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Title 8: Medicaid Page 27 Iowa Department of Health and Human Services Employees’ Manual Chapter F: Coverage Groups MAGI-Related Coverage Groups Revised February 28, 2025 Family Medical Assistance Program (FMAP) Medicaid is also available to most children under age 21 who are placed in subsidized adoption, subsidized guardianship, or foster care living arrangements. See 8-H, Foster Care, Adoption and Guardianship Subsidy for more information. Family Medical Assistance Program (FMAP) Legal reference: 441 IAC 75 (Rules in Process) Medicaid may be available under the Family Medical Assistance Program (FMAP) to children and their parents or other caretakers who meet financial and nonfinancial eligibility requirements. Parents or other caretakers must live with a child for whom they assume primary responsibility for that child’s care in order to be eligible. FMAP is available to a child under age 18 regardless of school attendance, including the month the child turns 18 unless the birthday falls on the first of the month. FMAP is also available to an 18 year old child who is a full-time student in a secondary school, or the equivalent level of vocational or technical training, and reasonably expected to complete the program before age 19.

1. Mr. S applies for Medicaid for himself. Also in the home is Mr. S’s son who receives SSI. Mr. S’s son receives Medicaid as an SSI recipient. Mr. S is categorically eligible for Medicaid under FMAP because he has a child in his care. 2. Ms. F applies for Medicaid for herself. Also in the home is Ms. F’s daughter who receives Medicaid under an HCBS waiver. The child is considered institutionalized only for the child’s eligibility. In determining Medicaid eligibility for Ms. F, the daughter shall be considered under Ms. F’s care. Therefore, Ms. F is categorically eligible for Medicaid under FMAP. To determine eligibility for this coverage group, use the policies and procedures in:  8-C, Nonfinancial MAGI-Related Eligibility.  8-E, Income Policies for MAGI-Related Coverage Groups. Also see Continuous Eligibility for Children for more information on handling an increase in household income that affects a child’s eligibility.