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Title 8: Medicaid Page 29 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…

1. Mr. and Mrs. J apply for Medicaid and SNAP on May 3. They request SNAP for the entire family and Medicaid for just their two children. The application is approved for both programs. Mr. J’s earnings are the only income for the family. At application, the projection was $1,500 gross per month. At recertification for SNAP, the J family reports that Mr. J now has monthly gross earned income of $1,700. The worker enters the same income into the computer system for both programs. 2. Mrs. K and her two children receive Medicaid under MAGI-related in addition to FIP and SNAP. Mrs. K has earned income of $515 bi-weekly. $1,030 per month is entered into the computer system for all three programs. At the next FIP review, Mrs. K reports income of $1,545 due to a third paycheck. Since this income is not a good indicator of future income, the income of $1,030 is allowed to roll forward for MAGI-related Medicaid. At the next FIP review, Mrs. K reports an increase in income to $530 bi-weekly. Since this income did not include a third check and is indicative of future income, $1,060 is entered into the computer system for MAGI-related Medicaid. Acting on Changes Legal reference: 42 CFR 435.911(b) & (c), 435.916(1) and (2), 435.930, 435.948, 435.952, 441 IAC 76 (Rules in Process), and 75 (Rules in Process) Act on the change as soon as possible, but no later than ten working days from the date you become aware of the change, unless using the automatic redetermination policy for information received and verified after the 10th of the month. Complete an automatic redetermination when changes are reported or become known. See Automatic Redetermination. Verification requirements apply before acting on changes. See 8-A, Notification, for timely notice requirements. When a probable change affects eligibility, act on the change if you have all information you need to establish eligibility, and the best information available indicates that the change will actually take place as reported.