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Title 5: Centrally Administered Programs Page 29 Iowa Department of Human Services Employees’ Manual Chapter E: Healthy and Well Kids in Iowa (hawk-i) Nonfinancial Eligibility Factors Revised August 20, 2010 Residents of Institutions

1. Mr. O applies for hawk-i for his two children, Ted and Sue. On the application, Mr. O indicates that Ted is currently in a juvenile detention facility but “will be coming home soon.” The hawk-i application is processed for a two-member family, Mr. O and Sue. Mr. O is informed that he should report when Ted actually comes back to the home. At that time, hawk-i eligibility will be determined for Ted. 2. Mrs. P applies for hawk-i on April 20 for her child, Jay. On April 27, before the application can be approved, Mrs. P reports that her other child, Jane, has returned home after residing in a mental health facility. The hawk-i application is processed for a three-member family. If they are otherwise eligible, enrollment for both Jay and Jane begins May 1. 3. Same as Example 2, except that Jane returns home April 2, before the application can be approved. The hawk-i application is processed for a three-member family. If they are otherwise eligible, enrollment for both Jay and Jane begins April 1. Furnishing a Social Security Number Legal reference: 441 IAC 86.2(12) A social security number must be provided in order for a child to establish eligibility under the hawk-i program. When a family states that a child does not have a social security number and the family will not apply for one due to religious beliefs, ask them to provide verification from the church elder or other church official that it is against the church doctrine. Do not require a social security number for adults in the family or for children not applying for hawk-i. However, if a social security number is voluntarily provided, record the number in the case file.