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Title 8: Medicaid Page 13 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. Household composition: Mr. K, age 30, Mrs. K, age 25 and pregnant, and Child K, age 2. Mr. and Mrs. K have no income and receive Medicaid under FMAP. On July 20, the hospital informs the local office that Mrs. K gave birth to her baby on July 18. Policy requires that the baby be added to the eligible group. The day the birth of the child is reported becomes the application date. Add the baby to the existing Medicaid case within ten days, effective July 1. 2. Ms. T, age 19, is pregnant and receives Medicaid under the MAC coverage group. On May 2, she reports to the local office that her baby was born in April. The worker adds the baby to Ms. T’s case as the deemed newborn child of a Medicaid-eligible mother for the months of April and ongoing. On May 11, Ms. T reports she relinquished custody of the child to an adoption agency on May 4. Eligibility under “deemed newborn status” continues as long as we know where the baby lives and the infant is an Iowa resident. 3. Ms. A is an undocumented immigrant living in Iowa. She delivered a baby at a local hospital in June. Ms. A applies for Medicaid in August and requests retroactive Medicaid back to June. If Medicaid eligibility is approved for the birth under limited Medicaid for emergency services, the child is eligible for “deemed newborn status.” The following sections give more information on:  The duration of deemed newborn coverage  Procedure when the child reaches age one Duration of Coverage Legal reference: 441 IAC 75 (Rules in Process) Policy: Deemed newborn coverage begins with the month of the birth and extends through the month of the first birthday, if the child remains an Iowa resident. Deemed newborn status is available only to infants born to women who received Iowa Medicaid at birth. “Deemed newborn” status is not available to a child under age one whose mother received Medicaid when the child was born, then moved to Iowa and applied for Medicaid. The deemed newborn must maintain Iowa residence.