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Title 5: Centrally Administered Programs Page 23 Iowa Department of Human Services Employees’ Manual Chapter E: Healthy and Well Kids in Iowa (hawk-i) Nonfinancial Eligibility Factors Revised July 3, 2009 Uninsured Status If the children are hawk-i-eligible other than being uninsured, contact the family to verify whether the child’s health insurance coverage is ending. The contact must be in writing and must explain the family’s options. ♦ If the child’s health care coverage is not ending, deny the application due to the children being insured. ♦ If the child’s health care coverage is ending or has ended, the family must provide proof of cancellation. Coverage under hawk-i cannot begin any earlier than the first day of the month following the last month the child was covered under the other health care coverage. Health Insurance Data Match The Department conducts a health insurance data match for all children applying for and currently enrolled in hawk-i. The entity conducting this match is the same entity that conducts the health insurance data match for Medicaid applicants and members. Disenroll a child from the hawk-i program when it is determined, via the data match, that a child is covered by health insurance unless the child does not have geographic access to the coverage. See Uninsured Status, for more information. See Disenrollment, for more information. Verification of Insurance Cancellation When it is established that the child has health care coverage that will be ending or has recently ended, acceptable verification of the insurance cancellation should include: ♦ The names of the individual children whose coverage is ending, unless the entire plan has ended, and ♦ The effective date of the cancellation. The source of the verification will depend on whether the health insurance is an individual (private) plan or is coverage offered through an employer group plan.