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Title 8: Medicaid Page 103 Iowa Department of Health and Human Services Employees’ Manual Chapter C: Nonfinancial Eligibility Nonfinancial MAGI-Related Eligibility Revised October 10, 2025 Absence
2. Mrs. B applies for assistance for herself and 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 MAGI-related Medicaid eligibility because the total length of time the child is expected to be out of the home is greater than one year. 3. Mrs. C applies for MAGI-related Medicaid for herself and a child. The child was in foster care for two months before entering the medical institution. The child is expected to return to the home within three months.
There is no MAGI-related Medicaid eligibility, because the child did not enter the medical institution from the home. If the person does not return within one year, remove the person’s needs from the eligible group. Absence for Less than Three Months Legal reference: 441 IAC 75.53 and 75.12(249A) Include in the eligible group a person who is temporarily absent from the home. A “temporary absence” exists when a person is out of the home for reasons other than in a medical institution or for education or training and it is expected that the person will return to the home within three months. NOTE: A person who is expected to be absent from the MAGI-related eligible group for less than three months due to incarceration is still eligible for Medicaid. See Residents of Public Nonmedical Institutions. A child may be out of the home for purposes such as visiting the absent parent or vacation. The child remains eligible if the child’s absence is anticipated to last less than three months. Even though the parent’s or other caretaker’s responsibility for care and control is lost, continue eligibility as long as the loss is temporary. For example, a child visiting the other parent can be included in the eligible group, as long as the absence is expected to be less than three months and all other factors of eligibility are met.