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Title 8: Medicaid Table of Contents Chapter B: Application Processing Revised October 17, 2025 Page 1 Page Iowa Department of Health and Human Services Employees’ Manual Overview .................................................................................................................................... 1 Filing a Medicaid Application .................................................................................................. 1 Which Application Form to Use .......................................................................................... 2 Application Referrals from and to the Federally Facilitated Marketplace (FFM) ................. 2 Who Must Sign the Application ........................................................................................... 3 Where the Application Must Be Filed .................................................................................. 4 Date of Application ............................................................................................................. 4 Withdrawal of Application ................................................................................................... 5 Procedures for SSI Applicants or Potential SSI Eligibles ..................................................... 5 Concurrent Medicaid and Social Security Disability Determinations .................................. 6 Medicare Savings Program Applications ............................................................................ 8 Interviews ................................................................................................................................ 11 Information Provided ........................................................................................................ 12 Voter Registration Procedures ......................................................................................... 14 Verification .............................................................................................................................. 15 Pregnant Women.............................................................................................................. 16 IRS Tax Information .......................................................................................................... 16 Reasonable Opportunity Period (ROP) for Verifying Citizenship or Alien Status .............. 16 Moving and Returned Mail ................................................................................................ 17 Processing Standards ............................................................................................................ 17 Guidelines for All Applications .......................................................................................... 17 Unnecessary Application .................................................................................................. 18 Grace Period Following the Denial of an Application ........................................................ 19 Effective Date of Eligibility ..................................................................................................... 22 Effective Date for SSI Recipients ..................................................................................... 22 Establishing Beginning Months of Eligibility for MEPD ..................................................... 24 Determining Eligibility for the Retroactive Period ............................................................... 26 Verification Requirements ................................................................................................ 28 Retroactive Eligibility for Medically Needy Recipients ...................................................... 29 Retroactive Eligibility for SSI Recipients ........................................................................... 30 Referrals to CSS ..................................................................................................................... 30 Referral Procedures ......................................................................................................... 32 Pregnant Women.............................................................................................................. 32 Representation ....................................................................................................................... 33 Responsible Person ......................................................................................................... 34 Authorized Representative ............................................................................................... 35 Authorization to Represent ............................................................................................... 36