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Title 8: Medicaid Page 112 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

3. Mr. Y applies for MEPD and says he earns $25 a week for mowing his neighbor’s lawn. The worker asks him if he is employed by his neighbor or if he is self-employed. Mr. Y says he is not employed by his neighbor, so the worker asks for his self-employment tax records. Mr. Y does not have tax records because he has just started his self- employment. The worker accepts a written statement from Mr. Y that he is self- employed and a statement from his neighbor that the neighbor paid Mr. Y $25 for mowing the lawn during the month of application. The worker advises Mr. Y that he needs to keep self-employment business records and provide them at the annual review of his MEPD eligibility. At the annual review, the worker asks Mr. Y to provide his self- employment business records. Mr. Y does not provide the records. The worker cancels Mr. Y’s MEPD case. Intent to Return to Work if Employment Ends Legal reference: 441 IAC 75 (Rules in Process) Policy: MEPD members who are unable to maintain employment due to a change in their medical condition or loss of a job may remain eligible for MEPD coverage for six months after the month they last worked if:  Their intent is to return to work within the six months, and  They continue to meet the other eligibility requirements of MEPD, including the payment of any assessed premiums. Procedure: When an MEPD member reports the loss of employment or inability to work due to medical reasons, take these steps: 1. Send form 470-4856, MEPD Intent to Return to Work to the member. 2. After the 470-4856 is returned and the member states the intent to return to employment, set a reminder to check to see if the member has found a new job by the end of the sixth month after member stopped working.