Iowa Admin. Code r. 441-74.5 - Enrollment period

Current through Register Vol. 44, No. 12, December 15, 2021

(1) Effective dates of eligibility. Iowa Health and Wellness Plan eligibility shall be effective on the first day of the month of application or the first day of the month all eligibility requirements are met, whichever is later. The enrollment period shall continue for 12 consecutive months unless the member is disenrolled in accordance with the provisions of rule 441-74.8 (249A,85GA,SF446).
(2) Reinstatement. Enrollment for the Iowa Health and Wellness Plan may be reinstated without a new application in accordance with 441-subrule 76.12(2).
(3) Presumptive eligibility. The enrollment period of 12 consecutive months shall not apply to individuals temporarily enrolled in Medicaid based on a presumptive eligibility determination by a qualified entity in accordance with rules 441-76.7 (249A) and 441-76.13 (249A).
(4) Retroactive enrollment. Medical assistance shall be available to a pregnant woman or an infant (under one year of age) for all or any of the three months preceding the month in which an application is filed when eligibility requirements are met in accordance with 441-subrule 76.13(3).


Iowa Admin. Code r. 441-74.5
ARC 1135C, IAB 10/30/2013, effective 10/2/2013 Amended by IAB October 29, 2014/Volume XXXVII, Number 9, effective 1/1/2015 Amended by IAB October 11, 2017/Volume XL, Number 8, effective 10/1/2017 Amended by IAB January 3, 2018/Volume XL, Number 14, effective 2/7/2018

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