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Title 8: Medicaid Page 95 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 If the SSA reverses an SSI denial, approve Medicaid based on the SSI eligibility. Determine Medicaid eligibility based on the date of the Medicaid application. Compare the disability onset dates established by the SSA to the dates of the Medicaid application. Obtain the date of onset as follows:  The IEVS Third-Party Query (TPQY) response lists a specific month, day, and year as the onset date for a SSDI (Title II) disability decision. See the last page of the TPQY.  For SSI, the onset date is usually shown as the first day of the month that disability is established as shown on the SDX screen.

If SSA disability onset date is … Then… Before the date of the Medicaid application … Allow applicable retroactive months of eligibility for individuals who meet a category of eligibility for the retroactive period as defined in 8-A, Definitions. On or before the date of the Medicaid denial … Allow applicable retroactive months of eligibility for individuals who meet a category of eligibility for the retroactive period as defined in 8-A, Definitions. After the date of the date of the Medicaid denial notice … The person is not entitled to Medicaid based on the denied Medicaid application. The person must file a new Medicaid application.