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Title 8: Medicaid Page 33 Iowa Department of Health and Human Services Employees’ Manual Chapter C: Nonfinancial Eligibility Residency Revised October 10, 2025

How these factors affect residency is explained in this section. See Nonfinancial MAGI- Related Eligibility: Residency, for additional policies specific to MAGI cases. Accept the person’s statement, unless questionable. The person does not need to live in the state for a specified period nor maintain a permanent residence or fixed address. If a person in an institution satisfies the residency rules, eligibility cannot be denied because the person did not establish residency in Iowa before entering the institution. If two or more states cannot resolve a disagreement about which state is a person’s state of residence, the state where the person is physically located is the state of residence. Before approval in Iowa, a person receiving care in another state must take all steps available to obtain Medicaid in that state, including appealing any adverse decision. If the other state has denied an application or canceled benefits and is not currently providing Medicaid because the other state does not consider the person a resident of that state, the person is considered a resident of Iowa. The discussion of residency policies is organized as follows:  Two sections on the factors in determining residency for adults (aged 21 or over) and children.  Four sections that further explain the concepts used in determining residency: • Living in Iowa for employment • Intent to live in Iowa • Incapability of expressing intent • State placements  Two sections that address special situations: • Persons in medical institutions outside Iowa who claim Iowa residence • Persons receiving Medicaid from another state who move into Iowa