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Title 8: Medicaid Page 71 Iowa Department of Health and Human Services Employees’ Manual Chapter F: Coverage Groups Non-MAGI-Related Coverage Groups Revised October 10, 2025 SSI Recipients Establish eligibility under another coverage group or terminate Medicaid when you receive an SDX or notice from the Social Security Administration that the SSI recipient is no longer eligible for benefits. See 8-B, Procedures for SSI Applicants or Potential SSI Eligibles for information on how to process applications involving SSI recipients, persons who will be applying for SSI benefits, or persons who are waiting for a decision from the Social Security Administration. Continuous Eligibility for Non-MAGI-Related Children Legal reference: 441 IAC 75.19 Once ongoing Medicaid eligibility has been established for a child under the age of 19, the child shall remain continuously eligible for a period of up to 12 months regardless of any change in household circumstances. Continuous eligibility begins with the month of application, or the first month in which eligibility is established following the month of application, whichever is latest. See Continuous Eligibility for Children under MAGI-Related Coverage Groups. Essential Persons Legal reference: 42 CFR 435.131, 441 IAC 75 (Rules in Process) Medicaid is available to people who were living with a recipient of Old Age Assistance, Aid to the Blind or Aid to the Disabled in December 1973 and whose needs were included in the grant. These people are called “essential persons.” Their eligibility ends when:  The essential person no longer lives with the aged, blind or disabled recipient; or  The aged, blind, or disabled recipient becomes ineligible for SSI. “Essential persons” are different from “dependent persons” because essential persons were included in the state assistance grant in December 1973 (the last month of state benefits before the federal SSI program began). The aged, blind, or disabled person receives a special increment in the SSI check for the needs of the essential person, paid totally by SSI, while the qualified person in a dependent person case receives State Supplementary Assistance, funded totally by the state.