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Title 8: Medicaid Page 44 Iowa Department of Health and Human Services Employees’ Manual Chapter F: Coverage Groups MAGI-Related Coverage Groups Revised February 28, 2025 Iowa Health and Wellness Plan (IHAWP) Are not pregnant at time of application or renewal. NOTE: Women are who enrolled in IHAWP who later become pregnant will have the option of either staying enrolled in IHAWP or having a redetermination completed to another coverage group. IHAWP Household With a Child Under 21 When the following criteria is met, children under the age of 21 are required to have minimum essential coverage (MEC) in order for the parent or other caretaker to receive IHAWP coverage. Children under the age of 21 must meet minimum essential coverage (MEC) when: The child is living with the IHAWP client; and The child is claimed as a tax dependent of the IHAWP client. In these situations, if the child does not have MEC, there can be no IHAWP eligibility for the parent or other caretaker. The worker must deny/cancel the IHAWP coverage. Monthly Contributions Members enrolled in the Iowa Health and Wellness Plan with household income at or above 50 percent of the federal poverty level may be required to pay monthly contributions. The monthly contribution will be waived during the member’s first 12 months of continuous enrollment. If applicable, monthly contribution amounts are as follows: $5 for a member with household FPL between 50 and 100 percent; $10 for a member with household FPL above 100 percent. A monthly billing statement is generated by IME each month to members responsible for a monthly contribution. A member may be canceled if a monthly contribution is 90 days past due. In order to regain eligibility, an application must be filed. An application is not required when the person can be added to an existing MAGI-related eligible group.