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Title 8: Medicaid Page 30 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…

Change Reported Effect on Eligibility Effective Date Do a Recoupment or Adjustment? Timely reporting for members is within ten days after the change occurred. Timely Positive The month following the month the change is reported. Timely notice is not required. No, if the Department acted timely. Negative The month following the month change is reported. Timely notice is required. No, if the Department acted timely. Timely reporting for members is within ten days after the change occurred. Not Timely (or not at all) Positive The month following the month the change is reported or became known. (Do not adjust benefits back to when the change occurred.) No, if the Department acted timely. Negative The month following the month the change occurred, regardless of when the change occurred or became known. Yes, if benefits were received incorrectly. Redetermine eligibility beginning with the month following the month of the change.. Not Required to be Reported Until Annual Review Positive The month following the month the change is reported. No, if the Department acted timely. Negative The month following a timely notice. No, if the Department acted timely. NOTES: ▪ If the change is adding someone to the eligible group or results in an application, follow application policies regarding effective dates. See 8-B, Application Processing. ▪ If the change results in cancellation from the current coverage group, follow the automatic redetermination policy on whether the information was received by or after the 10th of the month. See Automatic Redetermination.