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Title 8: Medicaid Page 36 Iowa Department of Health and Human Services Employees’ Manual Chapter F: Coverage Groups MAGI-Related Coverage Groups Revised February 28, 2025 People Who are Ineligible for FMAP A household is not eligible for transitional Medicaid if:  The income of a stepparent who is not a member of the FMAP eligible group makes the household ineligible for FMAP.  The income of a stepparent who is a member of the eligible group but has not assumed the role of caretaker (e.g., incapacitated) makes the household ineligible for FMAP.  The member received FMAP in any of the last six months immediately preceding the month of discontinuance as a result of fraud. Fraud is defined as: • an individual who obtains, by means of a willfully false statement or representation, by knowingly failing to disclose a material fact, any assistance or benefits to which the individual is not entitled, or • an individual who has knowingly withheld information by willfully providing false statement in order to qualify for benefits for which they were not entitled. If it is determined that fraud has occurred, an EDBC Override will need to be completed in ELIAS. Send an email to the DHS, SPIRS Help Desk to get the correct Aid Code and household composition. The following information will need to be provided to SPIRS:  Case Number  Date of Birth  Pregnancy, if applicable  Deemed newborn status, if applicable  Refugee Status, if applicable