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Title 8: Medicaid Page 25 Iowa Department of Health and Human Services Employees’ Manual Chapter B: Application Processing Effective Date of Eligibility Revised October 17, 2025 Establishing Beginning Months of Eligibility… Procedure: The MEPD Billing System applies premium payments in a specified order. The person who enters the payments in the MEPD system cannot change the order of how the payment will be applied to pay for “back months.” Before entering conditional approval for back months, it is important to check with the applicant to see if the applicant wants Medicaid for each of the back months. Do not give the applicant conditional MEPD eligibility for a month when the applicant does not want MEPD benefits. Corrections can be made on the MEPC screens after the initial and back months are assessed for MEPD premiums.

Changing Conditionally Approved Months for MEPD Situation: Worker Action: After conditional eligibility has already been entered for “back months,” the member tells the worker that there are some months for which the member does not want to pay premiums. Ask the member to sign a statement that lists the “back months” for which the member does not want Medicaid. Do not block months until the signed statement is received.  If the premiums for those months have not been paid… “Block” the months when the member does not want MEPD coverage so that payments are not applied to premiums for those months. Enter “B” for the months that need to be blocked on the member’s MEPC screen.  If the premiums for those months have been paid… Do not block the month, as Medicaid eligibility was already given.