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Title 8: Medicaid Page 125 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 Posting of Premium Payments Legal reference: 441 IAC 75 (Rules in Process) Policy: The earlier a premium payment is received, the sooner Medicaid eligibility will show on the Eligibility Verification System (ELVS). It is important for members to understand that there will be no Medicaid eligibility for a month until the premium is paid, even though the due date is not until the 14th of that month. A member has until the 14th of the month to pay before an MEPD case can be canceled for nonpayment. When an MEPD case is canceled for nonpayment of the premium, a premium may be paid within three months of the month of coverage or the month of initial billing, whichever is later, for the member to get Medicaid eligibility for a past month. Any payments received after the 14th of the third month will not be credited towards eligibility for the unpaid past month. Premium payments are applied by the MEPD billing system in this order: 1. Applied to the current month, if unpaid. 2. Applied to the following month when the payment is received after a billing statement has been issued for the following month and the current calendar month is paid. 3. Applied to old unpaid months, as follows:  To the month before the current calendar month, if unpaid, and then  To the oldest unpaid month and forward until all unpaid prior months have been paid. 4. Held as a credit to apply to the next month when received:  After the billing statement has been issued for the next month (after the 15th of the month), and  Before system month end.