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Title 8: Medicaid Page 50 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 Express-Lane eligibility does not apply, and form 470-4851, Express Lane Medicaid for Children will not be issued when:  The child is already receiving Medicaid or has a pending application.  The child’s Food Assistance household includes other persons who are receiving MAGI-related Medicaid.  The countable total income of the child’s Food Assistance household exceeds the MAC income limits.  The child was previously granted express-lane eligibility and the household has not had at least a two-month break in Food Assistance eligibility since that time. All children in the same Food Assistance household who are approved for MAC through the express-lane eligibility process will be placed on the same MAC case at the time of the initial Medicaid approval. This includes:  Children who are not members of the same eligible group under MAC guidelines, and  Children who may not be eligible for Medicaid under standard Medicaid requirements for MAC. At the time of the annual Medicaid review, children may be split into separate MAC cases or canceled as necessary to meet standard Medicaid eligibility requirements. MAC express-lane eligibility begins on the first day of the month of the child’s Food Assistance effective date. If the child meets the criteria for retroactive eligibility as defined in 8-A, Definitions and in 8-B, Determining Eligibility for the Retroactive Period the “retroactive period” may include any of the three months before the effective date of the child’s express-lane eligibility for Medicaid. Food Assistance eligibility will not be used to determine Medicaid eligibility at the time of the MAC review. Reviews of Medicaid eligibility will be made based on standard Medicaid eligibility requirements and procedures found in 8-G, MAGI-Related Eligibility Reviews.