Please keep this page for your information.
Comm. 233 (Rev. 04/24)
Other Things You Need to Know
▪ HHS will provide documents or claim forms describing the services paid by Medicaid upon your request or the
request of an attorney acting on your behalf. Such documents may also be provided to a third party, when
necessary, to establish the extent of the HHS’s claim for reimbursement.
▪ If the State of Iowa was made the remainder beneficiary on an annuity in order for you to qualify for Medicaid
payment of long-term care, the State of Iowa will get any benefits remaining in the annuity, up to the amount of
the Medicaid benefits paid.
▪ If you become enrolled in a managed health care plan, you consent to disclosure of medical information, including
any clinical mental health or substance abuse information, by your medical providers to the PCP, other managed
care providers, or to the authorized administrative body contracted by the managed care provider to determine
appropriateness, quality, or utilization of services you received while enrolled in managed health care. A medical
certification from Iowa Medicaid is needed for certain medical programs. Payments on any future unpaid medical
services will be paid directly to the doctors and medical suppliers under the Medicare Insurance Program
(Medicare Part B).
We Check What You Tell Us
The information you give us may be checked by federal, state, and local officials to make sure it is true. Things we
might check include any listed person’s: social security number, job and pay, bank account amount, immigration or
alien status, and amounts received from other sources like Social Security or unemployment. If any information you
give us is not correct, we may ask you to send us proof or we may deny or cancel your benefits.
We may check records from other states to see if any person in your household can get benefits in Iowa. This may
be because a person was disqualified from a program in another state.
As part of the eligibility determination process, we may need to retrieve your information from sources like the
Internal Revenue Service (IRS), Social Security Administration (SSA), the Department of Homeland Security, Asset
Verification System (AVS), and the state Income and Eligibility Verification System. If something you told us is
different from what the computer systems tells us, we will check to find out what is correct. We might check your
information by contacting your employer, your bank, or other people. To do this kind of checking with your
employer, bank, or other people, we will ask you first. Such information may affect your household’s eligibility and
level of benefits.
The authorization to use AVS database is in effect for as long as the Department is determining eligibility, the
individual is a Medicaid recipient, or the applicant or recipient revokes the authorization. If refusal or revocation of
the authorization is submitted, the Department may, on that basis, determine the applicant or recipient ineligible for
medical assistance.
Information About Requiring a Social Security Number
We can give help only to people who give us their social security number (SSN) or proof of application from the
Social Security office, and we will deny assistance to the people for whom you do not give us a SSN. There are some
exceptions to this. Please ask us if you have questions.
You don’t have to give us the SSN for people in your household who you do not want help for, but you can choose
to give us their SSN to speed up processing your case. We will use any SSN given to us in the same way we use the
SSN of people getting assistance. As required by Section 1137(a)(1) of the Social Security Act and 42 CFR 435.910,
we use SSNs to check income/eligibility/payments, determine a person’s right to Medicaid, comply with federal law,
and match records with other agencies.