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Title 5: Centrally Administered Programs Page 20 Iowa Department of Human Services Employees’ Manual Chapter E: Healthy and Well Kids in Iowa (hawk-i) Application Processing Revised August 20, 2010 Application Processing Timeframes Application Processing Timeframes Legal reference: 441 IAC 86.3(8) The decision regarding the applicant’s eligibility must be made within ten working days from the date of receiving the completed application and all necessary information and verification. EXCEPTION: When the hawk-i application is referred for a Medicaid eligibility determination and Medicaid eligibility is denied, the hawk-i eligibility decision shall be made within ten working days of the date of the notice of Medicaid denial. Effective Date of Coverage Legal reference: 441 IAC 86.5(514I) Coverage in the hawk-i program shall begin no earlier than the first day of the month following the month in which the application is filed, regardless of the day of the month the application is filed. The effective date of coverage for a child being added to an existing enrollment period is the first day of the month following the month in which the request to add the child is made. EXCEPTION: When a child who has been determined ineligible for Medicaid is referred to the hawk-i program, coverage in the hawk-i program shall begin the first day of the month after Medicaid eligibility ends. This ensures that there is no break in coverage.

Ms. G receives Medicaid for her child. It is determined that Ms. G’s child is no longer eligible for Medicaid due to income exceeding the limit. Ms. G’s child’s Medicaid ends September 30. The IM worker forgets to make the referral to hawk-i until October 14. If Ms. G’s child meets all hawk-i eligibility criteria, hawk-i coverage will begin October 1.