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SSI Ineligibility - Reevaluation of Childhood Disability - Iowa

Medicaid may be available to children under the age of 18 who meet both of the following conditions:

· They were receiving SSI on August 22, 1996; and

· They were canceled from SSI due to the revised childhood disability criteria established under the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (P.L 104-193).

P.L. 104-193 changed criteria for childhood disability effective August 22, 1996, and required that certain disabled children have their disability reevaluated under the revised criteria. As a result of these reviews, some children were determined no longer disabled. They lost their SSI eligibility and their eligibility for Medicaid based on SSI eligibility.

Cancellation of SSI due to these reviews could not occur before July 1, 1997. The Balanced Budget Act of 1997 restored Medicaid eligibility to the children who lost their SSI benefits due to the reevaluation under the revised disability criteria. Eligibility for this group began July 1, 1997.

Children who meet the previous criteria for disability must continue to meet all other SSI-related eligibility criteria to be eligible for Medicaid under this coverage group. Conduct an annual review of eligibility factors other than disability. Obtain a disability review on the review date originally established when the child was on SSI as disabled. The Social Security Administration will provide this review date to Central Office who will forward it to the field. Administration does not review ongoing eligibility for this program.

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SSI Ineligibility - Reevaluation of Childhood Disability - Iowa

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