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Title 8: Medicaid Page 13 Iowa Department of Health and Human Services Employees’ Manual Chapter G: Case Maintenance Reinstatement Revised November 4, 2022 Grace Period Eligibility on a canceled case shall be reconsidered when all information necessary to determine eligibility is provided within 14 calendar days of the effective date of cancellation. Any changes reported during the grace period that may affect eligibility must be verified when required by policy and be considered in the eligibility determination. If the member is eligible, the effective date of assistance shall be the first day of the month following the month of cancellation. See Effect of Nonpayment of Premiums for MEPD. See 8-A, Notification, for notification requirements. Comment: The grace period does not apply to late payment of premiums or to noncooperation actions. Cancellation reasons for which a grace period may apply include, but are not limited to, failure to provide information necessary to determine eligibility and inability to find the member. If the case was closed because mail was returned or the Department was unable to find the member, a new application is not required if the household contacts the Department within the 14 days to provide a current Iowa address and eligibility can otherwise be established. When cancellation is due to no review form and the review form is received during the 14-day grace period, first follow the 14-day grace period policy to determine if the case can be reinstated. If the case cannot be reinstated during the 14-day grace period, process the review as an application under the 90-day reconsideration period. Only send a request for information after the 14-day grace period has expired. If the information is not returned, deny the application. Procedure: Based on the circumstances of your case, take the appropriate action as follows: ▪ No information provided: When no information is provided by the 14th day after the effective date of cancellaton, no further action is required. ▪ Partial information provided: When some of the information is returned, but there is still information needed to determine eligibility: • Attempt to contact the household to let the household know what is needed and that if the information is not received by the end of the grace period, the household will have to reapply. Document the contact. A written request for the previously requested information is not required. • If the information is not provided by the end of the grace period, no further action is necessary. ▪ Requested information provided and a change has occurred: If the original requested information is provided, but the household also reports a change for which verification is necessary: • Make every effort to verify the information and inform the member that you cannot make an eligibility determination unless the change is verified by the end of the grace period. Document the contact. A written request for the new information is not required.