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Title 8: Medicaid Page 47 Iowa Department of Health and Human Services Employees’ Manual Chapter C: Nonfinancial Eligibility Residency Revised October 10, 2025 When a Medicaid-Eligible Person Moves… EXCEPTION: The person does not have to surrender the other state’s medical card if the person has good cause not to do so. Good cause exists when:  The other state does not issue medical cards.  The other state’s medical card is a plastic magnetic strip or a computer chip card that contains more than Medicaid-related information.  Some Medicaid-eligible members of the person’s household in the other state did not move with the person to Iowa, and the card was left with those members.  The other state’s medical card was lost, mutilated, or destroyed.  The other state’s medical card was thrown away because of the person’s impending move to Iowa, since the person assumed that the card would not be valid in Iowa.  The other state’s medical card was already surrendered to the other state. Procedure: The case record must contain:  A scanned copy of the medical card, or  A scanned copy of the surrendered card and documentation of its return to the other state, or  Sufficient documentation to show that the client did or did not have good cause for not surrendering the card. When the person moves to Iowa in the middle of the month, grant Iowa Medicaid if Iowa eligibility exists in the month when the applicant lived in both states. If the applicant used the other state’s card in Iowa before choosing Iowa Medicaid, an Iowa medical card may be issued. Verify the effective date of cancellation of Medicaid in the other state. Use either the notice of decision or other documents issued by the other states or by a collateral contact with the other state’s Medicaid agency.

1. Ms. W and her children move to Iowa on September 13 from Hawaii, where she and her children were eligible for Medicaid. She applies for Medicaid. She cannot find a provider to accept the Hawaiian medical card and surrenders it to the worker. Ms. W and her children are determined Medicaid eligible in Iowa beginning the month of September.