Page 66

Title 8: Medicaid Page 62 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

Situation Action The applicant has a Railroad Retirement benefit due to temporary inability to work. Disability must be determined, because this person is not considered disabled according to Social Security requirements. The applicant receives disability income from the Veterans Affairs Department but does not receive disability benefits from Social Security. Disability may need to be determined, because this person does not automatically qualify as disabled according to Social Security requirements. 3. If age, blindness, or disability is verified, establish the correct Medicaid coverage group and process the application. 4. If disability is not verified, determine the status of any SSA activity. See When the Department Follows an SSA Disability Determination. 5. If the Department is not required to wait for an SSA disability decision, refer the applicant for a disability determination by the Department. See When the Department Determines Disability. Comment: For more information on disability requirements and procedures, also see:  8-B, Concurrent Medicaid and Social Security Disability Determinations.  8-J, Disability Criteria.  8-F, People Ineligible for SSI (or SSA): Due to Reevaluation of Childhood Disability. When the Department Follows an SSA Disability Determination Legal reference: 20 CFR 416.901-999d Policy: The Department is required to follow decisions on disability made by the federal Social Security Administration (SSA), with the following exceptions on denials:  The Department does not rely on an SSDI denial to deny eligibility for Medically Needy. If the client does not meet the eligibility requirements for any other group except for Medically Needy, then the Department must determine disability.