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Title 8: Medicaid Page 3 Iowa Department of Health and Human Services Employees’ Manual Chapter G: Case Maintenance Client Reporting Requirements Revised November 4, 2022 Reporting Changes Reporting Changes Legal reference: 42 CFR 435.916(c); 441 IAC 75 (Rules in Process) and 76.15 All clients or someone acting on the client’s behalf must report the following and any other changes that affect eligibility: ▪ Income from all sources. ▪ Changes in household membership. ▪ Health insurance premiums or coverage, including Medicare and buy-in. ▪ A change in mailing or living address. Remember to offer Voter Registration forms when a client reports a change of address, either in person or by phone. Ask clients reporting an address change, “If you are not registered to vote where you live now, would you like to apply today to register to vote?” Send the Voter Registration form if the client wants to register. ▪ Receipt of a social security number. ▪ Filing of an insurance claim against a possible liable third party with the expectation of seeking restitution or payment of medical expenses that resulted from an injury and were paid by Medicaid. ▪ Retaining an attorney with the expectation of seeking restitution for an injury from a possible liable third party when Medicaid has paid the resulting medical expenses. ▪ The receipt of a partial or total settlement for payment from a liable third party of medical expenses due to an injury which were paid by Medicaid. ▪ Alien or citizenship status. MAGI-related clients must also report the following: ▪ School attendance. ▪ Federal income tax filing status on claimed dependents for federal tax purposes. IHAWP clients must also report: ▪ Entitlement or enrollment in Medicare Part A or Part B, or both. ▪ Entry into a nonmedical institution, but not limited to a penal institution. ▪ Childern under the age of 21 living with the client who lose minimum essential coverage, if the client is the child’s parent or other caretaker relative and will claim the child as a dependent for state or federal income tax purposes. ▪ The member is confirmed pregnant.