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Title 8: Medicaid Page 55 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

3. The Food Assistance household includes Mr. and Mrs. D and their children: Patty (age 19), Jake (age 14), and Ryan (age 10). The family’s MAGI-related Medicaid ended two years ago. U.S. citizenship and identity information is already verified for each family member. The household applies for Food Assistance and is approved effective July 29. Form 470-4851, Express Lane Medicaid for Children (with Jake and Ryan listed), and form 470-2826, Insurance Questionnaire, are issued. Mr. D requests MAC for both Jake and Ryan and signs and mails back forms 470-4851 and 470-2826. The IM worker receives the forms on the 20th day after they were issued and enters coding in ELIAS to approve Medicaid under Express Lane for “MAC eligibility for both sons beginning July 1 (the first day of the month that the Food Assistance began). When a Food Assistance review (RRED) and a Medicaid/Hawki Review, form 470-5168 is filed for a child, this is not an initial eligibility determination for Medicaid. The child is already receiving Medicaid, so express-lane eligibility procedures do not apply. Medicaid eligibility is reviewed under standard Medicaid eligibility requirements and procedures.

1. Ms. M and her three children are on Food Assistance only. ELIAS is already coded with proof of U.S. citizenship and identification for each child. Ms. M submits her RRED for the Food Assistance eligibility review. After the IM worker enters the review in ELIAS, form 470-4851, Express Lane Medicaid for Children is issued. Ms. M signs and returns form 470-4851 and requests Medicaid for each child. The IM worker enters ELIAS coding for each child to show that express lane Medicaid has been requested and approves the children for Mothers and Children under express-lane eligibility. 2. The Food Assistance household includes Ms. G and her two children, Grace (age 4) and Hope (age 8), and her boyfriend, Mr. L, and his two children, Josh (age 15) and Jacob (age 10). At the time of the initial Medicaid approval, all four children are approved for MAC through the express-lane eligibility process on the same MAC case.