An applicant or member shall take all steps necessary to
apply for and, if entitled, accept any income or resources for which the
applicant or member may qualify, unless the applicant or member can show an
incapacity to do so. Sources of benefits may be, but are not limited to,
annuities, pensions, retirement or disability benefits, veterans' compensation
and pensions, old-age, survivors, and disability insurance, railroad retirement
benefits, black lung benefits, or unemployment compensation.
(1) When it is determined that the
supplemental security income (SSI)-related applicant or member may be entitled
to other cash benefits, the department shall send a Notice Regarding Acceptance
of Other Benefits, Form 470-0383, to the applicant or member
(2) The SSI-related applicant or member must
express an intent to apply or refuse to apply for other benefits within ten
calendar days from the date the notice is issued. A signed refusal to apply or
failure to return the form shall result in denial of the application or
cancellation of Medicaid unless the applicant or member is mentally or
physically incapable of filing the claim for other cash benefits.
(3) When the SSI-related applicant or member
is physically or mentally incapable of filing the claim for other cash
benefits, the department shall request the person acting on behalf of the
member to pursue the potential benefits.
(4) The
SSI-related applicant or
member shall
cooperate in applying for the other benefits. Failure to timely secure the
other benefits shall result in cancellation of Medicaid.
Exception: An applicant or member shall not be required to
apply for supplementary security income to receive Medicaid under subrule
75.1(17).
This rule is intended to implement Iowa Code sections 249A.3
and 249A.4.
