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Title 8: Medicaid Page 15 Iowa Department of Health and Human Services Employees’ Manual Chapter B: Application Processing Verification Revised October 17, 2025
Verification Legal reference: 42 CFR 435.907(e), 435.911(c)(2), and 435.952(c)–(d); 441 IAC 76 (Rules in Process) and 86.3(7)(c) Applicants must provide requested verification. Notify the applicant in writing what additional information or verification is needed. Provide this notice to the applicant personally, by mail, or by facsimile. Give the applicant ten calendar days to supply the information. Explain the following to the applicant in writing: An applicant who must obtain information from a third party should not leave the information with the expectation that the third party will return it timely. The applicant is responsible for following up with the third party to be sure the third party has the information ready to pick up or has mailed the information to the Department in time to be received by the due date. The applicant may ask the Department for more time to get the information if the third party does not have the information ready or it will not arrive by the due date. When the applicant is making every effort to obtain the information from a third party but is unable to do so in ten days and notifies you about the problem, you can allow additional time. Help the applicant to get the needed information, as requested. An applicant who provides a signed release to a specific individual or organization for specific information has met the requirement for supplying requested information or verification to give you permission to get it. The general release does not meet this requirement unless the applicant asks for help. Before denying a MAGI-related application, a request must be sent to applicants and members for information that cannot be obtained electronically, or is obtained electronically but is not reasonably compatible with information provided by or on behalf of an individual. Deny the application if the applicant does not provide the requested information by the specified due date and does not authorize the Department to obtain the information within the requested time.