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Title 8: Medicaid Page 131 Iowa Department of Health and Human Services Employees’ Manual Chapter F: Coverage Groups Non-MAGI-Related Coverage Groups Revised October 10, 2025 Medicaid for Kids with Special Needs (MKSN) Age Legal reference: 441 IAC 75 (Rules in Process) Policy: To qualify for MKSN, the disabled child must be under the age of 19. Disability Legal reference: 441 IAC 75 (Rules in Process) Policy: To qualify for MKSN, a child must be disabled based on the disability criteria for Supplemental Security Income (SSI). This means that the child must go through the disability determination process through the Social Security Administration or through the Department. The Department refers determinations to the Bureau of Disability Determination Services (DDS) in the Department of Education. The DDS follows the same standards for the determination of disabilities as the Social Security Administration. Procedure: When the parents say the child has been determined to be disabled by the Social Security Administration, follow current process to verify disability. 1. Check to verify the child has been determined to be disabled by SSA:  If there is no information to verify the disability, and the family claims SSI disability for the child, then the family must provide proof of the disability determination. If the family cannot provide proof, make the disability determination referral to DDS.  If the child has already been determined to be disabled for SSI, but is no longer receiving SSI cash benefits, the Department is responsible for conducting the disability review. 2. Contact the Social Security Administration to find out the date of the next scheduled disability review date. 3. If the next scheduled review date is in the future, set a reminder to initiate the disability review at the appropriate time. 4. If the review is overdue:  Immediately request form 470-3912, Disability Report for Children, form 470-4459 or 470-4459(S), Authorization to Disclose Information to the Iowa Department of Human Services, and supporting documents from the parents.