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Title 8: Medicaid Page 48 Iowa Department of Health and Human Services Employees’ Manual Chapter C: Nonfinancial Eligibility Residency Revised October 10, 2025 When a Medicaid-Eligible Person Moves…

2. Mr. B, an SSI recipient, moves to Iowa from Texas on March 2. He applies for Medicaid in Iowa on March 8 and completes form 470-0364(M), SSI Medicaid Information. The worker calls Texas on March 10 and verifies that Mr. B’s case will be canceled effective April 1. When the worker asks for Mr. B’s March medical card from Texas, he refuses to surrender it to the worker and when asked why, offers no good cause reason. Mr. B is not granted good cause in March for not surrendering the Texas medical card. The worker records this in the case file. If all other eligibility factors are met, Mr. B is determined Medicaid eligible in Iowa beginning the month of April. 3. Mr. and Mrs. A and their child move to Iowa from Missouri in May. They file a Medicaid application on May 20. The A’s report their medical card from Missouri for May was lost during their move to Iowa. The worker verifies that the A’s Medicaid in Missouri was canceled effective May 31. The A’s are granted good cause for not surrendering the Missouri medical card and the worker documents this in the case file. If all other eligibility factors are met, the A’s are determined Medicaid eligible in Iowa beginning with the month of May. Residents of Institutions An “institution” is an establishment that furnishes (in single or multiple facilities) food, shelter, and some treatment or services to four or more people unrelated to the proprietor. The following sections give policy information on:  Residents of institutions for mental disease.  Residents of public nonmedical institution. For policies applicable to residents of medical institutions, see 8-I, Medical Institutions. Residents of Institutions for Mental Disease Legal reference: 42 CFR 435.1009(a)(2), 435.1009(c), 440.160, and 441.151 “Institutions for mental disease” include mental health institutions (MHIs) and psychiatric medical institutions. A person who is over age 21 and under age 65 is not eligible for Medicaid when the person lives in an institution for mental disease.