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Medicaid - Residence in Institution - Iowa

Medicaid coverage is available to people living in licensed medical institutions who would be eligible for the Family Medical Assistance Program (FMAP) if they were not living in the institution.

When determining eligibility, the caseworker examines the circumstances as if the person were living at home. The caseworker considers the needs, income, and resources of the family at home. Resources of all appropriate household members are counted in determining eligibility of children under this coverage group.

If the family at home would not be eligible for FMAP by including the institutionalized person, the institutionalized person must establish eligibility under another coverage group.

See Also:

·           Overview of Medical Assistance in Iowa

·           Welcome and Introduction to Benefits in Iowa

Source: Iowa Dept of Human Services Employees’ Manual

Title 8 Medicaid

·                        Chapter F, Coverage Groups, Due to Residence in a Medical Institution

Legal reference: 441 IAC 75.1(6)

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