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Title 5: Centrally Administered Programs Page 18 Iowa Department of Human Services Employees’ Manual Chapter E: Healthy and Well Kids in Iowa (hawk-i) Application Processing Revised August 20, 2010 Medicaid Screening and Referral Process Cooperation With Medicaid Legal reference: 441 IAC 86.2(5) A child who would be eligible for Medicaid except for the parent’s failure or refusal to cooperate in establishing initial or ongoing eligibility shall not be eligible for coverage under the hawk-i program.

1. Mr. and Mrs. K apply for hawk-i for their children. The application is screened and potential Medicaid eligibility is identified. The application is referred to DHS for a Medicaid eligibility determination. The Department requires the Ks to furnish income verification. The Ks fail to provide the verification and Medicaid eligibility is denied for failure to supply requested information. Since the Ks did not cooperate with the Department in establishing whether their children would be Medicaid-eligible, the Ks’ children are also not eligible for benefits through the hawk-i program. Their hawk-i application is denied. 2. Mrs. L applies for hawk-i for her three children. The application is screened and potential Medicaid eligibility is identified. The application is referred to DHS for a Medicaid eligibility determination. One of Mrs. L’s children has a different father than the other two. Mrs. L is required to provide information regarding the absent parents of her children as a condition of Medicaid eligibility. Mrs. L refuses to provide the information about one of the fathers. Medicaid policy does not penalize the children for the parent’s failure to provide absent parent information. The Department determines, based on the income verification provided by Mrs. L, that her three children are ineligible for Medicaid due to family income being over the limit. The application is referred back to the third-party administrator. Since the Department has determined Medicaid ineligibility due to excess income, the hawk-i application is processed without regard to Mrs. L’s refusal to provide absent parent information.