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If a member already paid for a Medicaid covered service, the member will need to contact their provider to bill Medicaid for services provided during that time. A Medicaid provider must refund the amount that Medicaid will reimburse for the service. The provider may choose to refund up to the full amount billed to the member, but that decision is entirely optional. 22.6.1 Incorrect Member Contribution 22.6.1.1 Premiums If a MAPP premium is calculated in an amount that is incorrect and higher than it should have been, the excess amount must be refunded to the member when the error is discovered (see SECTION 26.5.3.3 REFUNDS and Process Help Section 12.17.3.4 Changes in Premiums and Refunds). This page last updated in Release Number: 22-01 Release Date: 04/04/2022 Effective Date: 04/04/2022 22.7 Affirmative Action and Civil Rights The Rehabilitation Act of 1973 requires a person with impaired sensory, manual, or speaking skills to have an opportunity to participate in programs equivalent to those afforded non-disabled persons. Assistance must be provided to all Medicaid applicants and members to ensure effective communication. This includes certified interpreters for deaf persons and translators for non-English speaking persons. See the ForwardHealth Enrollment and Benefits Handbook (P-00079). The Civil Rights Act of 1964 requires that applicants for public assistance have an equal opportunity to participate regardless of race, color, or national origin. This page last updated in Release Number: 26-02 Release Date: 04/15/2026 Effective Date: 04/15/2026 23.1 Notices A notice must be either mailed or sent electronically at least 10 days prior to the effective date of an adverse action, such as a termination of benefits or an increase in premium, cost share, or liability. 23.1.1 Notice Requirements Applicants and members must be provided with written notice of: • The decision on an application or renewal. • Any action to extend current benefits. • Any action to discontinue or suspend a member’s benefits. • Any action that changes the form or amount of benefits. 23.1.2 Notice of Approval Any notice of approval of eligibility must include: • The basis and effective date of eligibility and which individuals are eligible. • The circumstances under which the individual must report and procedures for reporting any changes that may affect the individual's eligibility.