the substantial gainful activity test to determine disability. A disabled person must meet only the physical or mental impairment criteria.