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Title 5: Centrally Administered Programs Page 25 Iowa Department of Human Services Employees’ Manual Chapter E: Healthy and Well Kids in Iowa (hawk-i) Nonfinancial Eligibility Factors Revised August 20, 2010 Ineligibility for Medicaid Ineligibility for Medicaid Legal reference: 441 IAC 86.2(5) In order to participate in the hawk-i program, a child must be ineligible for Medicaid due to family income, or a child voluntarily excluded from the Medicaid eligible group due to the income or resources of the child. The family must cooperate in establishing Medicaid ineligibility. Applications and Renewals At the time of the hawk-i application and at the time of the annual renewal of hawk-i, children who meet Medicaid eligibility criteria and children who are receiving Medicaid are not eligible for hawk-i. If a child is referred to hawk-i because Medicaid will be ending, hawk-i coverage cannot begin until the first day of the month following the month in which Medicaid coverage ended. During the hawk-i Enrollment Period Once a child has established hawk-i eligibility, the child shall remain eligible for the 12-month enrollment period even if family income decreases and no longer exceeds Medicaid limits. Countable income for the family is established at the beginning of the enrollment period and remains the same for the remainder of the enrollment period, regardless of later changes. However, once a child has established hawk-i eligibility, cancel the hawk-i coverage if the family applies for and begins receiving Medicaid for the child. The electronic Medicaid match will identify these children. Coverage under hawk-i should be canceled with a timely notice.

1. Ms. P applies for hawk-i for her children and hawk-i is approved effective April 1. In June, Ms. P calls to report that her income has decreased and it is clear that the countable income is now less than the Medicaid income limit. Ms. P can choose to: ♦ Keep her children on hawk-i through the end of the 12-month enrollment period, or ♦ Apply for Medicaid for herself and keep her children on hawk-i through the end of the 12-month enrollment period, or ♦ Apply for Medicaid for herself and her children. If Medicaid is approved for the children, cancel hawk-i with a timely notice.