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Title 8: Medicaid Page 20 Iowa Department of Health and Human Services Employees’ Manual Chapter B: Application Processing Processing Standards Revised October 17, 2025 Grace Period Following the Denial…  Partial information provided: When some of the information is returned, but there is still information needed to determine eligibility: • Attempt to contact the household to let the household know what is needed and that if the information is not received so that a decision can be made by the end of the grace period, the household will have to reapply. A written request for the previously requested information is not required. • If the information is not provided by the end of the grace period, no further action is necessary.  Requested information provided and a change has occurred: If the original requested information is provided, but the household also reports a change for which verification is necessary: • Make every effort to verify the information and inform the applicant that you cannot reconsider the application unless the change is verified by the end of the grace period. If a generic release is on file, use it to obtain the information if possible. A written request for the new information is not required. • If the new information is not verified so that an eligibility determination can be made by the end of the 14-day grace period, send a manual “remain denied” notice (see below for language). This is because the original reason for denial has been cured, but you cannot process the application due to a change in circumstances that is required to be verified.

Your application for Medicaid is still denied because you did not give us the information we asked for. We cannot determine if (insert persons name) (is/are) eligible. 441 IAC 74.3 and IAC 76 (Rules in Process)  Unable to verify change within grace period: When an additional change is reported and it is unlikely the information can be verified and eligibility established by the end of the 14-day grace period, attempt to notify the applicant that they will need to file a new application.

1. Mr. A, a Medicaid applicant, fails to provide an employer’s statement of earnings that was requested by the Department. The IM worker issues a denial notice on April 1, which is dated April 2. Mr. A provides the employer’s statement on April 16. There have been no other changes in the household circumstances. The IM worker reopens Mr. A’s application and processes it.