101.16.03 CHANGE REPORTING REQUIREMENTS – MAGI PROGRAMS
The following changes must be reported by MAGI-related recipients within 10 days of the date the change becomes known. All MAGI Recipients • Changes in address in or out of state. • Changes in any type of policy that would pay for medical services, such as health insurance, indemnity policies, major medical policies, CHAMPUS or legal settlements. COE-075 Adults • Increases in earnings or other income. • Changes in marital status. • Changes in household, such as spouse or parent entering or leaving the home and/or children entering or leaving the home. COE-075 Adults on Extended Medicaid • Termination of employment when new or increased wages caused ineligibility. • Termination of spousal support income when new or increased spousal support caused ineligibility. Pregnant Women • Change in the verified due date, i.e., earlier delivery/termination date or later due date than originally verified. Child Only Cases • Children leaving the home (includes institutionalization, death, foster care, etc.); • Uninsured CHIP child becoming covered by creditable health insurance. • CHIP child becoming pregnant. 101.16.04 PROCEDURAL CHANGES – ABD and MAGI Procedural changes include: • Name corrections or changes. • In-state address corrections or changes. • Change or appointment of a guardian or conservator. • Case transfers between regional offices. • Program transfers such as a disabled or blind recipient turns age 65, becoming an aged client. NOTE: In the system, name, address, SSN, race and gender can be changed or corrected on a processed time span.