Action on Reported Changes 510-03-90-65

(Revised 1/12/2023 ML #3696)

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Recipients are required to report changes in income, household size, employment, residence, new tax filing status, etc., within 10 days of their knowledge of the change. Because every household’s circumstances are unique, all changes must be reported and reviewed, and it will depend on those circumstances whether it affects the recipient’s coverage.

Under ACA Medicaid, clients will no longer be required to monthly report, but are required to report changes that may affect their eligibility, such as those itemized above. A revised change report has been created, which is currently being generated electronically. This is for the client’s reporting convenience and does not require the individual to submit a form monthly.

We must not impose a threshold on what the household reports, or how often. In some cases, a $20 increase in income can make someone ineligible, in others; it may be a few thousand dollars. It all depends on the situation. Therefore, there is no dollar amount or percentage threshold, all changes must be reported.

Upon receipt of a reported change, the Eligibility Workers will determine whether a change in eligibility results and process the change based on the policy defined in section 510-03-10-25, Suspected Fraud.

Note : The 10-10-10 requirements defined in section 510-03-90-10 and the Notification requirements defined in section 510-03-25-25 must be adhered to when acting on reported changes.