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Effective: December 1, 2006 |
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25.10.20ar1 - Changing the MA-EPD Premium Amount (Archive) |
Archived: July 1, 2008 |
Determine the premium amount at application and renewal.
Contacting the Special Recovery Unit (SRU).
Only take action to change the premium amount in the following situations:
l At renewal.
l A reported change results in a decreased premium including but not limited to the following:
n Decreased income.
n Increased household size.
If a reported change results in a decreased premium, notify the DHS Special Recovery Unit (SRU). SRU will bill the new amount on the next billing cycle.
Note: SRU will not decrease the premium retroactively except in the case of worker error.
l When the income guidelines change because of a change in law, or the annual increase in the FPG standards.
l When an IEVS match results in an increase in the MA-EPD premium. Apply the increased premium amount for the next available month.
Note: See IEVS Overpayment Process for information on how increased MA-EPD premiums due to an IEVS match are processed.
Contacting the Special Recovery Unit (SRU)
To contact SRU send e-mail via MAXIS to MADE with a subject of ”r;MA-EPD Premium New/Changes” and include the following information:
l Enrollee Name.
l Case number.
l PMI.
l Billing Address.
l Representative Payee.
l Month/Amounts Paid.
l Effective Date of Change.
l New Premium Amount.
l County and worker name.
l Worker e-mail code.
l Comments including reason for the change.