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Title 5: Centrally Administered Programs Page 37 Iowa Department of Human Services Employees’ Manual Chapter E: Healthy and Well Kids in Iowa (hawk-i) Nonfinancial Eligibility Factors Revised August 20, 2010 Waiting List
3. The third-party administrator enters applicants on the waiting list based on the date of a valid application or a referral on a canceled Medicaid case as date-stamped by the third-party administrator or based on the Medicaid application date on a referral on a denied Medicaid application. In the event that more than one application is received on the same day, the third-party administrator enters applicants on the waiting list on the basis of the day of the month of the oldest child’s birthday, the lowest number being first on the list. Any subsequent ties are decided by the month of birth of the oldest child, January being month one and the lowest number.
4. If funds become available, the third-party administrator selects applicants from the waiting list based on the order in which their names appear on the list and notifies them of their selection.
5. After being notified of the availability of funding, the applicant has 15 working days to confirm their continued interest in applying for the program and to provide any information necessary to establish eligibility.
6. If the applicant does not confirm continued interest in applying for the program and does not provide any additional information necessary to establish eligibility within 15 working days, the third-party administrator deletes the applicant’s name from the waiting list and contacts the next applicant on the waiting list. Income Legal reference: 441 IAC 86.2(2) This section contains income policies and income limits. Policies regarding verification of income are listed first, followed by income limits, and what income to count. Verification of Income Legal reference: 441 IAC 86.2(2)“c” Income shall be verified using the best information available. Use a “prudent person concept” in determining if the income verification submitted with an application is sufficient or not. See Definitions: Prudent-person concept.