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Title 8: Medicaid Page 36 Iowa Department of Health and Human Services Employees’ Manual Chapter C: Nonfinancial Eligibility Residency Revised October 10, 2025 Determining Residency for Persons Aged 21…

Capacity State of Residence Capable of expressing intent State where the person is living with intent to remain there permanently or indefinitely. See Intent to Live in Iowa. (If the person was a resident of another state before being institutionalized in a second state, and the person intends to return to the first state, the state of residence is the first state.) Not capable of expressing intent  If the person was 21 or older when the person became incapable of expressing intent, state where the person is physically present.  If the person was under 21 when the person became incapable of expressing intent: • The parent’s or legal guardian’s state of residence at the time of placement; 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; or • The state where the person is institutionalized, if the person has been abandoned by the person’s parents and a legal guardian has not been appointed. Unless questionable, accept the statement of the representative regarding the age when the person became incapable of expressing intent.