Arizona Administrative Code
Title 9 - HEALTH SERVICES
Chapter 22 - ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM - ADMINISTRATION
Article 14 - AHCCCS MEDICAL COVERAGE FOR HOUSEHOLDS
Section R9-22-1441 - Eligibility Appeals
Universal Citation: AZ Admin Code R 9-22-1441
Current through Register Vol. 30, No. 38, September 20, 2024
A. Adverse actions. An applicant or member may appeal by requesting a hearing from the Department concerning any of the following adverse actions:
1. Complete or partial denial of eligibility
under
R9-22-1413;
2. Suspension, termination, or reduction of
AHCCCS medical coverage under R9-22-1415;
3. Delay in the eligibility determination
beyond the time-frames under this Article;
4. The imposition of or increase in a premium
or copayment; or
5. The effective
date of eligibility.
B. Notice of Adverse Action. The Department shall personally deliver or send, by regular mail, a Notice of Adverse Action to the person affected by the action. For the purpose of this Section, the date of the Notice of Adverse Action shall be the date of personal delivery to the applicant or the postmark date, if mailed.
C. Automatic change and hearing rights.
1. An applicant or a member is
not entitled to a hearing if the sole issue is a federal or state law requiring
an automatic change adversely affecting some or all recipients.
2. An applicant or a member is entitled to a
hearing if a federal or state law requires an automatic change and the
applicant or member timely files an appeal that alleges a misapplication of the
facts to the law.
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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