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Title 8: Medicaid Page 114 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

4. On August 2, Mrs. B reports that she just had major surgery and is going to be off work for three months of recovery. Mrs. B gives her worker form 470-4856, MEPD Intent to Return to Work. The six-month period of intent to return to work begins the month after the month of surgery, September, and continues through the following February. Mrs. B’s annual eligibility review occurs in October. Since Mrs. B is still in the “intent to return to work” period, she remains eligible for MEPD because she still meets all other eligibility requirements. 5. Mr. Y returns his Medicaid Review form in August without pay stubs or any other verification that he is employed. The worker sends him a request to provide verification of the date that the employment ended and a statement about his intent to work. All the information needed to complete the review is returned before the effective date of cancellation. Mr. Y reports he has not been working since May 15. He sends form 470-4856, MEPD Intent to Return to Work so the worker reinstates the case. If the information had been returned but with the date of the change to unemployed happening in January, the six-month period would have been February through July. Mr. Y would not been eligible for MEPD and he would have to re-apply for MEPD after he returned to employment. The worker would check for Medically Needy eligibility. Resources Legal reference: 441 IAC 75 (Rules in Process), Iowa Code 627.6(8)(f) Policy: The resource limits for the MEPD coverage group are $12,000 for an individual and $24,000 for a couple. (NOTE: These resources limits are higher than those for other Medicaid coverage groups.) Some resources owned by the MEPD applicant or member may be exempt when determining MEPD eligibility that are not exempt for eligibility under other non-MAGI-related coverage groups. These exemptions do not apply to resources owned by the spouse, even if the spouse is disabled.