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Title 8: Medicaid Page 19 Iowa Department of Health and Human Services Employees’ Manual Chapter G: Case Maintenance Additional MAGI-Related Case Maintenance Revised November 4, 2022 Passive Renewal Additional MAGI-Related Case Maintenance This section contains information on additional procedures for ongoing maintenance of MAGI-related cases, including: ▪ Passive renewal ▪ Review process ▪ Requirements for a complete report ▪ Eligibility reviews ▪ Adding a new member to an existing MAGI-related case ▪ Other changes in the household ▪ Budgeting for ongoing eligibility Passive Renewal Passive renewal is a system-driven process that intends to speed up the annual renewal process of the state by eliminating more worker-driven actions during the renewal period. The intent is to determine eligibility based on an individual’s case information which is verified from data sources and notifies the individual of the outcome without worker interaction. Not all cases qualify for the passive renewal process. If the case does not qualify, a pre-populated review form is generated and sent to the individual. When the individual has a successful passive renewal, narrative records are sent to WISE to inform the worker of the outcome. The worker will need to refer to the Notice of Action for more information and to see the individuals who are passively reviewed. Act on any changes that are reported during or after the passive renewal process. Form 470-5168 or 470-5168(S), Medicaid/Hawki Review will be generated to households that did not meet the criteria for passive renewal or households who were not successfully passively renewed. Passive renewal will not occur for more than three consecutive years. The issuance of a pre-populated review form will begin a new three year period. Review Process Legal reference: 42 CFR 435.916, 441 IAC 76.14 A review of eligibility for MAGI-related Medicaid households will be conducted once every 12 months and no more frequently. Except for individuals who are passively renewed, a pre-populated form 470- 5168 or 470-5168(S) will be generated and mailed. The client will have at least 30 days from the date the form is mailed to complete necessary information, sign, and return the completed review form.