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• By answering the online renewal questions, uploading required documents, and electronically signing in the member’s online Benefits Portal account • At the member’s request, a renewal interview can be completed over the phone and their signature recorded. If a Medicaid member requests an office or phone interview, one must be granted, however interviews cannot be required for renewals for any member. If the member has an interview scheduled and does not keep the appointment, this should not cause a closure. They may still return the form and keep their coverage if they remain eligible.

The non-asset version is used when all assistance groups in a case are Hoosier Healthwise or HIP members that have no asset or resource requirements. The mailer includes a cover page with information about the process and instructions for returning the form.

The asset version is used when one or more of the AGs in a case have an asset or resource requirement. For example, if the members in a case are MA 2 and MA D, the asset version of the form is mailed. The mailer includes a cover page with information about the process and special circumstances involving asset disclosure, as well as instructions for returning the form. Individuals will be evaluated based only on eligibility factors which apply to their type of coverage. Using the prior example, if the form is returned with all needed information except asset verifications and is signed, the MAGI individual would be renewed (if still eligible), a 2032 should be sent for the non-MAGI member. If 2032 is not returned, then only the non-MAGI individual would be closed for failure to verify needed information.

The Eligibility Review Form is sent to the adult AG payee or parent/caretaker of a child AG. If a child is the only case member and there is no authorized representative, the form is sent to the child. A Notice of Redetermination (NOR) is sent to the other adult AG payees and authorized representatives listed as “ongoing” in the case informing them that the Eligibility Review Form has been sent. The NOR identifies the recipients who are being reviewed and the due date listed on the Eligibility Review Form.

• If the individual did not sign the form or more clarification is needed on the information they provided, the DFR should contact the member to request what is needed to complete the renewal process and if written verifications are required, allow 13 days for the missing information to be returned before discontinuing coverage. • If the member fails to respond with required information and a signature, their coverage will be discontinued. • A 90-day reconsideration period applies to annual renewals where coverage is closed for failing to return required information by the due date; for more information see 2238.25.00. • Individuals who complied with the renewal process but were found ineligible will have their information transferred to the Federal Marketplace on the night that closure action is taken on the case. These individuals are eligible to apply on the Marketplace even outside of the typical annual open enrollment period.