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Title 5: Centrally Administered Programs Page 79 Iowa Department of Human Services Employees’ Manual Chapter E: Healthy and Well Kids in Iowa (hawk-i) Case Maintenance July 3, 2009 Reporting Changes ♦ Pregnancy When the pregnancy is reported, encourage the family to file an application for Medicaid for the pregnant child. However, the family is not required to apply for Medicaid and may choose to have the pregnant child remain covered under hawk-i until the next annual renewal. The unborn child is not counted in the hawk-i family size. ♦ Entry to a Nonmedical Public Institution When a family reports a child has moved into a nonmedical public institution, such as a penal institution, cancel hawk-i coverage with a timely notice. See Residents of Nonmedical Public Institutions for more information. ♦ Moving out of the State When a family reports a child covered under the hawk-i program has moved outside of Iowa, cancel hawk-i coverage with a timely notice. ♦ Other Insurance Coverage Coverage by other health insurance may also become known through the state data match with health plans. Regardless of how the health insurance coverage is reported, cancel hawk-i coverage with a timely notice. ♦ Employment With the State of Iowa When a family reports employment with the state of Iowa and it has been determined that the state will pay at least $10 per month toward the cost of health insurance for the employee’s dependents, cancel hawk-i coverage with a timely notice. ♦ Adding a Child to an Existing Enrollment Period Do not require the family to complete a new application when they request that another child be added to the existing enrollment period. Collect from the family the necessary demographic information (such as name, date of birth, relationship of the child to all members of the family, and social security number, if the family chooses to provide it). Do not request any new information regarding family income or any information about any income of the child being added. The countable family income for the current enrollment period was set at the time the current enrollment period was established. Changes in family income during the enrollment period are not taken into consideration until the next annual renewal. See Changes in Income, for more information.