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Title 8: Medicaid Page 93 Iowa Department of Health and Human Services Employees’ Manual Chapter C: Nonfinancial Eligibility Nonfinancial Non-MAGI-Related Eligibility Revised October 10, 2025 Denial of Medicaid Based on Disability Denial Appeal of a Medicaid Denial Based on a Disability Denial Legal reference: 441 IAC 7.8(17A) Policy: An applicant has the right to appeal a denial of Medicaid based on the determination that the applicant is not disabled, according to the policies and procedures in 1-E, Appeals and Hearings. Procedure: Use the following steps to process appeals regarding denial of Medicaid based on the denial of disability.

Step 1: Send the appeal request along with a copy of the Notice of Action within 24 hours to the HHS Appeals Section at the following address: HHS Appeals Section Fifth Floor 1305 E Walnut Street Des Moines, IA 50319-0114 Step 2: Within ten calendar days, submit a summary of the action taken to the Appeals Section. Include the following information:  The non-MAGI-related coverage groups under which the person is eligible.  The reason benefits were denied: either • A Social Security Administration (SSA) decision or • A DDS decision from an HHS referral.

If benefits were denied based on an SSA decision, include:  The date of the decision.  Proof of the SSA denial of disability Step 3: If the disability determination was done by DDS for HHS, send a complete copy of the disability file to each of the following:  HHS Appeals Section  The appellant  The appellant’s representative  DDS at the following address: Disability Determination Services Bureau Disability Hearing Unit, SW 5th Street, Suite D, Des Moines, Iowa 50309 NOTE: Keep the original disability determination file with the case record.