Alaska Administrative Code
Title 7 - Health and Social Services
Part 7 - Medicaid Assistance Eligibility
Chapter 100 - Medicaid Eligibility
Article 1 - Common Medicaid Eligibility Requirements
7 AAC 100.008 - When a new application is required
Universal Citation: 7 AK Admin Code 100.008
Current through August 30, 2024
(a) A new application must be made if, at the time of application, the individual is not receiving Medicaid under this chapter and is not a member of a household receiving Medicaid under this chapter.
(b) The department may determine eligibility without requiring the applicant or recipient to submit a new application under the following circumstances if the department already has enough information to determine eligibility:
(1) a recipient is
moving from one eligibility category to another eligibility category;
(2) an individual is being added to an
ongoing Medicaid case and the caseworker is able to obtain all other needed
verification and documentation;
(3)
an individual is already receiving benefits administered by the division
handling public assistance within the department, and the existing public
assistance record contains enough information to determine Medicaid
eligibility;
(4) a household moves
from Family Medicaid to Transitional Medicaid or from Transitional Medicaid to
Family Medicaid;
(5) a child who
has been eligible under a category in
7 AAC 100.002(a) or (c) related to
Family Medicaid moves to the disability-related eligibility category in
7 AAC 100.002(d) (5);
(6) an individual submits a Medicaid
application form designed for a different Medicaid eligibility category than
the one intended, but the application form submitted contains enough
information for the department to determine eligibility for the intended
category;
(7) the department is
reinstating benefits for a recipient whose Medicaid eligibility was terminated,
if the recipient has made a timely request for a hearing under 7 AAC 49, or
reinstatement of eligibility is ordered under 7 AAC 49 or by the
court.
Authority:AS 47.05.010
AS 47.07.040
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