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Title 8: Medicaid Page 109 Iowa Department of Health and Human Services Employees’ Manual Chapter F: Coverage Groups Non-MAGI-Related Coverage Groups Revised October 10, 2025 Medicaid for Employed People with Disabilities Comment: Each of the eligibility criteria are discussed in more detail in this chapter. Age Legal reference: 441 IAC 75 (Rules in Process) Policy: To qualify for MEPD, the disabled person must be under age 65. Disability Legal reference: 441 IAC 75 (Rules in Process) Policy: To qualify for MEPD, a person must be disabled based on the medical criteria for Social Security Administration (SSA) disability. This includes:  People who receive social security disability (SSDI) benefits or receive railroad retirement benefits based on SSA disability criteria.  People whose SSDI benefits have stopped but are still eligible for Medicare.  People who are not in the groups listed above but who meet the medical criteria for disability through a disability determination completed for the Department by Disability Determination Services (DDS). Procedure: Always check to see if the applicant or member is receiving SSDI or railroad retirement benefits based on disability or is receiving Medicare.  Check to see if Electronic Data Sources (EDS) returned a verified disability.  Check SDX in WISE. An applicant who is receiving SSI may qualify for Medicaid as an SSI recipient.  Check under IEVS and request a TPQ2, if necessary. The TPQ2 screen is used to send a special request for SSA data on a social security claim.  Ask the applicant to provide proof of the disability if you cannot find verification using SDXD or IEVS. If the applicant does not receive any of those benefits, then initiate a disability determination through referral to the Bureau of Disability Determination Services.