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Title 8: Medicaid Page 4 Iowa Department of Health and Human Services Employees’ Manual Chapter B: Application Processing Filing a Medicaid Application Revised October 17, 2025 Where the Application Must Be Filed Where the Application Must Be Filed Legal reference: 441 IAC 76 (Rules in Process) and 86.3(3) An application may be filed online at https://hhsservices.iowa.gov/apspssp/ssp.portal or any local HHS office; or any HHS outstation at a disproportionate share hospital, federally qualified health center in Iowa, or other facility in Iowa where outstationing activities are provided (i.e., mental health institute or hospital school). Applications may be submitted in person, by mail, by telephone at 1-855-889-7985, or by email or fax to a local HHS office. An application may also be filed at the office of a qualified entity under the Presumptive Medicaid program, a WIC office, a maternal health clinic, or a well- child clinic. Date of Application Legal reference: 441 IAC 76 (Rules in Process) and 86.3(4) Policy: An application is considered filed on the date when the application containing a legible name, address, and signature of the client or representative is received at a location defined under Where the Application Must Be Filed. For SSI recipients, the date the SSI application was filed with the Social Security Administration, as shown on the SDX, is the date of application for Medicaid. See Effective Date for SSI Recipients and 14-E, SSI State Data Exchange for SDX information. Procedure: An application left at a closed office will be considered received on the first day that is not a weekend or state holiday following the day that office was last open.

County A is a less-than-full-time office and open on Monday and Wednesday. The office was last open Wednesday, April 24. When the office re-opens on the following Monday, staff find several applications that have been left under the door. All applications are date-stamped as being received Thursday, April 25.