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Title 8: Medicaid Page 119 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 Manually issue a Notice of Decision to the member with the premium amount owed for each back month. Eligibility for back months may be entered on the MEPD RETR screen. See 14-C, RETR=Retro Screen for entry instructions.
Ms. M applies for Social Security Insurance (SSDI) benefits in April 2024. She applies for MEPD on June 12, 2024. On May 15, 2025, the Social Security Administration determines that she is disabled with an effective date of disability of March 21, 2024. On May 21, 2025, the worker enters eligibility effective June 2024, with a monthly premium of $41. The “back” months include June 2024 through December 2024 and January 2025 through April 2025. Ms. M. sends a signed statement to her worker explaining that she did not have any unpaid medical bills for November or December 2024, so she doesn’t need MEPD coverage for those two months. The worker makes entries in the MEPC screen to block MEPD eligibility for November and December 2024. Payments will never be posted to those months, so there won’t be any eligibility for those months as long as the block remains. How to Establish Premium Periods Legal reference: 441 IAC 75 (Rules in Process) Policy: Each MEPD premium period is 12-months. The premium periods are established according to the number of months of eligibility, beginning with the month of application through the month of approval. Blocking Premium Payments Procedure: For ongoing eligibility, the member may not choose which months to pay and which not to pay. Nor may the member choose the order that payments are credited. Premium payments are applied in a specific order by the MEPD billing system. Central Office staff cannot make changes based on notes sent in with the MEPD Billing Statement stating the member doesn’t want to pay certain months. The MEPD member may choose to change to Medically Needy. See Relationship to Medically Needy for more information.