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Title 8: Medicaid Page 24 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

Person Being Added Date of Application Effective Date of Eligibility Household member who is in the home Date of report. Add the person effective as of the first day of the month in which eligibility is established.

1. On May 4, Mrs. A reports that Mr. A, the father of her children, returned home on May 3. The date of application to add Mr. A is May 4. The effective date of eligibility is May 1.

2. On May 5, Ms. B reports that she got married to Mr. C on April 2. Mr. C is not the father of the child.

On May 5, Mrs. C (formerly Ms. B) requests to add Mr. C to her case. The date of application is May 5. The effective date is May 1. Person who will join the household (anticipated) Date of report. No earlier than the first day of the month in which the person enters the household or the first day of the month in which entry is reported, whichever is later.

Ms. D and her child receive MAGI-related Medicaid. On May 20, she reports that another child will come to live with her within the next couple of weeks. On June 1, she reports that the child actually returned on May 25. The child is added to the eligible group May 1. Person who lost their Medicaid eligibility because they failed to cooperate Date the person indicates willingness to cooperate (e.g., cooperate with Third Party Liability or HIPP). No earlier than the first day of the month in which the person indicates willingness to cooperate, which is the month of application. Do not take action to add the person until cooperation has actually occurred. Person previously sanctioned due to failure to cooperate with CSRU Date the person indicates willingness to cooperate. No earlier than the first day of the month in which the person indicates willingness to cooperate. Contact CSRU for this date if the client does not contact you directly.

Do not take action to add the person until cooperation has actually occurred per CSRU.

Ms. G has not received Medicaid for several months because she failed to cooperate with CSRU. On May 10, she contacts her worker to indicate her willingness to cooperate with CSRU. On June 2, CSRU notifies IM that Ms. G has cooperated. She is approved for Medicaid effective May 1.