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Title 8: Medicaid Page 51 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 Procedure: The following chart shows the action steps followed when a child has express-lane eligibility for MAC.

Step Action One ELIAS system: ♦ Generates form 470-4851, Express Lane Medicaid for Children and form 470-2826, Insurance Questionnaire for those children. ♦ Issues Comm. 258, Verifying Citizenship and Identity when proof of U.S. citizenship is not already verified and the children have already received their 90-day reasonable opportunity period. Two Family: ♦ The child’s household must request the child’s Medicaid enrollment by signing and returning form 470-4851, Express Lane Medicaid for Children within 30 calendar days of issuance. ♦ Either an adult member of the child’s household or a child receiving Food Assistance as head of household must sign the form. Three Worker: Add the month and year when Food Assistance started to the Requested Medical Type Detail Page. For Other Program Assistance Detail Page, add the begin date of the Food Assistance eligibility.