Current through Register Vol. 30, No. 38, September 20, 2024
A. Eligibility determination. The
Administration shall determine eligibility under this Article and send the
notice under subsection (B) or (C) within seven days of receiving a complete
application.
B. Approval. If a
woman meets all the eligibility requirements in this Article, the
Administration shall provide the woman with an approval notice. The approval
notice shall contain:
1. The name of the
eligible woman, and
2. The
effective date of eligibility.
C. Denial. If the Administration denies
eligibility, the Administration shall provide the woman with a denial notice.
The denial notice shall contain:
1. The name
of the ineligible woman,
2. The
specific reason why the woman is ineligible,
3. The legal citations supporting the reason
for the denial,
4. The location
where the woman can review the legal citations, and
5. Information regarding the woman's appeal
and request for hearing rights.
D. Discontinuance.
1. Except as specified in subsection (D)(2),
if a woman no longer meets an eligibility requirement under this Article, the
Administration shall provide the woman a Notice of Action no later than 10 days
before the effective date of the discontinuance.
2. The Administration may mail the Notice of
Action no later than the effective date of the discontinuance if the
Administration:
a. Receives a written
statement from the woman voluntarily withdrawing from AHCCCS,
b. Receives information confirming the death
of the woman,
c. Receives returned
mail with no forwarding address from the post office and the woman's
whereabouts are unknown, or
d.
Receives information confirming that the woman has been approved for Title XIX
services outside the state of Arizona.
3. The Notice of Action shall contain the:
a. Name of the ineligible woman,
b. Effective date of the
discontinuance,
c. Specific reason
why the woman is discontinued,
d.
Legal citations supporting the reason for the discontinuance,
e. Location where the woman can review the
legal citations, and
f. Information
regarding the woman's appeal and request for hearing rights.
E. Request for hearing.
A woman who is denied, or discontinued for the Breast and Cervical Cancer
Treatment Program may request a hearing under Chapter 34.
