Page 111

Title 8: Medicaid Page 107 Iowa Department of Health and Human Services Employees’ Manual Chapter C: Nonfinancial Eligibility Nonfinancial MAGI-Related Eligibility Revised October 10, 2025 MAGI Household Size Married Couples Legal Reference: 441 IAC 75 (Rules in Process) In the case of a married couple living together, each spouse will be included in the household size of the other spouse, regardless of federal tax status. In the case of a married couple filing jointly, each spouse will be included in the household size of the other spouse, even when they are not living together. Pregnancy Legal Reference: 441 IAC 75 (Rules in Process) In establishing eligibility for a pregnant woman or any person whose household includes a pregnant woman, the unborn child (children if more than one fetus exists) shall be considered when determining the number of persons in the household size. The applicant’s or member’s attestation of the pregnancy, date of conception, due date, and number of children expected to deliver shall serve as verification unless questionable. The composition of a MAGI household that includes a pregnant woman counts all eligible individuals, the pregnant woman, and the number of children she is expecting to deliver. When the mother intends to place her child for adoption shortly after birth, the child shall be considered as living with the mother until custody is relinquished. Applicant or Member Attestation of Federal Tax Status Legal Reference: 441 IAC 75 (Rules in Process) The department shall accept the applicant’s or member’s statement of their federal tax status and claimed dependents, or such statement from an adult who is living with and in the Medicaid household size of an applicant or member who is a child. In cases where tax status or tax dependency cannot be established, the individual’s household is determined following non-filer rules.