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Title 8: Medicaid Page 41 Iowa Department of Health and Human Services Employees’ Manual Chapter G: Case Maintenance Additional Non-MAGI-Related Case Maintenance Revised November 4, 2022 New Members in Non-MAGI-Related Households New Members in Non-MAGI-Related Households Legal reference: 441 IAC 76.1 For Non-MAGI-related Medicaid purposes, the “household” concept and “adding a new member to a household” do not apply in the same way as for MAGI-related cases. Rather, except for eligible married couples, non-MAGI-related cases are based on an individual’s eligibility. Non-MAGI-related Medicaid eligibility for unmarried persons is determined individually rather than as a “household.” Therefore, a new member may not be added to an unmarried person’s Non-MAGI- related Medicaid case. NOTE: A newborn child of a Non-MAGI-related Medicaid-eligible mother may be eligible on the newborn’s own case under the coverage group in which the mother received Medicaid at the time of birth. Non-MAGI-related eligibility for married couples in which both spouses are aged, blind, or disabled is determined together (as a couple) when both spouses are receiving or have applied for Non-MAGI- related Medicaid. When two Non-MAGI-related members marry, determine their ongoing eligibility as a couple in the month following the month of marriage. When a Non-MAGI-related Medicaid member marries a person who is aged, blind, or disabled but is not receiving Medicaid, the spouse must file an application to begin receiving Non-MAGI-related Medicaid. When a Non-MAGI-related member is living with a spouse who turns 65 or becomes blind or disabled, the spouse must file an application to begin receiving Non-MAGI-related Medicaid. Treat an aged, blind, or disabled spouse who has not applied for Medicaid as an ineligible spouse when determining the member’s ongoing Medicaid eligibility (i.e., apply income deeming policies). When a Non-MAGI-related member marries and the spouse is not Medicaid-eligible, determine the effect on the Medicaid member for the next month. If the new spouse applies for Medicaid when the other spouse is already eligible, determine their eligibility as a couple and, when they are eligible, grant Medicaid for the month of application to the spouse who has applied. Then, put the couple together the next month. When parents or stepparents are also in the home, treat them as considered persons.