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Title 5: Centrally Administered Programs Page 10 Iowa Department of Human Services Employees’ Manual Chapter E: Healthy and Well Kids in Iowa (hawk-i) Application Processing Revised July 3, 2009 Who Can Apply If the child is under the age of 19 and lives in an independent living situation or is married, the child may apply on the child’s own behalf. The child is then responsible for providing all information necessary to establish initial and ongoing eligibility. The case file should contain an explanation of the child’s living situation when it is not apparent from the application. Do not require a separate application for hawk-i when a child is losing or being denied Medicaid eligibility. A referral to the hawk-i program is part of the Medicaid automatic redetermination process. The income maintenance worker is required to make a referral to the hawk-i program, unless information in the case file indicates that a referral to hawk-i is inappropriate. See 8-B, APPLICATION PROCESSING, and 8-G, CASE MAINTENANCE, for more information on referrals to the hawk-i program.

Ms. B receives Medicaid for her son, age 13. At Ms. B’s annual Medicaid review on May 14, it is determined that Ms. B’s income exceeds 133% of FPL and Medicaid for her son is canceled effective May 31. Also, on May 14, Ms. B informs her income maintenance worker that her son will be moving to California to live with his father. So, even though Medicaid was canceled due to income exceeding income limits, no hawk-i referral will be made for the son, since he will no longer be a resident of Iowa. Joint Custody In joint custody situations, a child lives with one parent part of the time and lives with the other parent part of the time. In most situations, you will not be aware there is joint custody because only one parent will be applying. However, when you become aware that both parents have joint custody of the child, it is necessary to determine with which parent the child is living. To make such a determination, follow these steps:

1. Is the other parent currently receiving Medicaid for the child? ♦ If yes, deny the hawk-i application. ♦ If no, go to #2.