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Title 8: Medicaid Page 5 Iowa Department of Health and Human Services Employees’ Manual Chapter B: Application Processing Filing a Medicaid Application Revised October 17, 2025 Date of Application A faxed or electronic application shall be considered as an original application. A faxed or electronic application is considered filed on the date it is received when it comes in during normal business hours. If the application comes in after normal business hours (during the evening, weekend, or holiday), the application is considered received on the first day that is not a weekend or state holiday following the day that office was last open. When a person fills out an incorrect application form, the person must complete the correct form before eligibility can be established. Use the filing date on the incorrect application as the filing date when the correct application is received. Attach the incorrect application to the correct application and file it in the case record. On all applications, use the filing date as the application date. Withdrawal of Application Legal reference: 42 CFR 435.907 and 435.914(b)(1), 441 IAC 76.10(249A) and 86.3(5) Applicants may withdraw the application entirely or for any month covered by the application, if the request is made before the eligibility determination has been made. EXCEPTION: The Medically Needy coverage group requires that concurrent months be included in the certification period. A Medically Needy applicant may withdraw the application for the month in which the application is filed, if the applicant wants to have the certification period begin the following month. The request to withdraw the application may be oral or in writing. Document the withdrawal in the case record. Issue an adequate notice of decision if the entire application is withdrawn. If only a month of the application is withdrawn, and a notice of decision will be issued when the remaining application is processed, a separate notice is not necessary. Procedures for SSI Applicants or Potential SSI Eligibles Legal reference: 441 IAC 76.5(249A) Persons who would be eligible for Supplemental Security Income (SSI) may apply at the Social Security Administration district office for both SSI and Medicaid. Normally it is to a low-income person’s advantage to apply for SSI because of the money payment. However, application for SSI is not a condition of eligibility for Medicaid.