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Essential Persons - Medical Assistance - Iowa

Medicaid is available to people who were living with a recipient of Old Age Assistance, Aid to the Blind or Aid to the Disabled in December 1973 and whose needs were included in the grant. These people are called "essential persons."

Eligibility ends when:

·           The essential person no longer lives with the aged, blind or disabled recipient; or

·           The aged, blind or disabled recipient becomes ineligible for Supplemental Security Income (SSI).

"Essential persons" are different from "dependent persons " because essential persons were included in the state assistance grant in December 1973 (the last month of state benefits before the federal SSI program began).

In addition, the aged, blind, or disabled person receives a special increment in the SSI check for the needs of the essential person, paid totally by SSI, while the qualified person in a dependent person case receives State Supplementary Assistance, funded totally by the state. Federal financial participation is available for the medical costs of the essential person.

See Also:

·           Dependent Person Assistance (DPA)

·           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, Essential Persons

Legal reference: 441 IAC 75.1(8), 42 CFR 435.131

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