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Title 8: Medicaid Page 61 Iowa Department of Health and Human Services Employees’ Manual Chapter F: Coverage Groups MAGI-Related Coverage Groups Revised February 28, 2025 Medicaid for Independent Young Adults (MIYA) Medicaid for Independent Young Adults (MIYA) Legal reference: 42 CFR 435.226; 441 IAC 75 (Rules in Process) Medicaid coverage under the “Medicaid for independent young adults” (MIYA) group is available to youth between the ages of 18 and 21 who left foster care on or after May 1, 2006, if the youth was in foster care under Iowa’s responsibility for placement and care when the youth turned 18. To be eligible, youth must meet MAGI-related Medicaid eligibility requirements except for:  Age.  Living with a parent or other caretaker.  School attendance.  Income limits. See MIYA Income Limits. The following sections give more information on:  MIYA eligibility requirements  Determining MIYA household size  MIYA income limits and requirements Eligibility Requirements Legal reference: 441 IAC 75 (Rules in Process) Youth are eligible for the MIYA coverage group if all of the following requirements are met:  The youth is 18 years old or older but is under 21 years of age,  The youth is not a mandatory household member or receiving Medicaid benefits under another coverage group (see Example 1 below),  The youth is not eligible to receive Medicaid through another coverage group as determined by the ELIAS system.  The youth resided in foster care (includes court-ordered PMIC placement) when the youth reached age 18,  The youth left foster care on or after May 1, 2006,  Iowa was responsible for the placement and care of the youth at the time the youth reached age 18, and  The household’s countable income is less than 254% of the federal poverty level. (See MIYA Income Limits.)