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Title 8: Medicaid Page 38 Iowa Department of Health and Human Services Employees’ Manual Chapter G: Case Maintenance Additional Non-MAGI-Related Case Maintenance Revised November 4, 2022 MEPD Case Maintenance Reinstating a Case Canceled for Failure to Pay Premium Legal reference: 441 IAC 75 (Rules in Process) Policy: Reinstatement is allowed when an MEPD case was canceled because a premium payment was not received by the 14th of the month it was intended to cover. Reopening a Case Canceled for Failure to Pay Premium Legal reference: 441 IAC 75 (Rules in Process) Policy: Reopening an MEPD case is allowed when the case was canceled because a premium payment was not received by the end of the month it was due. To qualify for a reopening, payment must be received by the last day of the month following the month it is to cover. NOTE: Using the CREATE STMT entry on the MEPD STMT screen issues an MEPD Billing Statement that is up to date with payments and premiums assessed. The REPRINT (client or worker) a statement selection sends a duplicate copy of an MEPD Billing Statement. The REPRINT selection allows the choice of the statement by the date it had been issued. Premium Change for Current or Past System Months Legal reference: 441 IAC 75 (Rules in Process) Policy: Monthly MEPD premiums can be reduced for the remainder of a 12-month enrollment period due to a change in income that results in a lower premium. Premiums should not be increased during the 12-month enrollment period due to an increase in income. Premiums may be increased only when an error has been made in the calculation and the case is being corrected. The error may be due to: ▪ The member underreporting the income. ▪ Incorrect income entries in the system, or ▪ How income was determined. Decrease a Premium Procedure: Reduce MEPD premiums effective the month following the month the lower income is reported. Send a Notice of Action with the new premium amount and the month the decrease is effective. To decrease a premium that has already been paid for the current or a past month: 1. Make entries in the MEPC screen to decrease the premium amount. See 14-B(9), Using MEPC. 2. The MEPC changes will update overnight to the MEPD system, which will calculate the difference between the original, paid premium and the new, lower premium to show a credit.