Page 2

g. Child support payments (received or paid out) 2. Someone moves into or out of the household. 3. Changes in residence and/or living arrangements. 4. Changes in resources (when cash on hand, stocks, bonds, and money in a checking or savings account increases or decreases). 5. Non-financial changes, such as: a. Pregnancy begins or ends. b. Moving into or out of a nursing home. c. Being determined disabled. d. Waiver services begin or end. 6. The date the change is reported is the new coverage request date. Retro coverage may be available, see CMA 104-1 Retroactive Medicaid. 7. New or changed health insurance coverage, premiums or other third-party liability. 8. Changes in medical expenses, for medically needy and nursing home clients. METHODS OF REPORTING CHANGES: Clients can report changes: 1. Through their account on the Self Service Portal 2. By calling or writing the OPA or PAHL 3. By completing a “Change Report Form” (HCS-260A) 4. In person NOTE: Eligibility staff may discover information from other sources (e.g., interfaces, other agencies, etc.). ACTING ON REPORTED CHANGES: Acting on changes may include: 1. Redetermining eligibility, 2. Requesting verification and/or more information, 3. Recalculating benefit/spend down amount, NOTE: A spend down cannot be increased retroactively. 4. Taking adverse action (reduction or termination of benefits), 5. Establishing an over issuance, (CMA 1504-1 Over and Under Issuance) 6. Evaluating community engagement requirements and exclusions, OR 7. Simply documenting in system case notes that a change was reported/discovered, evaluated, and no further action was required. Eligibility staff must act on all changes within 30 days of receipt of all verifications.