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Title 8: Medicaid Page 53 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

Situation Action by Worker Client sends a signed request on a paper other than form 470-4851. If form 470-4851 has been issued,  Allow ten days for the form to be returned.  If form 470-4851 has not been issued, inform the client that express-lane eligibility is not available for the children. Give the client information on how to apply for Medicaid. Form 470-4851 was issued, but client reports it was not received or it was lost after it was received. If form 470-4851 has been issued, and  The family is still within the 30-day period to request express-lane eligibility, re-issue form 470-4851 manually and allow ten days for return. (See 6-Appendix.)  If the family is past the 30-day period to respond, tell the client that express-lane eligibility is not available for the children. Give the client information on how to apply for Medicaid. Form 470-4851 was not generated, but client requests MAC express-lane eligibility for client’s children. Inform the client that express-lane eligibility is not available for the children. Give the client information on how to apply for Medicaid. The client provides form 470- 4851 within the 30-day period. Information obtained for the Food Assistance application establishes that the child is not a qualified alien according to Medicaid standards. Do not approve Medicaid under Express Lane Eligibility procedures for a child who is not a qualified alien for Medicaid.