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Title 8: Medicaid Page 12 Iowa Department of Health and Human Services Employees’ Manual Chapter F: Coverage Groups Pregnant or Postpartum Women and... Revised February 28, 2025 Deemed Newborn Children of Medicaid…

1. Ms. R is pregnant and receives Medicaid under the MAC coverage group. On May 19, the billing clerk of the hospital calls Ms. R’s worker and reports that Ms. R’s child was born on May 18. Based on this report, the baby is added to Ms. R’s case as the deemed newborn child of a Medicaid-eligible mother. 2. Ms. L reports to the local office on June 15 that her child was born on June 7. The worker adds the deemed newborn to Ms. L’s case effective June 1. The local newspaper reports the birth date as May 17. Since there is an inconsistency in the birth date, the worker requests written verification of the birth date from the member. The information is not received by the August 1 due date, and the deemed newborn’s Medicaid is canceled effective September 30, with timely notice. On December 15, Ms. L provides verification of the child’s birth date and it matches Ms. L’s original report. The worker reopens the child’s Medicaid eligibility as a deemed newborn effective October 1. No application is required for the reopening. If the deemed newborn’s name is not immediately known, make the first name entry using “Baby Boy” or “Baby Girl” and the last name entry using the mother’s last name, unless a different last name is known. Correct the deemed newborn’s name on the system when the name becomes known. NOTE: If the mother receives SSI, do not add the deemed newborn to the mother’s SSI case. Add the deemed newborn to an existing MAGI-related case or open a new MAC case for the deemed newborn. Comment: The deemed newborn is not required to have a social security number in order to be added for Medicaid. This verification is required when the child is no longer eligible as a deemed newborn. See 8-C, Social Security Number. The deemed newborn is not required to verify citizenship and identity, because children born to Medicaid-eligible mothers are permanently exempt from verifying citizenship and identity. See 8-C, Verifying Citizenship and Identity.