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Title 8: Medicaid Page 4 Iowa Department of Health and Human Services Employees’ Manual Chapter G: Case Maintenance Client Reporting Requirements Revised November 4, 2022 Reporting Changes Non-MAGI-related clients (except individuals receiving SSI benefits) must also report: ▪ Unmet medical bills. ▪ Resources. ▪ Recovery from disability. ▪ Gross income of the community spouse or of the dependent children, parents, or siblings of the institutionalized or community spouse who are living with a community spouse when a diversion is made to the community spouse or family. ▪ Income and resources of parents and spouses when income and resources are used in determining Medicaid eligibility, client participation, or spenddown. ▪ Residence in a medical institution for other than respite care for more than 15 days for home- and community-based waiver services recipients. Individuals in the breast and cervical cancer coverage group are required to report changes in their health insurance coverage and changes in their living or mailing address. Individuals receiving Medicaid based on the receipt of Title IV-E funded foster care or based on an adoption assistance agreement are required to report changes in health insurance coverage, when their living or mailing address changes, upon receipt of a social security number, and upon termination of the adoption assistance agreement. Individuals receiving state-only funded Medicaid are required to report any changes in the following: ▪ Income from all sources. ▪ Mailing or living address. ▪ Receipt of a social security number. ▪ Health insurance coverage. ▪ Alien or citizenship status. Clients may report changes in person, by telephone, by mail, or online using the DHS Services Portal. Give clients form 470-5590, Ten-Day Report of Change for Medicaid/Hawki when requested by the client. Members and people being added to the existing household must report changes within ten calendar days of the day the change occurred. If the last day to report a change is a nonworking day, the person must report the change by the next working day. Act on changes and complete a redetermination within ten days of when you become aware of a change or when you verified the change, if verification is appropriate, unless using the automatic redetermination policy for information received and verified after the tenth of the month. If the change is adding someone to the household or results in an application, follow application policies regarding effective dates.