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Title 8: Medicaid Page 50 Iowa Department of Health and Human Services Employees’ Manual Chapter C: Nonfinancial Eligibility Residents of Institutions Revised October 10, 2025 Residents of Public Nonmedical Institutions To be a “publicly operated community residence,” the facility:  Must provide some services beyond food and shelter, such as social services, help with personal living activities, or training in social and life skills.  Must not be a jail, prison, or other holding facility for people who have been arrested or detained pending charges.  Must not be located on the grounds of or immediately adjacent to any large institution or multiple-purpose complex. Procedure: Effective January 1, 2012, members who have been incarcerated for 30 days or more and continue to retain their eligibility status while incarcerated are eligible to have their Medicaid benefits limited to inpatient hospital claims only. Workers will be notified of members who are incarcerated for more than 30 days via a WISE alert. WISE alerts will also be generated when a member has been released. Medicaid may be reinstated without an application when a member is released from the public institution. When an individual calls to report their release from incarceration, the worker should follow up to verify the date of release by checking online sources and/or contacting the facility to verify the date of release. Full Medicaid is not available to individuals considered to be inmates. “Inmates” are people living in a public, non-medical institution regardless of whether they have been convicted or are awaiting trial, release, etc. The following are considered to be inmates of a public institution, and are not eligible for full Medicaid:  A Department of Corrections (DOC) inmate (regardless of the inmate’s status, i.e., convicted, awaiting trial, etc.).  An inmate of a jail (regardless of the inmate’s status, i.e., convicted, awaiting trial, etc.).  Someone who is on work release and living in a halfway house/residential facility.  Someone who is serving a sentence in a halfway house/residential facility.