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Title 8: Medicaid Page 91 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 complete copy of the previous disability file If HHS does not have a copy of the previous disability file, note on the Disability Transmittal the reason the file is not attached (such as, the SSA made the previous decision and the file is not available to HHS). If DDS notifies you that the 18-year-old no longer meets disability requirements, follow the procedure under When the Department Denies Disability to cancel the Medicaid case. Denial of Medicaid Based on Disability Denial Legal reference: 441 IAC 75 (Rules in Process) Policy: Non-MAGI-related Medicaid eligibility can be denied based on a disability determination decision made:  By the Social Security Administration (SSA). or  By the Bureau of Disability Determination Services (DDS) on behalf of the Department of Health and Human Services. Procedure: When the Medicaid denial is based on a denial of disability from the SSA, manually issue a Notice of Action using the language below. Determine if Medicaid eligibility exists under another coverage group.

____ is not blind or disabled. The Social Security Administration denied benefits as you are not disabled at this time. We are required to follow Social Security’s decision. If you are approved for disability benefits at a later date, please tell us within 10 days of the date on your notice from Social Security. EM 8-C Denial Based on Disability; 441 Iowa Admin. Code 75 (Rules in Process) See the following sections for more procedures:  When the Department Denies Disability  Appeal of a Medicaid Denial Based on a Disability Denial  When SSA Denial Is Reversed in an SSA Appeal