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Title 8: Medicaid Page 72 Iowa Department of Health and Human Services Employees’ Manual Chapter F: Coverage Groups Non-MAGI-Related Coverage Groups Revised October 10, 2025 People Eligible for SSI Benefits but… People Eligible for SSI Benefits but Not Receiving Them Legal reference: 42 CFR 435.210, 441 IAC 75 (Rules in Process) Medicaid is available to people who would be eligible for SSI cash benefits but who are not receiving them (e.g., the person has declined or chosen not to apply for SSI benefits). Establish if a person would be eligible for SSI cash benefits by determining if the person:  Is aged, blind, or disabled.  Has assets that are less than the applicable SSI resource limits.  Has countable income that is less than the applicable (individual or couple) SSI income limit. Do not grant eligibility under this coverage group for people who have applied for SSI before applying for Medicaid or within five working days after applying for Medicaid. Wait for the SSI determination unless the person withdraws the SSI application. See 8-B, Concurrent Medicaid and Social Security Disability Determinations. SSA Recipients Legal reference: 42 CFR 435.232, 441 IAC 75 (Rules in Process) Medicaid is available to aged, blind, and disabled applicants and recipients of State Supplementary Assistance payments unless:  The SSA recipient has a trust that makes the person ineligible for Medicaid. See 8-D, Trusts.  The SSA recipient does not cooperate with the Third-party Liability Unit. See 8-C, Cooperation with the Third-Party Liability Unit.  The SSA recipient does not cooperate in establishing paternity or support for a child under 18. See 8-C, Cooperation with Support Recovery. A State Supplementary Assistance recipient who has transferred assets is not eligible for Medicaid payment of certain services. See 8-D, Transfer of Assets. NOTE: Resources continue to be a Medicaid eligibility factor for children or adults who are eligible as an SSA recipient.