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Medicaid is available to newborn children if:
· The mother applies for Medicaid before the end of her pregnancy and establishes Medicaid eligibility under an SSI-related or FMAP-related coverage group for the month of the child’s birth, and
· The baby lives with the mother.
The baby is eligible for Medicaid regardless of the requirements in effect for other coverage groups, including the mother’s coverage group.
If the mother was not determined to be eligible for Medicaid for the month the child was born, she must file an application and establish Medicaid eligibility before coverage can begin for the child.
An application is not required to add the newborn child to the existing Medicaid case. Add the newborn to the Medicaid case no later than 10 days after the birth is reported to the county office. The newborn is not required to have a social security number.
· Overview of Medical Assistance in Iowa
· Welcome and Introduction to Benefits in Iowa
· Chapter F, Coverage Groups, Newborn Children of Medicaid-Eligible Mothers
Legal reference: 42 CFR 435.117, 441 IAC 75.1(20)
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