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Title 8: Medicaid Page 22 Iowa Department of Health and Human Services Employees’ Manual Chapter B: Application Processing Processing Standards Revised October 17, 2025 Grace Period Following the Denial…

6. Mr. F, a Medicaid applicant, fails to provide three pieces of information that were requested by the Department. The IM worker issues a denial notice on August 30, which is dated August 31. Mr. F provides two of the items on September 2 and the third item on September 6.

Also on September 6, Mr. F reports that he has changed jobs. The IM worker explains that in order for the original application to be reconsidered, Mr. F has until September 14 to provide verification of the old job ending and the beginning of the new job. Otherwise, Mr. F will have to reapply for Medicaid.

Mr. F provides verification of the old job ending and the beginning of the new job on September 7. The application is processed with the new information and a notice is sent informing Mr. F of the decision. Effective Date of Eligibility Legal reference: 42 CFR 435.915(b), 441 IAC 76.13(249A) and 86.5(514I) The effective date of eligibility for Medicaid is the first day of the month an application was filed or the first day of the month all eligibility factors were met, whichever is later. EXCEPTION: Eligibility under the qualified Medicare beneficiary coverage group begins the first day of the month after the month of decision. See 8-F, Express-Lane Eligibility for the effective date of eligibility for children under age 19 who are eligible without an application under the express-lane eligibility process. For MAGI-related coverage groups, eligibility for Medicaid begins on the first day of the month when eligibility was established any time during the month. For non-MAGI-related coverage groups and State Supplementary Assistance, the applicant must meet all eligibility criteria and be resource-eligible as of the first moment of the first day of the month in order to be eligible for the month. Effective Date for SSI Recipients Legal reference: 441 IAC 76.5(249A) An SSI recipient is eligible for Medicaid as of the first of the month before the month that the person attains SSI eligibility, unless either:  The person’s Iowa residency date is later, or  There is a Medicaid policy that precludes eligibility, as listed in 8-F, SSI Recipients.