441—76.6 (249A) Certification for services. The department of human services shall issue a Medical Assistance Eligibility Card, Form 470-1911, to persons who have been determined to be eligible for the benefits provided under the Medicaid program unless one of the following situations exists:
	 76.6(1) Pregnant woman. The eligible person is a pregnant woman determined presumptively eligible in accordance with 441—subrule 75.1(30). These persons shall be issued a Presumptive Medi-~~~caid Eligibility Notice of Decision, Form 470-2580 or 470-2580(S), by the department.
	 76.6(2) IowaCare. A person who is enrolled in the IowaCare program shall be issued an IowaCare Medical Card, Form 470-4164.