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Title 8: Medicaid Page 84 Iowa Department of Health and Human Services Employees’ Manual Chapter F: Coverage Groups Non-MAGI-Related Coverage Groups Revised October 10, 2025 People Ineligible for SSI (or SSA)  Was receiving Old Age Assistance, Aid to the Blind or Aid to the Disabled in August 1972 or would have received such assistance except that the person was in a medical institution.  Would be eligible for SSI or SSA now if the amount of the 20% increase in social security benefits received in October 1972 is disregarded, or the person would be eligible if this increase was disregarded except the person is in a medical institution. Contact the Social Security Administration to verify the amount of the October 1972 increase. A person does not have to have been continuously eligible since October 1972 to be eligible under this coverage group. Due to Earnings Too High for an SSI Cash Payment (1619b Group) Legal reference: 20 CFR 416.2101, 42 CFR 435.120 Medicaid coverage may be available to some former SSI recipients who no longer qualify for SSI benefits because their earnings are too high for an SSI payment (as determined by the Social Security Administration). Eligibility may exist for people in this group if the person:  Continues to be blind or have a disabling impairment.  Meets all other SSI requirements except for earnings.  Would be seriously inhibited from continuing to work if Medicaid eligibility was terminated.  Earns income that is not a reasonable equivalent to the benefits the person would have, including SSI, SSA, and Medicaid, if the earnings did not exist. This level is determined by the Social Security Administration. This coverage group is also known as the “1619b” group. For purposes of Medicaid eligibility, a person meeting these criteria is considered to be an SSI recipient, even though no SSI benefit is received. The Social Security Administration determines initial and continuing eligibility for this coverage group. Information about these clients appears on the SDX. See 14-E for SDX codes to identify former SSI recipients who remain eligible for Medicaid due to 1619(b) eligibility.