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VERIFICATION: When a client reports a change affecting eligibility or spend down amount, verification may be required. Staff must always follow up verbal requests with an eligibility system notice. NOTE: Verification is not needed when the reported change will close current Medicaid coverage, and an ex parte review doesn’t indicate other eligibility. ADDING A HOUSEHOLD MEMBER: When the county discovers or the client reports a new household member, the existing assistance unit(s)’s eligibility is redetermined by including the new member’s presence, income, resources, etc. as required by policy. The new household member can receive 1 or 2 months retro Medicaid from month their presence is reported/discovered if ALL eligibility factors are met. All household members’ eligibility must be redetermined based on the new household member’s presence, even if the new member isn’t requesting coverage. Adding someone to the household could affect a variety of factors, including filing/assistance unit, deeming, income and resources. Request verification (e.g., relationship, income, resources, etc.) necessary to determine existing household’s ongoing eligibility. ABD: If adding the new household member may affect the existing household’s eligibility, verification of pertinent eligibility factors (e.g., income, relationships, resources, etc.) must be provided to accurately determine ongoing eligibility for all household members. NOTICES ON ACTION TAKEN: Adequate notice can be sent when a change is reported on a signed paper or electronic change report form, and enough information is provided to determine ongoing eligibility. Timely notice of adverse action is required when a change is reported by any other method, or when the signed HCS-260A does not provide enough information to determine continued eligibility. CHANGES – VERIFICATION REQUIREMENTS: WITHOUT VERIFICATION: ACA: See Electronic Verification for Medicaid Business Process. ABD: When eligibility is affected by a reported/discovered change, but necessary verification is not included or available, request verification to be provided within 15 days of the notice date. If verification is not received, or if the 15-day period extends into the following month, authorize benefits at the previous level and close the adults with timely notice.