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Title 8: Medicaid Page 40 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. Make entries in the MEPC screen to increase the premium for current or past months. See 14-B(9), Change to MEPD Premium. ELIAS will update ongoing months. 4. The billing system will issue a revised MEPD Billing Statement for the months corrected. Refunds Legal reference: 441 IAC 75 (Rules in Process) Policy: When the member has paid in more than is owed, refunds are automatically issued if there are funds in the MEPD premium account and: ▪ The premium has been reduced to zero for two consecutive months, or ▪ There have been two consecutive months of inactivity on the MEPD case. The Department will also issue a refund upon the member’s request. Procedure: To request a refund on behalf of an MEPD member, send an e-mail to DHS, SPIRS Help Desk. Include the member’s name, state identification number, the amount to be refunded, and the reason for the refund. Do not tell the member to call IME Member Services, as IME staff cannot request MEPD premium refunds.