Arizona Administrative Code
Title 9 - HEALTH SERVICES
Chapter 22 - ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM - ADMINISTRATION
Article 19 - FREEDOM TO WORK
Section R9-22-1907 - Notice of Adverse Action Requirements
Universal Citation: AZ Admin Code R 9-22-1907
Current through Register Vol. 30, No. 38, September 20, 2024
A. The requirements under R9-22-312 apply.
B. Advance notice of a change in eligibility or premium amount. Advance notice means a notice of proposed action that is issued to the member at least 10 days before the effective date of the proposed action. Except under subsection (C), advance notice shall be issued whenever an adverse action is taken to discontinue eligibility, or increase the premium amount.
C. Exceptions from advance notice. A notice shall be issued to the member to discontinue eligibility no later than the effective date of action if:
1.
A member provides a clearly written statement, signed by that member, that
services are no longer wanted.
2. A
member provides information that requires termination of eligibility or
reduction of services, indicates that the member understands that this must be
the result of supplying that information, and the member signs a written
statement waiving advance notice;
3. A member cannot be located and mail sent
to the member's last known address has been returned as undeliverable subject
to reinstatement of discontinued services under 42 CFR 431.231(d);
4. A member has been admitted to a public
institution where a person is ineligible for coverage;
5. A member has been approved for Medicaid in
another state; or
6. The
Administration receives information confirming the death of a member.
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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