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SSI & SSI-Related Coverage Groups - Medical Assistance - Iowa

Persons who are aged, blind or disabled may be eligible for Medicaid. Eligibility for these persons is determined by following the general policies of the Supplemental Security Income (SSI) program and thus they are referred to as "SSI-Related" coverage groups.

·           SSI Recipients: Receive SSI and meet additional Medicaid eligibility criteria

·           Essential Persons

·           People Eligible for SSI But Not Receiving SSI

·           People Ineligible for SSI or Social Security Benefits such as SSDI

·           People in Medical Institutions

·           SSI-Related Coverage Groups that Provide Limited Benefits

·                        Qualified Disabled and Working Persons (QDWPs)

·                        Qualified Medicare Beneficiaries (QMBs)

·                        Specified Low-Income Medicare Beneficiaries (SLMBs)

·                        Expanded Specified Low-Income Medicare Beneficiaries (ESLMBs)

·                        Home Health Specified Low-Income Medicare Beneficiaries (HHSLMBs)

·           Medicaid for Employed People with Disabilities (MEPD)

Coverage Groups that can be either FMAP-Related or SSI-Related

·        Pregnant or Postpartum Women and Newborns:

·        Medically Needy (MN)

State Administered Supplemental Assistance:

·        State Supplemental Assistance (SSA) Recipients and Dependent Relatives

·        In-Home Health-Related Care (IHHRC) Overview

See Also:

·           SSI Coverage Groups that provide limited benefits.

·           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

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