Page 38

Title 8: Medicaid Page 36 Iowa Department of Health and Human Services Employees’ Manual Chapter B: Application Processing Representation Revised October 17, 2025 Authorized Representative Make entries on the member’s MEPD STMT screen to generate a copy of the MEPD Billing Statement. See 14-C, STMT = MEPD Billing Statement Screen, (REPRINT (WRKR) field) for entry instructions. After the entries are updated, the worker will receive the duplicate bill and send it to the authorized representative. Authorization to Represent Legal reference: 441 IAC 76.1(7)“b” An authorization to represent is a written document or statement signed and dated by the competent applicant or member or by a responsible person that identifies the individual or organization that will act as the person’s authorized representative. If the authorization identifies the period or the dates of medical services it is to cover, the authorization is valid for the initial application and any additional application filed by the representative or applicant for the stated period or dates of medical services, as well as appeals relating to the application. If the authorization does not indicate the period or dates of medical services it is to cover, the authorization shall be valid until the applicant, member, or responsible person modifies the authorization, or notifies the Department that the representative is no longer authorized to act on behalf of the applicant or member or until the authorized representative informs the Department that the representative no longer is acting in such capacity. If an applicant, member, or responsible person notifies the Department in writing that the client or responsible person no longer wants an authorized representative to act on the person’s behalf, the Department will no longer recognize that individual or organization as the authorized representative.