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MEDICAL SERVICES POLICY MANUAL,SECTION I I-600 Changes I 610 Loss of Eligibility

I-600 Changes

MS Manual 07/01/20 When a change occurs that will affect eligibility, the client is required to report the change within 10 days. The agencywill be required to act on changes that may affect eligibility within 10 days from receipt of the change. Changes can be reported: • In person • By telephone • By mail or • Through the citizen portal

Dependent upon the eligibility group of which the individual is a member, changes which could affect eligibility and therefore must be reported include the following: • A change in income that causes ineligibility or causes a change in vendor payment • Changes in household members • Death • End of pregnancy • Admission to or discharge from an institution (including a nursing facility) • Approval or discontinued disability • Resource changes, including the receipt of a lump sum payment or settlement • Shelter and expense changes for Long Term Services and Supports individuals who have a Community Spouse • Medical cost for Long Term Services and Supports individuals or • Changes in work and community engagement requirement exemptions or activities

Although an address change does not usually affect eligibility, individuals are encouraged to report any address changes immediately to ensure renewal notices or other correspondence is sent to the individual’s current address and not returned as Undeliverable. Any mail returned as Undeliverable could result in immediate case closure.