Page 3

Title 8: Medicaid Table of Contents Chapter C: Nonfinancial Eligibility Revised October 10, 2025 Page 2 Page Iowa Department of Health and Human Services Employees’ Manual Residency ................................................................................................................................ 32 Determining Residency for Persons Aged 21 or Over ...................................................... 34 Not in an Institution ................................................................................................... 35 In an Institution ......................................................................................................... 35 Determining Residency for Persons Under Age 21 .......................................................... 37 Not in an Institution or in Foster Care ....................................................................... 38 In an Institution or in Foster Care ............................................................................. 38 Living in Iowa for Employment Purposes .......................................................................... 39 Intent to Live in Iowa ......................................................................................................... 40 Temporary Absence ................................................................................................. 40 Incapability of Expressing Intent ....................................................................................... 40 State Placement ............................................................................................................... 41 Eligibility in Out-of-State Medical Institutions .................................................................... 42 Intent to Return to Iowa from an Out-of-State Facility ............................................... 43 Guidelines for Discharge Planners ........................................................................... 45 Approval for Out-of-State Skilled Care ..................................................................... 45 When a Medicaid-Eligible Person Moves to Iowa ............................................................. 46 Residents of Institutions ........................................................................................................ 48 Residents of Institutions for Mental Disease ..................................................................... 48 Residents of Public Nonmedical Institutions ..................................................................... 49 Halfway House ......................................................................................................... 51 Inpatient Medical Institutions .................................................................................... 52 Non-MAGI-Related Eligibility Under Levings Rule .................................................... 53 Social Security Number ......................................................................................................... 54 How Clients Can Apply for a Social Security Number ...................................................... 55 Acting on an Error Report ................................................................................................. 56 Nonfinancial Non-MAGI-Related Eligibility ........................................................................... 56 Household Size ................................................................................................................ 57 Presence of Age, Blindness, or Disability ......................................................................... 59 When the Department Follows an SSA Disability Determination ...................................... 62 Presumptive Disability .............................................................................................. 67 SSA Disability Denial and Appeal Process ............................................................... 69 When SSA Denies Disability After Disability Approval By DDS or SSA .................... 73 When the Department Determines Disability .................................................................... 74 Substantial Gainful Activity for an Employee ............................................................ 77 Substantial Gainful Activity for a Self-Employed Person .......................................... 80 Submitting Medical Evidence to DDS ....................................................................... 84 Disability Approved by DDS ..................................................................................... 86 HHS Responsibility for Disability Review and Redetermination ....................................... 86 Disability Reviews ..................................................................................................... 87 Redetermination at Age 18 ....................................................................................... 89