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Title 8: Medicaid Page 52 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 chart shows actions to take for different situations:

Situation Action by Worker Form 470-4851 is returned but is not signed. Return form 470-4851 to the family with a request for a signature. Allow 10 days for the form to be returned. Client provides form 470- 4851 within the 30-day period but is required to provide citizenship and identification proof before Medicaid is granted. (Occurs only when child already received Medicaid during “reasonable period of opportunity” and did not provide proof.) For children that must verify citizenship and identification before Medicaid approval, the client must send proof by the end of the 30- day period. If the proof is not received by the 30th day, do not approve Medicaid under express-lane eligibility procedures. Form 470-4851 is issued on June 1. The form is returned to DHS on August 15. The form was not received by the 30th day. The child is not eligible under Express-Lane Form 470-4851 is issued on June 1. As of that date there is no Medicaid application pended for the children. On June 10, the family files a Medicaid application which includes the children named on form 470-4851. On June 15, FMAP Medicaid is approved for the entire family. On June 29, form 470-4851 is returned to DHS. After form 470-4851 is returned, the children are not eligible under Express- Lane. Client provides form 470- 4851 within the 30-day period but worker is unable to process within 30 days. Process the 470-4851 after the 30-day period ends.