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Title 8: Medicaid Page 89 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…

Document: Preparation: A new form 470-2465, Disability Report for Adults, or form 470-3912, Disability Report for Children if the member is under age 18 Request a new report from the client or the person acting on the client’s behalf. Check the report for completeness. Since the form includes a release of information, verify that the correct person signed it:  If the disability is related to mental health, only a client 18 years of age or older or a legal representative can sign the form.  If the disability is related to substance abuse, only the client can sign the form, regardless of age. New copies of form 470-4459 or 470-4459(S), Authorization to Disclose Information to the Iowa Department of Human Services Send a signed release to allow DDS to get information from each source listed on the Disability Report and the additional sources of information for children. This includes releases for any doctors who provide care in a hospital. A complete copy of the previous disability file. If HHS does not have a copy of the previous disability file because the SSA made the previous disability determination decision, note on the Disability Transmittal the reason the file is not attached. If DDS notifies you that the member no longer meets disability requirements, follow the procedure under When the Department Denies Disability to cancel the Medicaid case. Redetermination at Age 18 Legal reference: 20 CFR 416.987, 441 IAC 75 (Rules in Process) Policy: The Department must request a redetermination of disability based on adult criteria when a child reaches the age of 18 unless the child is receiving SSI.