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SSI Recipients - Medical Assistance - Iowa

Supplemental Security Income (SSI) recipients, including persons receiving SSI payments based on presumptive disability, are eligible for Medicaid unless the recipient:

·           Does not cooperate with third-party liability.

·           Does not cooperate in establishing paternity or support for a child under 18.

·           Has a trust that makes the person ineligible for Medicaid.

·           Does not meet residency requirements.

·           Is in a medical facility with a community spouse and the attributed resources make the recipient ineligible for Medicaid.

Note: An SSI recipient who transferred assets to attain or maintain Medicaid eligibility may not be eligible for payment of certain types of services.

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 C, Nonfinancial Eligibility, Cooperation with HIPP, TPL, DIA and QC. (Cooperation with third party liability.)

·                        Chapter C, Nonfinancial Eligibility, Cooperation with Support Recovery.

·                        Chapter D, Resources, Trusts.

·                        Chapter D, Resources, Attribution of Resources

·                        Chapter D, Resources, Transfer of Assets.

·                        Chapter F, Coverage Groups, SSI Recipients

Legal reference: 441 IAC 75.1(4), 42 CFR 435.120

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