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Title 8: Medicaid Page 8 Iowa Department of Health and Human Services Employees’ Manual Chapter B: Application Processing Procedures for SSI Applicants or Potential… Revised October 17, 2025 Concurrent Medicaid and Social Security… If not, then get a copy of the disability determination from the Social Security Administration and get the income and resource verification from the applicant. Complete the application processing. 7. When a final Social Security disability determination has been made, contact the Social Security Administration to see if the full eligibility determination will be made within ten days. If so, wait for the Social Security Administration decision. If not, get a copy of the Social Security Administration disability decision and determine Medicaid eligibility. Medicare Savings Program Applications Legal reference: 441 IAC 76.6 Policy: When the Social Security Administration (SSA) sends data on an Application for Extra Help with Medicare Prescription Drug Plan Costs to the Department, that data is considered an application for the Medicare Savings Programs. Medicare Savings Programs (MSP) include qualified Medicare beneficiaries (QMB), specified low-income beneficiaries (SLMB), expanded specified low- income beneficiaries (E-SLMB), and qualified disabled working persons (QDWP). The date that SSA received the Extra Help application is the application filing date for purposes of establishing eligibility for the Medicare Savings Programs. The date the Department receives the data from SSA begins the 30-day processing time to determine eligibility. The applicant’s signature on the Extra Help application from which the data was generated shall be treated as the signature for the MSP application. Income and resource data provided by the SSA shall be considered verified unless the applicant provides different information. The Department will issue form 470-4846, Medicare Savings Programs Additional Information Request which the applicant must complete and return within ten days to provide the rest of the information needed to establish eligibility.