Page 14
Title 8: Medicaid Page 12 Iowa Department of Health and Human Services Employees’ Manual Chapter B: Application Processing Interviews Revised October 17, 2025 Information Provided Information Provided Legal reference: 42 CFR 435.905 When conducting the interview or by other means, explain to the client: The programs for which the client may be eligible such as: • MAGI-related Medicaid • Non-MAGI-related Medicaid • Medically Needy • Home- and community-based service waivers • State Supplementary Assistance • FIP • Food Assistance The policies and procedures for the client’s coverage group. The factors of eligibility that must be verified, including what is needed as verification, and that documents that are the property of the client are not returned to the client. The penalties for giving false information. The client’s right to receive a ten-day advance notice of adverse actions and the right to appeal any decisions on Medicaid eligibility. The social service programs available. Make referrals when necessary. The client’s responsibility to: • Report changes within ten days of the change and report any changes in medical resources. See 8-G, Reporting Changes. • Cooperate with the Quality Control and Economic Assistance Fraud Bureaus. See 8-C, Cooperation with Investigations and Quality Control. • Apply for and accept other benefits for which the client is eligible. See 8-C, Benefits from Other Sources. • Cooperate with the Third-Party Liability Unit and refund third-party payments for services paid by Medicaid. See 8-C, Cooperation with the Third-Party Liability Unit. Give or mail to applicants or anyone inquiring about the Medicaid program the following pamphlets that explain coverage, conditions of eligibility, benefits of the program, related services available and client rights and responsibilities: Comm. 020, Your Guide to Medicaid, Fee-for-Service