441—76.10 (249A) Applicant and recipient responsibilities.
	 76.10(1) An applicant or recipient eligible for Medicaid because of income and resource policies related to the supplemental security income (SSI) program, except for actual recipients of SSI, shall timely report any changes in the following circumstances to the department:
	  a.   	 Income from all sources.
	  b.   	 Resources.
	  c.   	 Membership of the household.
	  d.   	 Recovery from disability.
	  e.   	 Mailing or living address.
	  f.   	 Health insurance premiums or coverage.
	  g.   	 Medicare premiums or coverage.
	  h.   	 Receipt of social security number.
	  i.   	 Gross income of the community spouse or dependent children, parents or siblings of the institutionalized or community spouse living with a community spouse when a diversion is made to the community spouse or family. (See definitions in rule 441—75.25(249A).)
	  j.   	 Income and resources of parents and spouses when income and resources are used in determining Medicaid eligibility, client participation or spenddown.
	  k.   	 Residence in a medical institution for other than respite care for more than 15 days for home and community-based recipients.
	 76.10(2) An applicant or recipient eligible for Medicaid because of the family medical assistance program (FMAP) income and resource policies shall report changes in accordance with 441—paragraphs 75.52(4)“c” through “e.” After assistance has been approved, changes occurring during the month are effective the first day of the next calendar month, provided the notification requirements at rule 441—76.4(249A) can be met.
	 76.10(3) A report shall be considered timely when received in the local office within ten days from the date the change is known to the recipient or authorized representative and within five days from the date the change is known to the applicant or authorized representative.
	 76.10(4) When a change is not timely reported, any incorrect program expenditures shall be subject to recovery from the recipient.
	 76.10(5) Effective date of change. When a request is made to add a new person to the eligible group, and that person meets the eligibility requirements, assistance shall be effective the first day of the month in which the request was made unless otherwise specified at rule 441—76.5(249A). After assistance has been approved, changes reported during the month shall be effective the first day of the next calendar month, unless:
	  a.   	 Timely notice of adverse action is required as specified in 441—subrule 7.7(1).
	  b.   	 The certification has expired for persons receiving assistance under the medically needy program in accordance with the provisions of 441—subrule 75.1(35).
	  c.   	 Rescinded IAB 10/31/01, effective 1/1/02.