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Title 8: Medicaid Page 61 Iowa Department of Health and Human Services Employees’ Manual Chapter C: Nonfinancial Eligibility Nonfinancial Non-MAGI-Related Eligibility Revised October 10, 2025 Presence of Age, Blindness, or Disability 2. For all applicants claiming disability, determine whether the presence of disability can be verified through receipt of federal benefits by checking SDX and IEVS. For specific situations, see the following chart:

Situation Action The applicant is under 65 and gets SSI. Verify the disability on the SDX screens in WISE. Electronic Data Sources (EDS) will verify disability in ELIAS. The applicant is under 65 and gets SSDI. Verify the disability on the IEVS TPQ2 screen if not verified by EDS. The applicant is under 65 and gets Social Security survivor benefits. Verify any disability on the IEVS TPQ2 screen if not verified by EDS. NOTE: A person does not have to be disabled to receive survivor benefits. The applicant was canceled from SSDI due to losing disability status because of substantial gainful activity (SGA) but remains eligible for extended Medicare benefits. The only coverage group the applicant can qualify for is MEPD, which skips the SGA requirement. Request a disability determination by the Bureau of Disability Determination Services. The applicant qualifies under Railroad Retirement permanent disability benefits. Send form 470-0461 or 470-0461(S), Authorization for Release of Information to the Railroad Retirement Board to verify whether the person is getting benefits based on Social Security criteria for disability. Verify the type of RR benefits the person receives. Options include:  Disabled former railroad worker  Disabled adult child  Disabled survivor of a railroad worker who is at least age 50 Consider the person disabled for Medicaid if the benefits are received due to permanent disability.