Iowa Admin. Code r. 441-75.19 - Continuous eligibility for children
A child under the age of 19 who is determined eligible for ongoing Medicaid shall retain that eligibility for up to 12 months regardless of changes in family circumstances except as described in this rule.
(1)
Exceptions to coverage.
This rule does not apply to the following children:
a. Children whose eligibility was determined
under the newborn coverage group described at subrule 75.1(20).
b. Children whose eligibility was determined
under the medically needy coverage group described at subrule
75.1(35).
c. Children whose medical
assistance is state-funded only.
d.
Children whose citizenship is not verified within the "reasonable period"
described at paragraph 75.11(2)"c."
e. Children who are eligible only in a
retroactive month.
(2)
Duration of coverage. Coverage under this rule shall extend
through the earliest of the following months:
a. The month of the household's annual
eligibility review;
b. The month
when the child reaches the age of 19; or
c. The month when the child moves out of
Iowa.
(3)
Assignment of review date. Children entering an existing
Medicaid household shall be assigned the same annual eligibility review date as
that established for the household.
This rule is intended to implement Iowa Code Supplement section 249A.3 as amended by 2008 Iowa Acts, House File 2539.
Notes
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