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Title 8: Medicaid Page 2 Iowa Department of Health and Human Services Employees’ Manual Chapter G: Case Maintenance Client Reporting Requirements Revised November 4, 2022 Supplying Information and Verification For non-MAGI-related Medicaid, the client must supply complete and accurate information needed to establish ongoing eligibility. Procedure: If you need additional information, give, mail, or fax a written request to the client. Inform the client in writing of the date the information is due and the consequences for failure to supply the information or verification. The client must supply the information within ten calendar days of the day you give or mail a written request to the client. The ten-day period begins with the day after you issue the written request. When the tenth day falls on a nonworking day or a legal holiday, extend the due date to the next working day for which there is regular mail service. “Supply” means the Department receives the requested information or verification by the specified date. You can allow additional time when the client is making every effort to obtain the information but is unable to do so in ten days and notifies you about the problem. See 1-C-Appendix for a list of release forms to use when obtaining information from a third party. Explain the following to the member, in writing: ▪ When the client must obtain information from a third party, it is the client’s responsibility to return the information timely. It is not the responsibility of the third party. ▪ It is the client’s responsibility to follow up with the third party before the due date to make sure the third party will have the information ready to pick up or has mailed the information in time to be received by the Department by the due date. ▪ The client may ask for more time to get the information to the Department if the third party does not have the information ready or it will not arrive by the due date. Although it is the client’s responsibility to provide information, do not cancel assistance if the client is unable to get the information because of a disability, lack of education, or lack of knowledge. If requested, assist the client in getting information to establish continuing eligibility. A client who provides a signed release to a specific individual or organization for specific information has met the requirement for supplying requested information or verification. The general release does not meet this requirement unless the client asks for help. Cancel or deny Medicaid if the client fails to supply the information or refuses to authorize you to obtain it from other sources when the client is unable to obtain the information. If the client is unable to get information from a spouse who is no longer in the household, do not cancel the case. Contact the client to obtain the best information available. Ask the client about bank accounts, records showing deposits of the spouse’s income, information from the divorce proceedings, and tax returns. Ask the client to provide information that would help to verify what the client is telling you about the spouse who is no longer in the home. Determine eligibility from the information provided. If the member fails to provide the requested information, cancel the case.