Iowa Admin. Code r. 441-86.7 - Cancellation
The child's eligibility for the hawki program shall be canceled before the end of the 12-month enrollment period for any of the following:
(1)
Child moves
from the service area. Rescinded lAB 1/13/10, effective
3/1/10.
(2)
Age.
The child shall be canceled from the hawki program as of the first day of the
month following the month in which the child attained the age of 19.
(3)
Nonpayment of premiums.
The child shall be canceled from the program as of the first day of the month
in which premiums are not paid in accordance with the provisions of subrules
86.8(3) and 86.8(5), unless premiums are subsequently received in accordance
with the grace period provisions of subrule 86.8(4).
(4)
Iowa residence
abandoned. The child shall be canceled from the program as of the
first day of the month following the month in which the child relocated to
another state. Eligibility shall not be canceled when the child is temporarily
absent from the state in accordance with the provisions of 441-subrule
75.10(2).
(5)
Eligible for
Medicaid. The child shall be canceled from the program as of the first
day of the month following the month in which Medicaid eligibility is obtained.
If there are months during which the child is covered by both the Medicaid and
hawki programs, the hawki program shall be the primary payor and Medicaid shall
be the payor of last resort.
(6)
Enrolled in other health insurance coverage. The child shall
be canceled from the program as of the first day of the month following the
month in which the department is notified that the child has other health
insurance coverage. If there are months during which the child is covered by
both another insurance plan and the hawki program, the other insurance plan
shall be the primary payor and hawki shall be the payor of last
resort.
(7)
Admission to a
public institution. The child shall be canceled from the program if
the child is in a public institution at the time of the annual
review.
(8)
Admission to an
institution for mental disease. The child shall be canceled from the
program if the child is a patient in an institution for mental disease at the
time of annual review.
(9)
Employment with the state of Iowa. The child shall be canceled
from the hawki program as of the first day of the month in which the child's
parent became eligible to participate in a health or dental plan available to
state of Iowa employees.
Notes
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