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Title 8: Medicaid Page 16 Iowa Department of Health and Human Services Employees’ Manual Chapter B: Application Processing Verification Revised October 17, 2025 Pregnant Women If the applicant is unable to get information from a spouse who is no longer in the household, do not deny the application. Contact the applicant to obtain the best information available. Ask the applicant about bank accounts, records showing deposits of the spouse’s income, information from the divorce proceedings, and tax returns. Ask the applicant to provide information that would help to verify what the applicant is telling you about a spouse who is no longer in the home. From the information provided, determine eligibility. If the applicant fails to provide the requested information, deny the application. Pregnant Women Legal reference: 42 CFR 435.956(e), 441 IAC 75 (Rules in Process) When establishing Medicaid eligibility for pregnant women, attestation of the date of conception, due date, and number of children expected shall be accepted unless questionable. IRS Tax Information Legal reference: Sections 1137(a)(6) and 1942(b)(1) of the Social Security Act, Iowa Code Section 249A.4, By signing the application, applicants authorize HHS to verify application information with electronic data sources including IRS tax information. When redetermining eligibility, such as at annual review, HHS shall not attempt to verify income with IRS tax information unless the member provides written permission on an appropriate form. Reasonable Opportunity Period (ROP) for Verifying Citizenship or Alien Status Legal reference: 42 CFR 435.956(a)(5) through (b)(1) through (3) and 435.911(c), 42 U.S.C. 1396a(46)(B)(i)-(ii); Iowa Code Section 249A.4; 441 IAC 75 (Rules in Process) An applicant or member whose attested U.S. citizenship or eligible alien status cannot be verified through an electronic data match shall be allowed a 90-day Reasonable Opportunity Period (ROP) to provide proof. Medicaid shall be provided during the ROP if the person is otherwise eligible. If proof is not received by the end of the 90-day ROP, benefits end subject to timely notice requirements.