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Title 8: Medicaid Page 84 Iowa Department of Health and Human Services Employees’ Manual Chapter C: Nonfinancial Eligibility Nonfinancial Non-MAGI-Related Eligibility Revised October 10, 2025 When the Department Determines Disability Submitting Medical Evidence to DDS Legal reference: 441 IAC 75 (Rules in Process) Policy: If the applicant does not meet the requirements for substantial gainful activity, then the Department must make a referral to the Bureau of Disability Determination Services (DDS) for a disability determination. Comment: DDS may request additional information from the applicant and may require the applicant to have a medical examination. DDS pays for medical information and transportation. Procedure: Use the Disability Determination Checklist, RC-0103 as a guide.

Submit to DDS: Explanation: Form 470-2465, Disability Report for Adults or Form 470-3912, Disability Report for Children (under 18) The applicant or the applicant’s representative completes the form, which includes a release of information. Check the report to make sure the correct person signed the form, as follows:  If the release is for mental health information, only an applicant 18 years of age or older or a legal representative can sign the form.  If the release is for substance abuse information, only the applicant can sign the form, regardless of age. Form 470-2472, Disability Transmittal This form contains case-related information that helps DDS determine disability. For an MEPD applicant, check the status, “MEPD – SGA not considered” in first step of disability determination.