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Title 8: Medicaid Page 130 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 Relationship to QMB and SLMB Coverage Legal reference: P. L. 100-360, 441 IAC 75 (Rules in Process), 76 (Rules in Process) Policy: An MEPD member may also qualify for the qualified Medicare beneficiary (QMB) or specified low-income Medicare beneficiary (SLMB) program. The expanded specified low-income Medicare beneficiaries (E- SLMB) group is only for those who do not qualify under any other Medicaid group; MEPD members do not qualify for E-SLMB. Medicaid for Kids with Special Needs (MKSN) Legal reference: 441 IAC 75 (Rules in Process) and 75.21(5)“o” Policy: Medical assistance is available to children under “Medicaid for Kids with Special Needs” (MKSN) when:  The child is under age 19.  The child is determined to be disabled based on SSI criteria for disability by either the SSA or DHS.  Household income is at or below 300% of the federal poverty level for the household size.  The child is enrolled in a parent’s employer group health insurance when the employer contributes at least 50% of the total cost of annual premiums for that coverage. There is no resource limit for children in this coverage group. MKSN members are not eligible for the health insurance premium reimbursement under the Health Insurance Premium Payment (HIPP) program. The following sections give more information on requirements for:  Age  Disability  Family income limits  Health insurance enrollment