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Title 8: Medicaid Page 110 Iowa Department of Health and Human Services Employees’ Manual Chapter C: Nonfinancial Eligibility Nonfinancial MAGI-Related Eligibility Revised October 10, 2025 Joint Custody The following questions may be helpful when deciding who the child is living with if the child appears to be spending equal amounts of time in each home and the parents cannot decide who will receive Medicaid. This is not a complete or final list of questions but gives some general guidance.  Which parent lives in the same school district as the child’s school?  Who purchases most of the child’s clothing?  Which parent does the school contact in an emergency?  Where are most of the child’s clothing and toys stored?  Who does most of the child’s laundry?  Who maintains medical records and sets up medical appointments?  Who has the final say as to what the child can or cannot do if there is a disagreement? Upon the determination that a child is living with a parent or other caretaker, the Medicaid household for the child is determined as described above in MAGI Household Size. Verification of Pregnancy Legal reference: 441 IAC 75 (Rules in Process) If a woman’s eligibility is dependent upon pregnancy, accept a woman’s statement, unless questionable, as verification for the following:  The claim that she is currently pregnant.  The probable date of conception to establish retroactive eligibility. If the pregnancy is questionable, accept a signed statement from any of the following:  A maternal health center  A family planning clinic  A physician’s office  A certified nurse midwife  Another physician-directed provider, such as a rural health clinic or birthing center.