Page 5

Title 8: Medicaid Page 3 Iowa Department of Health and Human Services Employees’ Manual Chapter A: Administration Overview Revised January 13, 2023 Definitions “Electronic Data Sources” or “EDS” means federal and state data sources with which the department conducts data matches for the purpose of determining eligibility. Federal data sources include Internal Revenue Service (IRS), Social Security Administration (SSA) and Department of Homeland Security. State data sources include IWD Wage and Unemployment Compensation, SSA, IRS, and Public Assistance Reporting Information System (PARIS). “Eligibility Integrated Application Solution” or “ELIAS” is the system used by the Department to determine Medicaid eligibility. “E-SLMB” means the NonMAGI-related expanded specified low-income Medicare beneficiary coverage group. “Family Investment Program” or “FIP” is the name of Iowa’s Temporary Assistance for Needy Families program. The purpose of FIP is to provide financial and other assistance to needy, dependent children and the parents or relatives with whom they live. “Federal financial participation” (FFP) is the rate at which the federal government reimburses the state for providing Medicaid services. “Family-related Medically Needy” describes the Medically Needy coverage group whose eligibility criteria are derived in relation to the Family Medical Assistance Program, directed toward pregnant women, children, and their parents or caretakers, except for excess income. “Intermediate care facility for people with mental illness” or “ICF/MI” means an intermediate care (nursing) facility for people with mental illness. “Iowa Health and Wellness Plan” or “IHAWP” means the coverage group directed toward the adult population of individuals ages 19 through 64. “IME” means the Iowa Medicaid Enterprise. “Institutionalized spouse” means a married person who lives in a medical institution or nursing facility, or participates in a home- and community-based services waiver (or PACE) and who is likely to remain living in these circumstances for at least 30 consecutive days and whose spouse is not in a medical institution or nursing facility, on a waiver program, or PACE. “Spouses” include people who are married under state law or common law and people who are separated. “Intermediate care facility for persons with an intellectual disability” or “ICF/ID” means a medical institution used primarily for the diagnosis, treatment, or rehabilitation of people who have an intellectual disability. In a protected residential setting, the facility provides ongoing evaluation, planning, 24-hour supervision, coordination, and integration of health or related services to help each resident function at the resident’s greatest ability. “Local office” means the county office of the Department of Human Services, or a state mental health institute, or hospital school.