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CLIENT RESPONSIBILITIES: Each adult Medicaid client is responsible for: • completing and signing the application and all required forms; • explaining his or her situation; • providing information, verification and/or documentation as required; • complying with all eligibility requirements including accessing all potential sources of income that can be developed to a state of availability; • cooperating with the following, as required: o Child Support Enforcement requirements; o Quality Assurance and Program Compliance requirements; o Managed Care (PASSPORT to Health) o Third Party Liability o Program Compliance reviews. REPORTING CHANGES: All adult Medicaid recipients are responsible for reporting changes affecting eligibility within 10 days of knowledge of the change. The following changes must be reported: • changes in income and employment status; • changes in resources (only for medically needy and ABD); • death of a household member; • any changes in household; • any other change that may affect eligibility; • changes in health insurance premiums; and • entering or discharging from a medical facility, including nursing home or assisted living. Effective Date: July 01, 2016