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Title 8: Medicaid Page 62 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)

Ms. A, age 20, is applying for Medicaid for herself and her infant daughter. Ms. A was in an Iowa-paid foster care placement the month she turned 18. She left foster care placement after May 10, 2006. This household is under the MAGI-related Medicaid income guidelines. Ms. A is a mandatory member of the Medicaid group for her daughter. Ms. A’s eligibility will be established under another coverage group. If Ms. A did not want Medicaid for her daughter, Ms. A could have been found eligible for the MIYA coverage group. A youth is not eligible for MIYA if Iowa did not make a foster care maintenance payment because the youth:  Left foster care before the youth’s eighteenth birthday.  Was on a trial home visit at the time the youth turned 18.  Was considered a runaway from the foster care placement at the time the youth turned 18. Eligibility under the MIYA coverage group can begin three months before the month of application for children under the age of 19. A youth who is found to be income-eligible upon application or annual review of eligibility shall remain income-eligible for 12 months regardless of any change in income or household size during the 12 months. If a youth who is identified as having aged out of foster care loses Medicaid eligibility established under another coverage group, redetermine the youth’s Medicaid eligibility for MIYA, if appropriate.

Ms. K, age 19, and her child have been receiving Medicaid under a MAGI-related Medicaid coverage group. Ms. K’s income creates ineligibility. Ms. K’s Medicaid eligibility is redetermined to MIYA with a household size of one. The child is redetermined to MAC. Household Size Legal reference: 441 IAC 75 (Rules in Process) The household size is based on policy in 8-C, MAGI Household Size.