Iowa Admin. Code r. 441-75.19 - Continuous eligibility for children

Current through Register Vol. 44, No. 20, April 6, 2022

A child under the age of 19 who is determined eligible for ongoing Medicaid shall retain that eligibility for up to 12 months regardless of changes in family circumstances except as described in this rule.

(1) Exceptions to coverage. This rule does not apply to the following children:
a. Children whose eligibility was determined under the newborn coverage group described at subrule 75.1(20).
b. Children whose eligibility was determined under the medically needy coverage group described at subrule 75.1(35).
c. Children whose medical assistance is state-funded only.
d. Children whose citizenship is not verified within the "reasonable period" described at paragraph 75.11(2)"c."
e. Children who are eligible only in a retroactive month.
(2) Duration of coverage. Coverage under this rule shall extend through the earliest of the following months:
a. The month of the household's annual eligibility review;
b. The month when the child reaches the age of 19; or
c. The month when the child moves out of Iowa.
(3) Assignment of review date. Children entering an existing Medicaid household shall be assigned the same annual eligibility review date as that established for the household.

This rule is intended to implement Iowa Code Supplement section 249A.3 as amended by 2008 Iowa Acts, House File 2539.


Iowa Admin. Code r. 441-75.19
ARC 8786B, lAB 6/2/10, effective 6/1/10 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

The following state regulations pages link to this page.

State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.