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Title 8: Medicaid Page 9 Iowa Department of Health and Human Services Employees’ Manual Chapter B: Application Processing Procedures for SSI Applicants or Potential… Revised October 17, 2025 Medicare Savings Program Applications Comment: Medicare beneficiaries apply to the SSA for Extra Help. The Application for Extra Help with Medicare Prescription Drug Plan Costs tells beneficiaries that:  They may be able to get help from Medicaid with their Medicare costs under the Medicare Savings Programs; and  By completing the Extra Help application, they also start the application process for a Medicare Savings Program benefit, unless they check the ‘No’ box on the application form indicating they do not want to apply for MSP. Procedure: SSA sends HHS data on a daily basis for all Iowa Medicare beneficiaries who do not check the ‘No’ box for the Medicare Savings Program on the Extra Help application. SSA does not forward the data to HHS until it has made a decision on eligibility for Extra Help. The application data is forwarded to HHS regardless of whether Extra Help was approved or denied. When data sent by the SSA indicates the applicant is not a Medicare beneficiary or is over income or over resources for MSP, the MSPS system automatically denies the application and generates a Notice of Decision sent to the applicant. For all other cases, MSPS generates form 470-4846, Medicare Savings Programs Additional Information Request populated with the data from SSA. (See 6-Appendix for a list of this data.) The form is sent to the applicant at the mailing address the applicant provided to the SSA. When the applicant returns the form: 1. Determine if the mailing address and living address are the same. If the addresses are different and the living address is in another state, deny the application on the basis of the applicant’s residency. 2. Determine eligibility for MSP using the policies in Employees’ Manual 8-F. IMPORTANT:  A “V” following the case number printed on page 1 of form 470-4846 indicates that the Department accepts the information that was printed on the form as verified. If the applicant has made changes to the printed income or resource information, verify the change.  An “NV” behind the case number indicates that the information on the form is not verified and must be verified.