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Title 8: Medicaid Page 46 Iowa Department of Health and Human Services Employees’ Manual Chapter F: Coverage Groups MAGI-Related Coverage Groups Revised February 28, 2025 Mothers and Children (MAC) Program The following sections give more information on:  MAC eligibility requirements  MAC income limit and requirements  Express-Lane eligibility for MAC  Composite MAC/medically needy households  Composite MAC/FMAP households  Continued MAC coverage of children receiving inpatient care Eligibility Requirements Legal reference: 42 CFR 435.116, 441 IAC 75 (Rules in Process) Pregnant women are eligible for the MAC coverage group if:  The household’s countable income does not exceed 215% of the federal poverty level (see MAC Income Limits); AND  The woman states she is pregnant. Pregnant women who are eligible under MAC do not have to cooperate in establishing paternity and obtaining support for their Medicaid-eligible born children. See 8-C, Pregnant Women Who Are Exempt from Cooperation. Coverage can begin three months before the month of application, but no earlier than the first day of the month of conception. Once eligibility for MAC is established, coverage continues throughout the woman’s pregnancy, even if the household’s income changes. However, the woman must continue to meet all other eligibility factors. If a pregnant woman loses eligibility under another coverage group because of excess income, grant continuous eligibility and change the coverage group to MAGI Pregnant Women. (See Continuous Eligibility for Pregnant and Postpartum Women.) When a woman is eligible and enrolled in Medicaid before her pregnancy ends, coverage continues for the 12-month postpartum period, even if there are changes in the household’s income. (See Continuous Eligibility for Pregnant and Postpartum Women.)