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Title 8: Medicaid Page 138 Iowa Department of Health and Human Services Employees’ Manual Chapter F: Coverage Groups Non-MAGI-Related Coverage Groups Revised October 10, 2025 Medicaid for Kids with Special Needs (MKSN)

The worker explains to Mr. B that he is required to enroll Betty in his employer insurance plan as a condition of eligibility for MKSN. Mr. B provides proof that he cannot enroll Betty until the next open enrollment period. Since Betty cannot be enrolled until the open enrollment period, the worker:  Approves MKSN for Betty, and  Sets a reminder for five days before the beginning of the open enrollment. At the open enrollment period, the worker asks Mr. B to provide proof:  That Betty was enrolled, or  That the employer pays less than half of the cost of premiums. If Mr. B fails to enroll Betty in his employer group plan during open enrollment, Betty remains continuously eligible until the next eligibility review. Then Betty is canceled from MKSN coverage.