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Title 8: Medicaid Page 28 Iowa Department of Health and Human Services Employees’ Manual Chapter G: Case Maintenance Additional MAGI-Related Case Maintenance Revised November 4, 2022 Budgeting For Ongoing Eligibility For MAGI-Related… Budgeting For Ongoing Eligibility For MAGI-Related Households Legal reference: 441 IAC 75 (Rules in Process) When a change in income is reported, act on it regardless of whether the change was required to be reported or not. First, determine if the change being reported is indicative of future income. If the change is not indicative of future income, document in the case that the change was reported but a new projection of income was not completed because the change is not indicative of future income. If the change is indicative of future income, request a new self-attestation from the client. Accept the client’s statement as to whether the change is indicative of future income, unless questionable.

1. Mr. H receives Medicaid for himself and his son under MAGI-related. On November 20, Mr. H reports that he will be working ten additional hours per week in December. He states that the additional hours will only occur in December, due to the holidays, and that he cannot anticipate working any overtime in the future. The worker documents the reported change in Mr. H’s case file. The worker further documents that the reported change is a one-time change and is not representative of future income. Verification of the change is not requested, and a new projection of income is not completed. 2. Ms. I receives Medicaid for her children under MAC. She does not receive Medicaid for herself. On August 27, Ms. I reports that she began working the evening shift on August 25. The evening shift pays an additional $.50 per hour. Ms. I states that her employer was unclear as to whether this change was temporary or permanent. The worker requests verification from the employer, which is received September 3. It indicates that Ms. I will be working the evening shift only until September 15, at which time she will return to her usual shift and her usual hourly rate. The worker documents this in the case file and does not complete a new projection of income, since the change is not representative of future income. 3. Same as Example 2, except that the verification from the employer indicates that Ms. I will be working the evening shift until at least November 1 and perhaps longer. The worker requests a new self-attestation of income based on the increase in Ms. I’s hourly rate. The new self-attested income is used beginning with the month of October. Income Changes Reported on Review Forms from Other Programs Some MAGI-related Medicaid members may also receive benefits from other programs. The other programs’ reporting requirements may affect Medicaid eligibility. When income reported on a review form differs in the amount that was projected for MAGI- related Medicaid, act on the new amounts as a reported change if it is indicative of future income. When the change is only due to a third or fifth check, do not enter the income for MAGI- related Medicaid. Allow the income used for eligibility the previous month to roll forward.