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Title 8: Medicaid Page 27 Iowa Department of Health and Human Services Employees’ Manual Chapter G: Case Maintenance Additional MAGI-Related Case Maintenance Revised November 4, 2022 Other Changes in the Household

3. Mr. and Mrs. Q receive Medicaid under MAGI-related for themselves and their two children, Bob, age 12 and Gary, age 17. Gary is not in school and has been employed for quite some time. Mrs. Q reports that Gary lost his job. The worker instructs Gary to apply for Unemployment benefits. Gary refuses to apply. Gary’s Medicaid is canceled effective the first of the next month, allowing a ten-day notice. The household size remains the same. Any income Gary receives would be counted in determining eligibility for Mr. and Mrs. Q and Bob. Child Goes into Foster Care Legal reference: 441 IAC 76 (Rules in Process) When a child leaves the home to enter foster care, remove the child’s needs from the eligible group effective the first day of the following month. System requirements may delay the effective date until the first day of the second month after the month in which the child left the home. However, if the child returns to the home before the effective date of cancellation, reinstate the child or case without a new application. When a child leaves the home to enter foster care, but returns to the household in the same month and has not yet been canceled from the case, do not remove the child from the household.

1. Mrs. A receives Medicaid under MAGI-related for herself and one child. The child is placed in foster care July 2. Notice is issued to cancel the child from the case effective August 1, and eligibility for Mrs. A is redetermined under a MAGI-related Medicaid coverage group. The worker establishes a foster care Medicaid case for the child with an effective date of August 1. On July 19, the child returns to the home. The foster care case is canceled and the child is reinstated on Mrs. A’s case. 2. Mrs. B receives Medicaid under MAGI-related for herself and one child. The child is placed in foster care July 25. Since it is too late to cancel for August, the child is canceled effective September 1. Eligibility for Mrs. B is redetermined under a MAGI- related Medicaid coverage group effective September 1. The worker establishes a foster care Medicaid case for the child with an effective date of September 1. The child returns to the home August 4. The foster care case is canceled and the child is reinstated on Mrs. B’s case. 3. Mrs. C receives Medicaid under MAGI-related for herself and one child. The child is placed in foster care July 17. The child is canceled effective August 1. Eligibility for Mrs. C is redetermined under a MAGI-related Medicaid coverage group effective August 1. The child returns to the home August 8. An automatic redetermination of eligibility is completed for the child when leaving foster care. The child is reinstated to Mrs. C’s case effective September 1.