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Title 8: Medicaid Page 108 Iowa Department of Health and Human Services Employees’ Manual Chapter F: Coverage Groups Non-MAGI-Related Coverage Groups Revised October 10, 2025 People in Medicare Savings Programs 100% federal financial participation for Medicare Part B premiums is available for all people who meet E-SLMB requirements. Therefore, it is necessary to identify these people on the system. Enter the poverty level on the system for each person on the case. For Medically Needy with a spenddown, also enter an “E” in the QMB indicator on TD03 for each person who is eligible as an expanded SLMB. The effective date of assistance is the first of the month in which application is made or the first day of the month in which all eligibility criteria are met, whichever is later. All people who meet the expanded SLMB requirements are sent on the buy-in tape as SLMB-eligible. When the buy-in tape is sent, the third-party liability system checks to see if the client has Part A entitlement. If the client does not have Part A entitlement, the third-party liability system rejects the record, and the state is not billed for the client’s Medicare Part B premium. Medicaid for Employed People with Disabilities Legal reference: 441 IAC 75 (Rules in Process) Policy: Medicaid for employed people with disabilities (MEPD) is available to people who are disabled and have earnings from employment. To qualify the person must meet all of the following requirements:  The person must be under age 65.  The person must be determined to be disabled based on Social Security Administration (SSA) medical criteria for disability.  The person must have earned income from employment or self-employment.  The person must meet general non-MAGI-related Medicaid eligibility requirements.  The person must not be eligible for any other Medicaid coverage group other than QMB, SLMB, or Medically Needy.  Resources must be less than $12,000 for an individual or $24,000 for a couple.  Net family income must be less than 250% of the federal poverty level.  Any premium assessed for the month of eligibility must be paid.