Page 11

Title 8: Medicaid Page 8 Iowa Department of Health and Human Services Employees’ Manual Chapter G: Case Maintenance Changes In Household Circumstances Revised November 4, 2022 Changes Reported From IEVS and Other Automated… Changes Reported From IEVS and Other Automated Sources on Alerts Legal reference: 42 CFR 435.945, 435.948, 441 IAC 75 (Rules in Process), and 76.14(2) In addition to changes reported by the household, information that might affect eligibility is also available through alerts that are issued to the worker through the WISE system. When you receive an alert, act on it as follows: 1. Determine if the client reported the information and if you have already acted on it. If so, notate in WISE and file alert as “no action required”. 2. Act on information received from the alert that was not previously reported by the household within 30 days from the date printed on the alert. Check the description of each alert to see whether the information must be verified or is already considered verified. If the new information requires verification, contact the household in writing and obtain a specific release of information, if necessary. You may delay action beyond 30 days when a third party causes the delay by not providing requested verification. It may be necessary to reduce or cancel future benefits and to establish a claim. 3. If the income does not affect past, current, or future eligibility, notate in WISE and file alert as “no action required”. 4. If the alert information affects eligibility, complete a redetermination and adjust future benefits. Do a claim if necessary. IEVS Wage Report Legal reference: 42 CFR 435.945(g), 435.948(a)(1), 441 IAC 75 (Rules in Process) Use information provided by Iowa Workforce Development on the Wage Report, S470X225-A, to determine if the household reported earnings. If the Wage Report indicates earnings that were not reported or were underreported, contact the client to verify information. Do not take any case action based solely on data taken from this report. IEVS Unemployment Compensation Report Legal reference: 42 CFR 435.945, 435.948, 441 IAC 75 (Rules in Process) The Unemployment Compensation Report, S470X160-A, is a monthly list of all Medicaid cases that contain a household member whose social security number matches with the social security number of a person to whom Iowa Workforce Development (IWD) issued unemployment benefits for the previous month. Consider benefits received on the second day after IWD mailed the check. The column entitled “Date Received” shows this date. When the second day falls on a Sunday or legal federal holiday, the IEVS system extends the time to the next mail delivery date.