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Title 8: Medicaid Page 11 Iowa Department of Health and Human Services Employees’ Manual Chapter F: Coverage Groups Pregnant or Postpartum Women and... Revised October 10, 2025 Deemed Newborn Children of Medicaid… Deemed Newborn Children of Medicaid-Eligible Mothers Legal reference: 42 CFR 435.117, 441 IAC 75 (Rules in Process); Public Law 111-3 Policy: Medicaid is available to deemed newborn children if the mother establishes Medicaid eligibility for the month of the child’s birth under a MAGI- related or non-MAGI-related coverage group, including eligibility for limited emergency services. The mother can establish eligibility before the birth or retroactively, after the birth. An application is not required to add the deemed newborn child to Medicaid. The deemed newborn is eligible for Medicaid as a deemed newborn child of a Medicaid eligible woman beginning with the month of birth through month of the infant’s first birthday. See Duration of Coverage. Procedure: Add the deemed newborn to the Medicaid case no later than ten days after the birth is reported to the local office. Do not delay adding the deemed newborn for Medicaid even if there is a delay adding the child for other programs. When establishing the 12-month eligibility period for the deemed newborn status, accept a verbal or written statement from the following as verification of the birth date, unless questionable:  Responsible household member.  Representative of the facility where the birth took place.  Any other person or publication deemed to be a valid authority. If the statement is questionable, request written verification and allow the household until:  The first day of the second month after the mother was discharged from the hospital (e.g., if the mother is discharged September 2, the due date is November 1), or  Ten calendar days, if that due date is later, based on the date of application. Cancel the deemed newborn’s Medicaid with timely notice if verification is not received. Reopen Medicaid for the deemed newborn retroactively if verification is received before the deemed newborn’s first birthday and the deemed newborn is otherwise eligible.