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Title 8: Medicaid Table of Contents Chapter F: Coverage Groups Revised October 10, 2025 Page 1 Page Iowa Department of Health and Human Services Employees’ Manual Overview .................................................................................................................................... 1 Summary of Aid Types and Fund Codes ............................................................................ 1 Presumptive Eligibility ............................................................................................................. 5 Pregnant or Postpartum Women and Deemed Newborns .................................................... 6 Continuous Eligibility for Pregnant and Postpartum Women .............................................. 6 Postpartum Eligibility .......................................................................................................... 8 Deemed Newborn Children of Medicaid-Eligible Mothers ................................................ 11 Duration of Coverage ............................................................................................... 13 When the Deemed Newborn Reaches Age One ...................................................... 14 Breast and Cervical Cancer Treatment ................................................................................. 15 Responsibilities of the Screening Program ....................................................................... 16 Referrals to a BCCEDP .................................................................................................... 17 Application Processing ..................................................................................................... 17 Mandatory Medicaid Coverage Groups .................................................................... 18 Eligibility Period ................................................................................................................ 19 Retroactive Coverage Under BCCT ......................................................................... 20 Length of Treatment ................................................................................................. 21 Responsibilities of the Client ............................................................................................ 22 Annual Review ................................................................................................................. 23 Notice of Decision ..................................................................................................... 24 Case Maintenance ............................................................................................................ 24 Health Insurance Changes ....................................................................................... 24 Automatic Redetermination for BCCT ...................................................................... 25 MAGI-Related Coverage Groups ........................................................................................... 26 Family Medical Assistance Program (FMAP) ................................................................... 27 People Who Are Ineligible for FMAP ................................................................................ 28 Ineligible Due to Receipt of Support (Extended Medicaid) ....................................... 28 Transitional Medicaid ................................................................................................ 30 Iowa Health and Wellness Plan (IHAWP) ......................................................................... 43 IHAWP Household With a Child Under 21 ................................................................ 44 Monthly Contributions ............................................................................................... 44 Change Reporting Requirements Specific to IHAWP Members ............................... 45 Mothers and Children (MAC) Program ............................................................................. 45 Eligibility Requirements ............................................................................................ 46 MAC Income Limits .................................................................................................. 48 Express-Lane Eligibility for MAC .............................................................................. 49 Composite MAGI Households .................................................................................. 56 Continued MAC Coverage of Children Receiving Inpatient Care ............................. 57 Medicaid/Hawki Composite Families ................................................................................ 59 People in a Medical Institution Within the 300% Income Limit .......................................... 60