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Title 8: Medicaid Page 86 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 If HHS denies a Medicaid application for nondisability reasons (over resources, no longer a resident, etc.) after a disability determination has been sent to DDS, notify DDS to stop the disability determination by using Disability Transmittal, form 470-2472. Disability Approved by DDS Legal reference: 441 IAC 50.1(249) and 75 (Rules in Process) Policy: Disability Determination Services (DDS) makes the disability determination decision on behalf of the Department. Comment: DDS must make a determination on disability within 75 calendar days of the referral from HHS. If DDS cannot complete the disability determination within 75 calendar days, DDS will notify the local office of the delay. DDS issues the disability decision on form 470-2472, Disability Transmittal which is returned to the IM worker along with the entire disability file. The finding that the applicant is disabled is entered in Part II, Item 1 on the form. Procedure: When DDS determines the person is disabled, and all other eligibility requirements are met, approve the Medicaid case. HHS Responsibility for Disability Review and Redetermination Legal reference: 42 CFR 435.541, 441 IAC 75 (Rules in Process), P. L. 104- 193; P. L. 105-33 Policy: When a member who is eligible for Medicaid because of disability is not receiving disability benefits through the Social Security Administration (SSA), the Department is responsible for:  Conducting reviews of the disability if required, and  Redetermining disability when the member reaches the age of 18. Comment: When disability is established, a date for review of the disability may be established to determine if the person continues to meet the disability or blindness requirements. Redetermination is required when a disabled child turns 18, since disability must then be determined using adult criteria. This is a separate process from a disability review.