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Title 8: Medicaid Page 65 Iowa Department of Health and Human Services Employees’ Manual Chapter F: Coverage Groups MAGI-Related Coverage Groups Revised February 28, 2025 Expanded Medicaid for Independent… Expanded Medicaid for Independent Young Adults (EMIYA) Legal reference: 42 CFR 435.150, 441 IAC 75 (Rules in Process) Medicaid for former foster care youth under the “Expanded Medicaid for Independent Young Adults (EMIYA) is available to youth between the ages of 18 and 26 who left foster care on or after January 1, 2014. The person had to receive foster care and be enrolled in Medicaid while in foster care on the date of attaining 18 years of age (or such higher age to which foster care is provided to the person). Eligibility Requirements for youth who aged out of foster care prior to December 31, 2022 To be eligible for EMIYA coverage, former foster care youth who aged out of foster care prior to December 31, 2022, must meet all of the following requirements:  Are under age 26;  Are not eligible for or enrolled in another mandatory Medicaid group;  Were in foster care under the responsibility of Iowa upon attaining age 18 (or such higher age to which foster care is provided to the person); and  Were enrolled in Medicaid in Iowa on the date they aged out of foster care. Eligibility Requirements for youth who aged out of foster care on or after January 1, 2023 Effective January 1, 2023, 1902(a)(10)(A)(i) of the Social Security Act was modified with two eligibility changes outlined below. Former foster care youth who age out of foster care on or after January 1, 2023, will be eligible in the former foster care youth group if they meet all of the below requirements:  Are under age 26;  Are not enrolled in an eligibility group (even if they meet the eligibility requirements of such group);  Were in foster care under the responsibility of any state upon attaining age 18 (or such higher age to which foster care is provided to the person); and  Were enrolled in Medicaid in any state on the date they aged out of foster care.