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Title 8: Medicaid Page 121 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

When premiums are assessed... The due date of payment is the… For the month when the case is approved, and the approval is entered before system cutoff… 14th day of the month after the month when the case is approved. For the month when the case is approved, and the approval is entered after system cutoff but before the first day of the next calendar month… 14th day of the month after the month when the case is approved. For months before the month when the case is approved… 14th day of the third month after the month the case is approved. For months after the month when the case is approved… 14th day of the month the premium is to cover. For a month when MEPD is reinstated or re-opened after cutoff… 14th day of the following month. Procedure: The MEPD billing system issues form 470-3902, MEPD Billing Statement for each month for which a premium is owed. The system generates monthly billing statements at the end of the 15th day of the month, or at the end of day of the first working day after that if the 15th falls on a weekend or holiday. Bills are mailed to members on the day after they are generated, along with a preaddressed postage-paid return envelope. Form 470-3928, MEPD Information About Premium Payments is automatically issued to all MEPD members who owe a premium for the first time. A copy of this form is not sent to the worker. This form can be found in 6-Appendix. The form tells members:  The due date for ongoing premiums.  The address where premium payments are to be sent.  That Medicaid pays for medical expenses only after premiums are paid.