Page 38

Title 8: Medicaid Page 35 Iowa Department of Health and Human Services Employees’ Manual Chapter G: Case Maintenance Additional Non-MAGI-Related Case Maintenance Revised November 4, 2022 Non-MAGI-Related Eligibility Reviews Additional Non-MAGI-Related Case Maintenance This section contains information for Non-MAGI-related cases on: ▪ Eligibility review ▪ MEPD case maintenance ▪ New members in Non-MAGI-related households Non-MAGI-Related Eligibility Reviews Legal reference: 441 IAC 76.14(249A) Policy: Eligibility shall be reviewed at least once every 12 months for all Non-MAGI-related members except when a member receives SSI or only a blind or mandatory State Supplementary Assistance payment The member shall complete form 470-5482, 470-5482(S), 470-5482(M), or 470-5482(MS), Medicaid/State Supp Review, for the annual review. Procedure: Evaluate the information on the Medicaid/State Supp Review to determine if the member remains eligible for Medicaid under the current coverage group. Complete a redetermination when changes are reported that result in the member no longer being eligible under the current coverage group. See Automatic Redetermination. Comment: An interview is not required as part of the annual eligibility review process, however an individual must attend a face-to-face or telephone interview if requested to do so by the Department. Do not require an interview for cases on which only children receive Medicaid.