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Title 8: Medicaid Page 97 Iowa Department of Health and Human Services Employees’ Manual Chapter C: Nonfinancial Eligibility Nonfinancial Non-MAGI-Related Eligibility Revised October 10, 2025 Reapplications Based on Disability Reapplying After Disability Is Denied Legal reference: 20 CFR 416.913 and 416.920; 441 IAC 50.2(1), 75 (Rules in Process) Policy: When a person reapplies for Medicaid following a denial or cancellation based on a decision of disability or blindness by the Bureau of Disability Determination Services (DDS):  HHS continues to use the initial denial of disability when the person does not claim a worsening of the disabling condition or a new disabling condition.  A new referral to DDS must be made when the person claims a worsening of the condition or a new disabling condition. Procedure: If the person claims a worsening of the disabling condition or a new disabling condition, send all previous disability reports to DDS along with any new material. If the person claims there is no change in condition, no disability exists. Manually issue a Notice of Action using the language below. Determine if eligibility exists under another coverage group.

_______ is not blind or disabled. If your medical condition gets worse or you have a new condition, then you may re-apply for Medicaid. EM 8-C, Reapplying after Disability is Denied; 441 Iowa Admin. Code 75 (Rules in Process), 20 CFR 416.913 and 416.920. Comment:

Mr. K applies for Medicaid as a disabled person because of arthritis in May 2008. The worker makes a referral to DDS. In July 2008, DDS determines that Mr. K is not disabled due to the arthritis. The worker issues a Notice of Action in July 2008, denying Medicaid as Mr. K is not disabled. The worker determines if eligibility exists under another coverage group. In January 2009, Mr. K again applies for Medicaid. He does not claim a new disabling condition nor a worsening of his arthritis. The worker denies his Medicaid application as not disabled.