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SSI Ineligibility - Receipt of Widow Social Security Benefits - Iowa

Medicaid may be available to widowed persons who meet all of the following conditions:

·           They applied for and received or were considered recipients of SSI or SSA.; and

·           They apply for and receive Title II widow’s or widower’s insurance benefits, or any other Title II old age or survivor’s benefits; and

·           They are not entitled to Part A Medicare hospital insurance benefits at the time of application and when receiving Title II old age or survivor’s benefits. They are not currently entitled to Part A Medicare hospital insurance benefits; and

·           They are no longer eligible for SSI or State Supplemental Assistance 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 State Supplemental Assistance from current social security benefits. Add in other income and compare the result to the correct household SSI standard amount.

Example:

Mr. W, a 55-year-old disabled person, receives SSI January through March 1996. Mr. W’s spouse passes away, and in April 1996 Mr. W begins receiving $600 per month in widower’s social security benefits.

Mr. W is not eligible for Medicare Part A and is ineligible for SSI solely because of widower’s social security benefits. Mr. W is eligible for Medicaid under the coverage group for persons ineligible for SSI (or SSA) due to receipt of widow’s social security benefits.

See Also:

·           Overview of Medical Assistance in Iowa

·           Welcome and Introduction to Benefits in Iowa

Source: Iowa Dept of Human Services Employees’ Manual

Title 8 Medicaid

·                        Chapter F, Coverage Groups, SSI-Related Coverage Groups, People Ineligible for SSI (or SSA)

Legal reference: Public Law 100-203, 441 IAC 75.1(27), 42 CFR 435.138

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