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Title 8: Medicaid Page 3 Iowa Department of Health and Human Services Employees’ Manual Chapter C: Nonfinancial Eligibility Medical Benefits from Other Sources Revised October 10, 2025 Medical Benefits NOTE: Members may not apply for Conditional Medicare by using the online Medicare application. They must either enroll in person at their local Social Security office or they may call Social Security and schedule a telephone interview for assistance with the Conditional Medicare application. Deny or cancel Medicaid benefits of the individual by entering a noncompliance reason in ELIAS when a Medicaid applicant or member fails to file a claim or application or to cooperate in the processing of that claim or application without proving good cause. See Cooperation in Obtaining Medical Resources and Cooperation With Investigations and Quality Control for additional information. Citizenship Legal reference: 42 CFR 435.406(a)(1), 441 IAC 75.11(2)“a”, P. L. 104-193 To be eligible for Medicaid, a person must be one of the following:  A citizen of the United States,  A U.S. national, or  A qualified alien. See 8-L, Aliens for more information on eligibility criteria. A “U.S. citizen” is defined as a person born in any of the 50 states, the District of Columbia, Puerto Rico, Guam, the U.S. Virgin Islands, or the Northern Mariana Islands. People born abroad to U.S. citizen parents are generally, but not always, considered U.S. citizens. A “U.S. national” is a person born in American Samoa, including Swain Island. However, the Independent State of Samoa (also known as Western Samoa) is not part of American Samoa, so individuals from this country are not U.S. nationals. People who are not citizens or nationals by birth can become citizens through a process called “naturalization.” In addition, certain children born abroad who were not U.S. citizens at the time of birth may establish citizenship automatically under the Child Citizenship Act.