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Title 8: Medicaid Page 5 Iowa Department of Health and Human Services Employees’ Manual Chapter C: Nonfinancial Eligibility Citizenship Revised October 10, 2025 Persons Exempt from Verification Current recipients of Social Security disability income (SSDI) (benefits based on the person’s disability). Current Medicare beneficiaries. People who were initially eligible for Medicaid due to deemed “newborn” status. This exemption continues even when “newborn” status ends, because people born in the U.S. to Medicaid-eligible mothers are permanently exempt from proving citizenship and identity. People born in another state who were initially eligible due to having deemed newborn status in that state. This includes people born to CHIP-eligible mothers if the other state’s CHIP program covers pregnant women. NOTE: Children born to Medicaid–eligible or CHIP–eligible mothers in another state do not qualify for deemed newborn status in Iowa because the mother was not receiving Iowa Medicaid at the time of the child’s birth. Children who are or were exempted while in out-of-home placement (e.g., foster care or relative placement) under the placement and care responsibility of the Department through a court order or voluntary placement agreement, regardless of the placement’s licensing or payment status. Children who are or were exempted while in IV-E-funded subsidized adoption or subsidized guardianship. Applicants for presumptive Medicaid eligibility (but they are no longer exempt when they apply for ongoing Medicaid). Individuals who have previously presented satisfactory documentary evidence of citizenship. NOTE: A person claiming to be an alien rather than a U.S. citizen must have their alien status verified as described in 8-L, Aliens. These exceptions do not apply to aliens. All other Medicaid applicants or members claiming to be United States citizens are required to have their citizenship and identity verified as a condition of eligibility. See Loss of Exemption for procedures when a member becomes subject to verification after approval.