Arizona Administrative Code
Title 9 - HEALTH SERVICES
Chapter 22 - ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM - ADMINISTRATION
Article 13 - CHILDREN'S REHABILITATIVE SERVICES (CRS)
Section R9-22-1305 - CRS Redetermination
Universal Citation: AZ Admin Code R 9-22-1305
Current through Register Vol. 30, No. 38, September 20, 2024
A. Continued eligibility for CRS services shall be redetermined by verifying active treatment status of the CRS qualifying medical condition(s) as follows:
1. The Ccontractor is responsible for
notifying the AHCCCS Administration of the date when a member with a CRS
Designation is no longer in active treatment for the qualifying
condition(s).
2. The Administration
may request, at any time, that the contractor submit the medical documentation
to the Administration for a CRS medical redetermination within the specified
time-frames in contract.
3. The
Administration shall notify the member or authorized representative of the
outcome of the redetermination.
B. If the Administration determines that a member is no longer medically eligible for a CRS Designation, the Administration shall provide the member or authorized representative a written notice that informs the member that the Administration is ending the member's CRS Designation. The member may appeal the redetermination under A.A.C. Title 9, Chapter 34.
C. Upon reaching his or her 21st birthday, the member's CRS Designation will be ended.
Disclaimer: These regulations may not be the most recent version. Arizona may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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