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Title 8: Medicaid Page 14 Iowa Department of Health and Human Services Employees’ Manual Chapter G: Case Maintenance Reinstatement Revised November 4, 2022 Grace Period • If the new information is not verified by the end of the 14-day grace period, send a manual “Remain Canceled” notice (See below for language). This is because the original reason for cancellation has been cured, but you cannot determine eligibility due to a change in circumstances that is required to be verified. Document your decision. (Your Medicaid is still cancelled because you did not give us the information we asked for. We cannot determine if (insert person’s name) (is/are) eligible. 441 IAC 74.7, 76.14(2), 76.16 (249A)) ▪ Unable to verify change within grace period: When an additional change is reported and it is unlikely the information can be verified by the end of the 14-day grace period, attempt to notify the member to file a new applicaiton. Document the contact. NOTE: If a generic release is on file, it should be utilized.

1. Ms. B, a Medicaid member, fails to provide three pieces of information requested by the Department. A notice is issued to cancel the case effective May 1 for failure to provide requested information. Ms. B provides two of the items on April 17 and the third item on May 5. There have been no other changes in the household circumstances. Medicaid is reinstated for Ms. B effective May 1. 2. Ms. C, a Medicaid member, fails to provide two pieces of information requested by the Department. A notice to cancel the case is issued effective June 1 for failure to provide requested information. Ms. C provides the two items on July 17. The household is not eligible to be reinstated and no additional notice is issued. Ms. C must reapply. 3. Mr. D, a Medicaid member, fails to provide three pieces of information requested by the Department. A notice to cancel the case is issued effective July 1 for failure to provide requested information. Mr. D provides two of the items on June 21 and the third item on July 10. On July 10, Mr. D also reports that he has changed jobs. The IM worker explains to Mr. D that he has until July 14 to provide verification of the old job ending and the beginning of the new job or he will have to reapply for Medicaid.

Mr. D does not provide verification of the end of the old job or the beginning of the new job. The household is not eligible to be reinstated. The IM worker issues a “remain canceled” notice to the household, since Mr. D had provided the original requested information but did not provide the new verification. Mr. D will have to reapply. 4. Ms. E, a Medicaid member, fails to provide three pieces of information requested by the Department. A notice to cancel the case is issued effective April 1 for failure to provide requested information. Ms. E provides two of the items on March 21 and the third item on April 5. On April 5, Ms. E also reports that she has changed jobs. The IM worker explains to Ms. E that she has until April 14 to provide verification of the old job ending and the beginning of the new job or she will have to reapply for Medicaid.

On April 14, Ms. E provides verification of the end of the old job but does not provide verification of the beginning of the new job. An eligibility determination cannot be made. The IM worker issues a “remain canceled” notice to the household since Ms. E had provided the original requested information but did not provide the new verification. Ms. E will have to reapply.