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Title 8: Medicaid Page 34 Iowa Department of Health and Human Services Employees’ Manual Chapter C: Nonfinancial Eligibility Residency Revised October 10, 2025 Determining Residency for Persons Aged 21… Determining Residency for Persons Aged 21 or Over

State of residence is:  Where living with a job commitment or to seek employment, or  Where living with the intent to remain. In institution? Capable of indicating intent? Did a state arrange placement? State of residence is state arranging placement. Capable of indicating intent? State of residence is where living. State where living with intent to remain. Age the person became incapable of indicating intent? Before Age 21 State of residence is state where the person is physically present. The state of residence is:  Parent’s or legal guardian’s state of residence at the time of entry into living arrangement, or  The current state of residence of the parent or legal guardian who files the application, if the person is institutionalized in that state or if the parents reside in separate states.  The state where the person is institutionalized, if the person has been abandoned by his or her parents and a legal guardian has not been appointed. No Yes No Yes No Yes Yes No At or After Age 21