103 Employee Requirements

Effective Date: August 1, 2018

Previous Policy

Employees of the Department of Health and Human Services and the Department of Workforce Services are prohibited from advising applicants or recipients to reduce income or terminate employment to qualify for Medicaid. Employees will explain eligibility policy, answer direct questions about the policy, and explain what income deductions are allowed. Employees will also tell applicants or recipients about the Medicaid spenddown program and explain how medical bills may be used to reduce or meet the spenddown amount. (See 400 and 461-5 for rules on medical bills.)

Department employees will identify themselves to applicants and recipients, and treat applicants and recipients with courtesy, dignity and respect.

Keep records which document eligibility, such as:

actions taken in the electronic eligibility system that changes the eligibility;

opening/approving;

closing;

benefit/program changes;

household changes;

evidence changes; and

all circumstances that could affect an individual's eligibility.

See 801-1 for case narration requirements.