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Title 8: Medicaid Page 40 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

Change Effective Date  Turns 18 on a day other than the first day of the month Remove child from TM effective the first day of the month after the birthday month. If child is the only child in the TM group, cancel TM effective the first day of the month after the birthday month. Child who is 18 and in school completes school Remove child from TM effective the first day of the month after the month in which child completed school. TM group no longer contains a child or no longer contains a parent or other caretaker Cancel TM effective the first day of the month after a ten-day timely notice period. Timely and adequate notice is required Other TM eligible group composition changes Remove people allowing for adequate and timely notice. Add people according to 8-G, Adding a New Member to an Existing MAGI-Related Case. Changes in income The first day of the month following the month of change. When a change other than income is not reported timely, redetermine eligibility for all months beginning with the month following the month in which the change occurred. When a change in income is not reported timely under the TM coverage group, the effective date of the change is the month in which the change would have been effective if it had been reported timely. Adding People to the Eligible Group Legal reference: 441 IAC 75 (Rules in Process) The transitional Medicaid eligible group includes:  Every person who was in the FMAP eligible group in the last month FMAP was received.  Every person whose needs and income were included in determining the FMAP eligibility of the household when FMAP benefits were terminated.