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Title 8: Medicaid Page 68 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 the annual review month to coincide with the month in which the annual review should have been completed under the previous case. Transitional Medicaid Transitional Medicaid eligibility takes precedence over continuous eligibility processes for a child. ELIAS moves a child losing FMAP due to increased earned income into the Transitional Medicaid coverage group if all TM requirements are met. A child losing eligibility under the FMAP coverage group shall not remain on FMAP under continuous eligibility provisions unless there is no TM eligibility for the child. When a child only remains eligible for FMAP due to continuous eligibility provisions, the months the child receives FMAP due to continuous eligibility do not count toward the TM requirement of receiving FMAP for at least 3 of the last 6 months. If there is an increase in earned income when a child’s continuous eligibility is ending, the child shall not be redetermined to the Transitional Medicaid coverage group. Eligibility under TM may begin only after all eligibility factors are met again. Continuous Eligibility Ends Before Next Annual Review Continuous eligibility shall end before the annual review date for a child if any of the following occurs:  The child turns age 19,  The child is found to not have been initially eligible,  Per the request of the household,  The child is no longer a resident of Iowa (must be reported by household), or  The child dies. Continuous Eligibility Ends At Annual Review Continuous eligibility ends at the annual review date. NOTE: Annual reviews are often completed early when applications or changes are processed. This is done in order to align programs and for the