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Title 8: Medicaid Page 10 Iowa Department of Health and Human Services Employees’ Manual Chapter F: Coverage Groups Pregnant or Postpartum Women and... Revised October 10, 2025 Continuous Eligibility for Pregnant and…

2. The household consists of Mr. W, age 29, who works full time, and Mrs. W, age 26, who is pregnant. Mrs. W applies for Medicaid on June 20. On June 27, the baby is born. The application is processed on June 29. Mrs. W met all eligibility criteria including income for the month of June and for the retroactive coverage month of May. She was over the income limit beginning in July. Mrs. W is approved for May, June and ongoing coverage. Mrs. W is continuously eligible for postpartum coverage because she was both eligible and enrolled in Medicaid while still pregnant. 3. Ms. J, age 18, is pregnant and receives Medical Assistance under the Hawki coverage group. Ms. J turns 19 in May. Even though Ms. J is 19, she will remain on Hawki as a pregnant woman through her pregnancy and postpartum period. On July 12, the baby is born. Ms. J remains on Hawki coverage for her postpartum period even though she is over 18 years old. She will remain on Hawki through the remainder of her postpartum period. The baby will be approved for deemed newborn coverage. 4. The household consists of Mr. F, age 29, who works full time, and Mrs. F, age 25, who is pregnant. Mrs. F is currently receiving Medicaid under the IHAWP coverage group. Mrs. F chooses to remain on IHAWP when she reports her pregnancy and will remain on IHAWP coverage for the remainder of her pregnancy and postpartum period. The baby is born October 15. Mrs. F will remain on IHAWP for the remainer of her postpartum period and the baby will be approved for deemed newborn coverage. 5. The household consists of Ms. L, age 35, who works full-time and is pregnant. Ms. L is currently receiving Medicaid under the Medically Needy program for a certification period of August-September. Ms. L does not meet her spenddown during the months of her certification period. Ms. L must reapply for Medically Needy if she wants to continue to receive Medicaid eligibility because her certification has expired. She must meet the spenddown obligation for the new certification period to obtain CE eligibility as a pregnant/postpartum woman.