Page 74
Title 8: Medicaid Page 70 Iowa Department of Health and Human Services Employees’ Manual Chapter F: Coverage Groups Non-MAGI-Related Coverage Groups Revised October 10, 2025 SSI Recipients Children who are ineligible for SSI due to revision of the childhood disability criteria on August 22, 1996. People who would be eligible for SSI or SSA if they were not in a medical institution. People in medical institutions who are eligible because their incomes are within 300% of the SSI standard (300% group). Medically needy people. See 8-J, Medically Needy. People in Medicare savings programs. • Qualified disabled and working people. • Qualified Medicare beneficiaries. • Specified low-income Medicare beneficiaries. • Expanded specified low-income beneficiaries. • Home health specified low-income beneficiaries. Disabled children who have family income over the SSI income limits, but gross income of no more than 300% of the federal poverty level. People eligible for waiver services. See 8-N, Home- and Community-Based Waivers for additional information. People eligible for Programs for All-Inclusive Care for the Elderly (PACE). See 8-M, Program for All-Inclusive Care for the Elderly for more information. Postpartum women. See Postpartum Eligibility. Deemed newborn children of Medicaid-eligible mothers. See Deemed Newborn Children of Medicaid-Eligible Mothers. This section explains the non-MAGI-related coverage groups unless otherwise noted. Use the Supplemental Security Income program policies contained in Title 8 for these coverage groups unless a different policy is listed in the Employees’ Manual. SSI Recipients Legal reference: 42 CFR 435.120, 441 IAC 75 (Rules in Process) SSI recipients, including people receiving SSI payments based on presumptive disability, are eligible for Medicaid. NOTE: An SSI recipient who transferred assets to attain or maintain Medicaid eligibility may not be eligible for payment of certain types of services. See 8-D, Transfer of Assets.