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Postpartum Eligibility - Medical Assistance - Iowa

Medicaid continues to be available during the 60-day postpartum period to a woman who applies for Medicaid before her pregnancy ends and is determined Medicaid eligible for the month in which her pregnancy ended. The postpartum period begins with the last day of pregnancy and continues throughout the month in which the 60-day period ends.

An application is not required, unless the woman is a Medically Needy recipient. If a Medically Needy recipient’s certification period expires during the postpartum eligibility period, she must file an application.

If a woman who was determined eligible for Medicaid on the last day of her pregnancy is not eligible for Medicaid under any coverage group once her pregnancy ends, she continues to be eligible for 60 days of postpartum coverage in the same coverage group under which she received Medicaid while pregnant.

It is not a requirement under Medicaid that an application for cash assistance be filed when the person is potentially eligible for it.

During the postpartum period, the woman must meet all eligibility factors except:

·     Income and resource criteria.

·     Monthly reporting, unless reporting is required as a condition of eligibility for her to receive Medicaid for other children in her home.

When the pregnancy terminates (for any reason), the woman is still entitled to postpartum coverage if all other eligibility factors are met.

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, Postpartum Eligibility

Legal reference: 441 IAC 75.1(24)

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