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Title 8: Medicaid Page 45 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) Change Reporting Requirements Specific to IHAWP Members In addition to all other Medicaid change reporting requirements, an IHAWP member shall report any of the following changes no later than ten calendar days after the change takes place: The member enters a nonmedical institution, including but not limited to a penal institution. The member turns 65. The member becomes entitled or enrolled in Medicare Part A or Part B or both. A child under the age of 21 living with the member loses minimum essential coverage (MEC), if the member is the child’s parent or other caretaker relative and will claim the child as a dependent for state or federal income tax purposes. The member is confirmed pregnant. Mothers and Children (MAC) Program Legal reference: 42 CFR 435.116, 441 IAC 75 (Rules in Process) Medicaid is available through the mothers and children (MAC) coverage group to pregnant women, infants under age one, and to children who have not reached age 19. To be eligible, pregnant women, infants under age one, and children must meet FMAP eligibility requirements except for: Living with a parent or other caretaker. School attendance. Age. Income limits. (See MAC Income Limits.) There are also specific requirements for: Pregnant women. Infants under one year of age. Children aged one through 18. Children who lose MAC eligibility because of an age change while inpatients in a medical institution.