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Title 8: Medicaid Page 39 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 3. The balance of overpaid premiums will be: ▪ Applied to unpaid months, or ▪ Held as a credit to be applied to future assessed premiums. To decrease a premium for the next calendar month: 1. Income entries made in ELIAS before system cutoff will update the MEPD billing system. A new MEPD Billing Statement will be issued with the revised premium amount. 2. Income entries made in ELIAS after system cutoff will not update the MEPD billing system. A revised MEPD Billing Statement will not be issued until the next regular monthly bill. Changes entered in ELIAS after system cutoff require MEPC entries

1 An MEPD Billing Statement for a $110 premium is issued to Mrs. B on March 16. On March 23, Mrs. B reports on the MedicalState Supp Review form that her earned income has decreased.

On March 30, the worker makes MEPD review entries in ELIAS with the lower earned income and the unearned income. The lower income causes her premium to decrease to $80. Since the entries are made after March system cutoff, the MEPD billing system does not automatically update and issue a revised MEPD Billing Statement for April.

On March 31, the worker makes MEPC entries to change the premium amount for April to $80. After the premium amount updates to $80 in the MEPD billing system, a revised MEPD Billing Statement for $80 is issued for April. 2. An MEPD Billing Statement for a $53 premium is issued on March 16 to Mr. K. On March 18, Mr. K reports that he is searching for a new job and sends form 470-4856, MEPD Intent to Return to Work, showing he lost his job on March 10.

On March 19, the worker enters zero earned income and unearned income in ELIAS, which decreases Mr. K’s premium to $29 for April. Since the change is entered before March system cutoff, the MEPD billing system is updated with the lower premium and a revised MEPD Billing Statement for April is automatically issued with a $29 premium. Increase a Premium Procedure: When an MEPD premium needs to be increased for past months, contact the member to report that the premium was incorrect and give the member the choice of either: ▪ Having the premium corrected to a higher amount for past months, or ▪ Referring the underpayment to collections. When the member agrees to pay the higher premiums without timely notice: 1. Ask the member for a signed and dated statement giving permission to increase the premium for past months without timely notice. 2. Send a manually issued Notice of Action stating the corrected premium amount and the months involved.