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Title 5: Centrally Administered Programs Page 34 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. Mrs. A applies for hawk-i for her child, who has been in the hospital for five months. The child entered the hospital from home and is expected to return to the home in two months. The child is included in the family size because the total time the child is expected to be in a medical institution is less than one year, so this qualifies as a temporarily absent. If the family meets all eligibility factors, the child is eligible even though the child currently resides in a medical institution. 2. Mrs. B applies for hawk-i for her child who has been in a nursing facility for ten months. The child is expected to return to the home in four months. There is no hawk-i eligibility, because the total length of time the child is expected to be out of the home is greater than one year. Once the child returns home, Mrs. B can re-apply for the child. 3. Mrs. C applies for hawk-i for her child. The child was in foster care for two months before entering the medical institution. The child is expected to return to Mrs. C’s home within three months. There is no hawk-i eligibility, because the child did not enter the medical institution from Mrs. C’s home. Additionally, children in foster care are eligible for Medicaid. 4. Ms. D files her hawk-i renewal form for her children, ages 6 and 13. In the comments section, Ms. D reports that the 13-year-old is visiting his father in Texas from June 15 through August 15, when he will return to Ms. D’s home. The 13-year-old will be counted in Ms. D’s family size since the length of his absence will be less than three months. Children For Whom Benefits Are Not Requested Occasionally, a family will list a child on the application or renewal form for whom they are not applying for hawk-i coverage. The application requests all information about the child in the same way as children for whom hawk-i coverage is requested. If the family provides this information, the third-party administrator must evaluate the results of including and excluding the child and provide the information to the family in order for the family to make an educated decision about including or excluding the child.