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Title 8: Medicaid Page 49 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 Income Requirements Legal reference: 441 IAC 75 (Rules in Process) Consider the income and household size of everyone in the household according to MAGI policy. Follow MAGI policy when establishing household size. When a woman states she is pregnant, count one unborn child as if it were born and living with her. If the existence of more than one unborn child has been verified, count the actual number of unborn children as if they were born and living with the mother. Express-Lane Eligibility for MAC Legal reference: 42 U.S.C. § 1396a(e)(13) as amended by Section 203 of Public Law 111-3, Children’s Health Insurance Program Reauthorization Act of 2009 (CHIPRA); Iowa Code Chapter 249A as amended by 2009 Iowa Acts Chapter 118; 441 IAC 75.11(2) and 76.4 Policy: Under express-lane eligibility, a determination of eligibility made by the Food Assistance program at the time of either Food Assistance application or Food Assistance review is used to determine when a child meets initial eligibility requirements for the Mothers and Children (MAC) coverage group. A child will be eligible under MAC without filing a separate medical assistance application when the child meets the following express-lane eligibility requirements:  The child is under the age of 19;  The child is eligible for Food Assistance;  The child fulfills Medicaid requirements of attestation and verification of qualified alien or citizen status; and  A household member requests the child’s Medicaid enrollment within 30 calendar days of issuance of express-lane eligibility form 470-4851, Express Lane Medicaid for Children. Either an adult member of the child’s household or a child receiving Food Assistance as head of household must sign and return the form.