Page 91

Title 8: Medicaid Page 87 Iowa Department of Health and Human Services Employees’ Manual Chapter C: Nonfinancial Eligibility Nonfinancial Non-MAGI-Related Eligibility Revised October 10, 2025 HHS Responsibility for Disability Review… Procedure: No action is required when SSA is responsible for reviews unless SSA finds that the member is no longer disabled.

Member Status Responsibility for Disability Review Receiving SSI or SSDI cash benefits The SSA processes the disability reviews. Not receiving SSI or SSDI cash benefits The income maintenance worker must schedule the disability review and initiate the review with Bureau of Disability Determination Services (DDS). For detailed procedures when the Department is responsible, see the following sections:  Disability Reviews  Redetermination at Age 18 Disability Reviews Legal reference: 42 CFR 435.541, 441 IAC 75 (Rules in Process), P. L. 104-193; P. L. 105-33 Policy: A review may be required to verify that the member continues to meet disability requirements. Comment: DDS lists the review date in the “Diary Date” box on form 470- 2472, Disability Transmittal. Diary dates are by month, year, and “reason,” which is the number of years until the next review. If disability was gained through an appeal of the Department’s denial of medical assistance, a review date may be established in the final decision issued on the appeal. If the review date is not given on the final decision, contact the HHS SPIRS Help Desk. The Social Security Administration (SSA) sends review dates to the states for children who were canceled from SSI due to the revised disability criteria under Public Law 104-193 but receive Medicaid due to the provisions of the Balanced Budget Act of 1997. The Department’s central office sends individual notices regarding review dates for children canceled due to revised disability criteria. Do not contact SSA for review dates for children in this coverage group.