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Title 8: Medicaid Page 67 Iowa Department of Health and Human Services Employees’ Manual Chapter F: Coverage Groups MAGI-Related Coverage Groups Revised October 10, 2025 Continuous Eligibility for Children EXCEPTION: Children who received Subsidized Guardianship through the Medically Needy coverage group may remain continuously eligible. When “deemed newborn status” ends, ELIAS automatically completes a redetermination to determine ongoing Medicaid eligibility. A child who has “deemed newborn” status does not qualify for coverage under the continuous eligibility provisions because the child is already ‘deemed’ eligible for one year as a deemed newborn and because no Medicaid eligibility determination has yet been completed. Continuous eligibility for a child takes precedence over continuous eligibility for a pregnant woman when a woman under the age of 19 is pregnant. When a pregnant woman turns age 19, continuous eligibility for a child ends, but continuous eligibility for a pregnant woman may apply. See Continuous Eligibility for Pregnant and Postpartum Women. Continuous Eligibility Does Not End Until Next Annual Review is Due A child (not in “deemed newborn” status) who turns one year old remains continuously eligible until the annual review, regardless of the change in the income limit when the child reaches age one. A child who meets temporary absence for less than three months may be continuously eligible. See 8-C, Temporary Absence for Less Than Three Months. A child who is continuously eligible shall not lose Medicaid between annual reviews if a parent fails to cooperate with the Department of Inspections, Appeals, and Licensing (DIAL) or Quality Control review. However, at the annual review, a parent must cooperate in order for the child to be determined eligible. NOTE: Minor parents and children under the age of 19 who are representing themselves must cooperate with the Department in order to be continuously eligible for Medicaid. When a child ages out of FMAP, ELIAS automatically redetermines other eligibility or defaults to maintain continuous eligibility for the child. The annual review month will remain unchanged if the child remains on the same case but the coverage group changes. If you open a new case, adjust