Page 28

Title 8: Medicaid Page 25 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 Person ineligible for failure to provide a social security number or proof of application Date the number or proof of application is provided. No earlier than the first day of the month in which the number or proof of application is provided. Ms. T and her two children receive MAGI-related Medicaid. A third child is ineligible due to lack of a social security number. On May 5, Ms. T provides proof of application for the child’s number. The child is approved for Medicaid effective May 1. When the household fails to timely report a new person in the home, the date of application to add the person to the eligible group is still the date of report. In addition, determine the affect of the person’s presence on eligibility as of the date the person entered the home. Determining the Income of People Added Legal reference: 441 IAC 75 (Rules in Process) The income of people added to the eligible group is counted prospectively. See Budgeting for Ongoing Eligibility for MAGI-Related Households in this chapter and also 8-E, MAGI-Related Budgeting Procedures for Determining Financial Eligibility for more information. When the person being added was a Medicaid member for the immediately preceding month, obtain a new self-attested income. Do not use the previous self-attested income for months before the person is added to the existing household.

Mrs. A receives FMAP for herself and two children. They have no income. On May 2, Mr. A, who had been a Medicaid member in another household in April, returns to the home. Mrs. A reports his return on May 5. Although Mr. A’s income was projected at $300 per month in the other household, his new self-attended income is $250 per month. The new self-attested income is expected to continue. The $250 per month for Mr. A is entered into the system and used when checking electronic date sources.