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Title 8: Medicaid Page 23 Iowa Department of Health and Human Services Employees’ Manual Chapter G: Case Maintenance Additional MAGI-Related Case Maintenance Revised November 4, 2022 Adding a New Member to an Existing MAGI-Related Case The following sections give more information on: ▪ Acting on a client’s report of future changes. ▪ Establishing the date of application and eligibility. ▪ Determining the income of people added. Acting on a Client’s Report of a Future Change When a client has reported to you that a new person will be joining the household at some time in the future, the client still has a responsibility to timely report when the person actually joins the household. Contact the client in writing within one or two days after the person was expected to enter the household. Ask for updated information about the anticipated change and any needed information about the person. The client has ten calendar days to provide the information. If the client reports that the person will be joining the household within 30 days of the report, and you receive the information by the due date you gave the client, process the application to add the person. If you do not receive the information by the due date, cancel the existing MAGI-related case for failure to provide the information and deny the application to add a person to the household. Issue timely notice. Reinstate the case if the information is received before the effective date of cancellation. The date you receive the information is the new date of application to add the person. If the client reports that the person will not be joining the household within 30 days of the report, issue a Notice of Action denying the application to add the person. Follow up with the client at the time the person was expected to enter the household, as described above. Remember to document your contacts with the client. Establishing the Date of Application and Eligibility Legal reference: 441 IAC 76.12(249A) The date of application and the effective date of eligibility depend upon the client’s situation. The date of application to add a new person to an existing eligible group is usually the date the household reports the new person in the home. However, circumstances of the client’s situation may affect the date of application. When the household requests to add a new person to the eligible group and that person meets eligibility requirements, the effective date is the first day of the month in which the request is made.