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Title 8: Medicaid Page 120 Iowa Department of Health and Human Services Employees’ Manual Chapter F: Coverage Groups Non-MAGI-Related Coverage Groups Revised October 10, 2025 Medicaid for Employed People with Disabilities The “back months” of eligibility are shown on the Notice of Action. After the member receives the approval notice, the member may notify you of months when MEPD was not needed, or the member prefers to have Medically Needy. If the member does not want MEPD coverage in all of the “back” months, ask the member to provide a signed statement listing the months when the member does not need coverage. Use the MEPC screen to “block” a month so that payments will not be applied. See 14-B(9), Change to MEPD Premium: Using MEPC. The following chart explains the use of blocking.

Situation Procedure If a premium has already been paid for one or more back months... Do not block the month, as Medicaid eligibility was already granted. If a premium for a “back” month has not been paid... You may block the “back” month, if unpaid. If a block is entered on a month where the premium has already been paid... The system will change the payment to an MEPD credit or apply the payment to other months. A WIFS e- mail message will notify you that a recoupment must be completed for Medicaid services paid for the blocked months. If a month is blocked in error… You may unblock the month on the MEPC screen by entering a “U” code over the “B” code for that month. Premium Billing, Due Dates and Collection Legal reference: 441 IAC 75 (Rules in Process) Policy: The due date of the payment depends on the date when the premium is assessed. The following chart explains the due date schedule.