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Title 8: Medicaid Page 126 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 5. Held as a “credit” and applied to assessed months as the payment becomes due. Excess “credit” will be refunded when:  The worker receives the member’s request and then forwards it to the DHS, SPIRS Help Desk via e-mail,  There have been two calendar months of inactivity on the member’s MEPD billing account, or  There have been two calendar months of zero MEPD premiums.

An MEPD application is filed January 22 and approved April 10 for January through April and ongoing months. The positive date on the system is January 1. The following chart shows how the first payments are applied according to the dates the first payments are received. Date of Payments Payments Received Months Paid April 29 One 1. April, unpaid month of receipt. April 29 Two 1. April, unpaid month of receipt, and 2. May, the next month after the month of receipt, since it was received after the next month’s (May) billing statement was issued on April 15. May 5 One 1. May, unpaid month of receipt. May 5 Two 1. May, unpaid month of receipt, and 2. April, unpaid month before the month of receipt, since it was received before the next month’s (June) billing statement was issued. May 10 Three 1. May, unpaid month of receipt, 2. April, unpaid month before the month of receipt, since it was received before the next month’s billing statement was issued, and 3. January, oldest unpaid month.