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Title 8: Medicaid Page 54 Iowa Department of Health and Human Services Employees’ Manual Chapter C: Nonfinancial Eligibility Social Security Number Revised October 10, 2025

Social Security Number Legal reference: 42 CFR 435.910, 441 IAC 75 (Rules in Process) A social security number or proof that an application for a number has been made is required for each person for whom Medicaid is being requested or received. This requirement does not apply to:  A child in “newborn” status (see 8-F, Newborn Children of Medicaid-Eligible Mothers), or  An unlawful alien, or  Any person for whom Medicaid is not being requested or received, such as parents whose children receive Medicaid but who don’t receive Medicaid themselves, or  A person who is not eligible to receive a social security number as determined by the Social Security Administration, or  A person who does not have a social security number and may only be issued a social security number for a valid non-work reason as determined by the Social Security Administration, or  A person who is a member of a recognized religious sect who conscientiously opposes applying for or using a social security number. As long as the applicant is cooperating in obtaining a number for a person, the person remains eligible for Medicaid. Cancel or deny Medicaid for clients who do not provide a valid social security number or who do not cooperate in obtaining a social security number. A person who is not eligible to receive a social security number or a person who may only be issued a social security number for non-work reasons must provide verification from the Social Security Administration. A person who will not apply for or use a social security number due to religious beliefs must provide verification from the church elder or other officiant that it is against the church doctrine. The following sections explain:  How clients can apply for a number  Acting on an error report