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Title 8: Medicaid Page 37 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 Under Age 21

Is the person institutionalized or in foster care? No  For a person who is emancipated or married and capable of indicating intent, the state of residence is the state where the person is living with intent to remain there permanently or indefinitely (even if the person is temporarily absent from that state).  For a person whose Medicaid eligibility is based on blindness or disability, the state of residence is where the person is living.  For any other noninstitutionalized person under age 21, the state of residence is determined according to MAGI-related residency rules. (See cross reference to MAGI-related manual provisions). Yes Did a state arrange the person’s placement? State arranging placement is the state of residence. For a person who is neither married nor emancipated, the state of residence is:  The parent’s state of residence at the time of the person’s placement, or NOTE: If a legal guardian has been appointed and parental rights are terminated, use the guardian’s state of residence instead of the parent’s.  The current state of residence of the parent or legal guardian who files the application if the person is institutionalized in that state.  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. The client may have choice of two different states of residency under options 1 and 2. Yes No