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Title 8: Medicaid Page 87 Iowa Department of Health and Human Services Employees’ Manual Chapter F: Coverage Groups Non-MAGI-Related Coverage Groups Revised May 22, 2026 People Ineligible for SSI (or SSA)  They were not entitled to Part A Medicare hospital insurance benefits at the time of application and receipt of Title II old age or survivor’s benefits. They are not currently entitled to Part A Medicare hospital insurance benefits.  They are no longer eligible for SSI or SSA solely because they received social security benefits. Eligibility for this group began July 1, 1988. Determine eligibility by:  Subtracting the social security benefits at the time of cancellation of SSI or SSA from the current social security benefits;  Adding in other income; and  Comparing the result to the household’s correct SSI standard amount. The Social Security Administration indicates on the SDX people who receive federally administered SSA and who might qualify for this program. The Social Security Administration does not review ongoing eligibility for this program.

Mr. W, a 55-year-old disabled person, receives SSI. His spouse passes away in March. Mr. W’s SSI benefit is canceled and he begins receiving $1,050 per month in widower’s social security benefits in April. Mr. W is not eligible for Medicare Part A and is ineligible for SSI solely because of widower’s social security benefits. He is eligible for Medicaid under the coverage group for people ineligible for SSI due to receipt of widow’s social security benefits. Mr. W will be eligible for this coverage group as long as he continues to meet the eligibility requirements for SSI if his widower social security benefits are disregarded. People in Medical Institutions Medicaid is available to people living in medical institutions who:  Would be eligible for SSI if they did not live in the institution.  Have income within 300% of the SSI standard and are otherwise eligible for SSI.