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Title 8: Medicaid Page 113 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. If the member is not looking for a new job, or if form 470-4856 is not returned by the due date:  Cancel the MEPD case. The MEPD member becomes ineligible for MEPD at the end of the month that the job stopped. If it is too late for timely notice, cancel the next month. Do not use the date of the last paycheck to determine the month that MEPD is canceled.  Make a redetermination to Medically Needy, if all other eligibility requirements are met and it is requested by the client.

1. Mrs. C reports on May 10 that she stopped working and will receive her final check in May. She provides 470-4856, MEPD Intent to Return to Work, stating her intent to return to work within six months. MEPD eligibility may continue for the next six months (June through November). The worker sets a reminder for six months to follow up on new employment for Mrs. C. Mrs. C does not report a new job by timely notice in November, so the worker cancels her MEPD eligibility effective December 1 and redetermines eligibility to Medically Needy, since all other requirements are met. 2. Mr. G files an application March 10. His employment will end in March and he will receive his final paycheck in April. He provides a written statement stating his intent to return to work within six months. The eligibility decision is made in April. Since Mr. G has earned income in April, the application is approved for MEPD effective for March and ongoing months. The six months for job seeking begin with the month after the month the change occurred (April through September). The worker sets a reminder for a six- month follow-up on Mr. G’s employment. On May 29, Mr. G reports a new job. He will get his first paycheck in June. The worker asks for verification of earned income and receives a pay stub. 3. Ms. K cannot continue working because of health problems, according to a letter from her doctor. She says she is not going to try to find another job. The worker checks to see if Ms. K is eligible for Medically Needy or a Medicare savings program (QMB, SLMB, or E-SLMB). The worker cancels Ms. K’s MEPD case.