loading…
loading…
loading…
Title 8: Medicaid Table of Contents Chapter F: Coverage Groups Revised October 10, 2025 Page 2 Page Iowa Department of Health and Human Services Employees’ Manual Medicaid for Independent Young Adults (MIYA) ............................................................... 61 Eligibility Requirements ............................................................................................ 61 Household Size ........................................................................................................ 62 MIYA Income Limits .................................................................................................. 63 Reporting Requirements ........................................................................................... 64 Expanded Medicaid For Independent Young Adults (EMIYA) .......................................... 65 Eligibility Requirements for youth who aged out of foster care prior to December 31, 2022 .................................................................................................................... 65 Eligibility Requirements for youth who aged out of foster care on or after January 1, 2023 .................................................................................................................... 65 Continuous Eligibility For Children .................................................................................... 66 Continuous Eligibility Does Not End Until Next Annual Review is Due ..................... 67 Transitional Medicaid ................................................................................................ 68 Continuous Eligibility Ends Before Next Annual Review ........................................... 68 Continuous Eligibility Ends At Annual Review .......................................................... 68 New Continuous Eligibility After Eligibility Reestablished At Annual Review ............ 69 Non-MAGI-Related Coverage Groups ................................................................................... 69 SSI Recipients .................................................................................................................. 70 Continuous Eligibility for Non-MAGI-Related Children...................................................... 71 Essential Persons ............................................................................................................. 71 People Eligible for SSI Benefits But Not Receiving Them ................................................ 72 SSA Recipients ................................................................................................................ 72 People Ineligible for SSI (or SSA) .................................................................................... 73 Due to Requirements That Do Not Apply to Medicaid .............................................. 73 Due to Social Security COLAs (503 Medical Only) ................................................... 74 Due to Social Security Benefits Paid From Parent’s Account ................................... 82 Due to Social Security Increase of October 1972 ..................................................... 83 Due to Earnings Too High for an SSI Cash Payment (1619b Group) ....................... 84 Due to Actuarial Change for Widowed Persons........................................................ 85 Due to Receipt of Widow’s Social Security Benefits ................................................. 86 People in Medical Institutions ........................................................................................... 87 Ineligible for SSI Due to Residence in a Medical Institution ...................................... 88 300% Income Level .................................................................................................. 89 People in Medicare Savings Programs ............................................................................. 92 Qualified Disabled and Working People (QDWPs) ................................................... 92 Qualified Medicare Beneficiaries (QMBs) ................................................................. 96 Specified Low-Income Medicare Beneficiaries (SLMBs) ........................................ 103 Expanded Specified Low-Income Medicare Beneficiaries (QI-1) ............................ 106 Medicaid for Employed People With Disabilities ............................................................. 108 Age ......................................................................................................................... 109 Disability ................................................................................................................. 109 Income From Employment ..................................................................................... 110 Resources .............................................................................................................. 114