WHO DOES THE MEPD PROGRAM COVER?
People who are disabled and have earned income can get Medicaid when the person:
- Is under age 65.
- Is still considered to be disabled based on SSI medical criteria for disability.
- Has earned income from employment or self-employment.
- Meets general SSI-related Medicaid eligibility requirements.
- Is not eligible for any other Medicaid coverage group other than QMB, SLMB, or Medically Needy.
- Have resources less than $12,000 for an individual and $13,000 for a couple.
- Has net family income less than 250% of the federal poverty level.
- Pays any premium due for the month of eligibility.
WHAT SERVICES ARE COVERED BY MEPD?
- MEPD members have all Iowa Medicaid benefits.
- Prescription services are included for members who do not have Medicare. For those members enrolled with Medicare as well as MEPD, prescription coverage will go through a Medicare Part D plan.
- MEPD will pay for your Medicare premiums
WHERE CAN I GET MEDICAL CARE?
Members enrolled with MEPD may see any provider who agrees to be paid by Iowa Medicaid.
HOW DO I APPLY FOR MEPD?
To apply go to the online DHS benefits portal or click here to download the paper DHS Application
Is MEPD only for people earning Social Security Disability and still working?? Thank you
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Here is the eligibility criteria for MEPD:
What are the eligibility requirements for MEPD?
People who are disabled and have earned income can get Medicaid when the person:
Is under age 65.
Is still considered to be disabled based on SSI medical criteria for disability.
Has earned income from employment or self-employment.
Meets general SSI-related Medicaid eligibility requirements.
Is not eligible for any other Medicaid coverage group other than QMB, SLMB, or Medically Needy.
Have resources less than $12,000 for an individual and $13,000 for a couple.
Has net family income less than 250% of the federal poverty level.
Pays any premium due for the monthly eligibility.
MEPD Monthly Income Limits
HH SIZE 1 2 3 4 5 6 7 8 Additional Person
Limit $2,475 $3,338 $4,200 $5,063 $5,925 $6,788 $7,653 $8,519 $866
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Hi Sheila, Here is the eligibility criteria for MEPD in Iowa:
What is MEPD?
Medicaid for Employed People with Disabilities (MEPD) is a Medicaid coverage group to allow persons with disabilities to work and continue to have access to medical assistance.
What are the eligibility requirements for MEPD?
People who are disabled and have earned income can get Medicaid when the person:
Is under age 65.
Is still considered to be disabled based on SSI medical criteria for disability.
Has earned income from employment or self-employment.
Meets general SSI-related Medicaid eligibility requirements.
Is not eligible for any other Medicaid coverage group other than QMB, SLMB, or Medically Needy.
Have resources less than $12,000 for an individual and $13,000 for a couple.
Has net family income less than 250% of the federal poverty level.
Pays any premium due for the monthly eligibility.
you can find more information at: https://dhs.iowa.gov/ime/members/medicaid-a-to-z/mepd
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Are there any plans to increase the age limit? My husbands SS retirement age is 66.
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We have not heard anything about an age increase.
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How much does the earned income have to be for a year to qualify? Does applying for this affect the amount I receive from ssdi ?
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Hi Cathy, Here is information regarding Iowa’s Medicaid for Employed People with Disabilities (MEPD) Program. https://dhs.iowa.gov/ime/members/medicaid-a-to-z/mepd
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Is house included resources?
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A house that you own/live in does not count as a “resource” for Social Security Disability programs.
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Hi Truc,
The home you live in does not count against the asset limit.
Thanks for your question.
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If an individual is on MEPD. Do they have to worry about their assets being taken for compensation upon their death?
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Hi Stacy, MEPD is an eligibility group under “Iowa Medicaid” so, yes, the “Estate Recovery” rules would apply as any other Medicaid eligibility group. Here is a spot to find more information. https://dhs.iowa.gov/ime/members/members-rights-and-responsibilities/estate-recovery
Thanks for your question!
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What happens if someone on MEPD gets a settlement? Is there a limit to how much it can be before getting kicked off and if kicked off is it only for that month? Can they reapply at a later date?
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It is a bit more complex than just being “kicked off” for a month. Each case is individualized depending on the amount of settlement. If you have some specific questions, please feel free to reach out directly. Mjohnson@driowa.org
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How much earned income is required to keep mepd.
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Here is a link to the information on the Iowa Department of Human Services website: https://dhs.iowa.gov/ime/members/medicaid-a-to-z/mepd
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I assume an Iowa ABLE account is NOT a countable asset, correct?
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That is correct! ABLE Accounts are not counted as an ASSEST for Medicaid.
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If the disabled adult lives with parents, are the parents’ incomes considered, or just the income of the employed disabled adult?
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Hi Betsy, Here is a link to more information. https://dhs.iowa.gov/ime/members/medicaid-a-to-z/mepd
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