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Title 5: Centrally Administered Programs Page 33 Iowa Department of Human Services Employees’ Manual Chapter E: Healthy and Well Kids in Iowa (hawk-i) Nonfinancial Eligibility Factors Revised July 3, 2009 Temporary Absence
1. Ms. R applies for hawk-i for her two children, ages 15 and 18. On the application, Ms. R states that the 18-year-old attends college and lives on campus. If Ms. R retains supervision of the 18-year-old and the child is otherwise eligible, the 18-year-old can receive health care coverage through the hawk-i program through the month of the child’s 19th birthday. 2. Mr. S applies for hawk-i for his children. On the application, he states that his wife, Mrs. S, is currently attending beauty school in Minneapolis. Mrs. S has an apartment in Minneapolis and comes home one weekend a month. Mrs. S will graduate six months from now and will return home at that time. Mrs. S will be included in the family size, and if she has any income, it will be counted in the hawk-i eligibility determination. Absence in a Medical Institution A person who is temporarily absent from the home and in a medical institution will be included in the family size as long as the person: ♦ Is anticipated to be in a medical institution for less than a year, as verified by a physician’s statement, and ♦ Will be returning directly to the home from the medical institution. When determining the 12-month period, the first full calendar month after the person enters the medical institution is considered “month one.” A “medical institution” is a facility that provides medical care, including nursing and convalescent care, in accordance with accepted standards as authorized by state law and as evidenced by the facility’s license. A medical institution may be public or private. Medical institutions include: ♦ Hospitals ♦ Nursing facilities ♦ Intermediate care facilities for mentally retarded ♦ Psychiatric medical institutions for children (PMICs) ♦ Psychiatric institutions ♦ State hospital schools ♦ Mental health institutions