Arizona Administrative Code
Title 9 - HEALTH SERVICES
Chapter 22 - ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM - ADMINISTRATION
Article 3 - GENERAL ELIGIBILITY REQUIREMENTS
Section R9-22-306 - Administration, Administration's Designee or Member Responsibilities
Universal Citation: AZ Admin Code R 9-22-306
Current through Register Vol. 30, No. 38, September 20, 2024
A. The Administration or its designee is responsible for the following:
1. The Administration or its designee shall
determine eligibility within 90 days for an applicant applying on the basis of
disability and 45 days for all other applicants, unless:
a. The agency cannot reach a decision because
the applicant or an examining physician delays or fails to take a required
action, or
b. When there is an
administrative or other emergency beyond the agency's control.
2. If an applicant dies while an
application is pending, the Administration or its designee shall complete an
eligibility determination for the deceased applicant.
3. The Administration or its designee shall
complete an eligibility determination on an application filed on behalf of a
deceased applicant.
4. During the
application process the Administration or its designee shall provide
information to the applicant or member explaining the requirements to:
a. Cooperate with DCSS in establishing
paternity and enforcing medical support, except in circumstances when good
cause under
42
CFR 433.147 exists for not
cooperating;
b. Establish good
cause for not cooperating with DCSS in establishing paternity and enforcing
medical support, when applicable;
c. Report a change listed under subsection
(B)(3)(c) no later than 10 days from the date the applicant or member knows of
the change;
d. Send to the
Administration or its designee any medical support payments resulting from a
court order;
e. Cooperate with the
Administration or its designee's assignment of rights and securing payments
received from any liable party for a member's medical care.
5. Offer to help the applicant or
member to complete the application form and to obtain the required
verification;
6. Provide the
applicant or member with information explaining:
a. The eligibility and verification
requirements for AHCCCS medical coverage;
b. The requirement that the applicant or
member obtain and provide a SSN to the Administration or its
designee;
c. How the Administration
or its designee uses the SSN;
7. Explain to the applicant or member the
practice of exchange of eligibility and income information through the
electronic service established by the Secretary;
8. Explain to the applicant and member the
right to appeal an adverse action under
R9-22-315;
9. Use any information provided by the member
to complete data matches with potentially liable parties;
10. Explain the eligibility review
process;
11. Explain the AHCCCS
pre-enrollment process;
12. Use the
Systematic Alien Verification for Entitlements (SAVE) process to verify
qualified alien status;
13. Provide
information regarding the penalties for perjury and fraud on the
application;
14. Review any
verification items provided by the applicant or member and inform the member of
any additional verification items and time-frames within which the applicant or
member shall provide information to the Administration or its
designee;
15. Explain to the
applicant or member the applicant's and member's responsibilities under
subsection (B);
16. Transfer the
applicant's information to other insurance affordability programs as described
under
42
CFR 435.1200(e) when the
applicant does not qualify for Medicaid;
17. Attain a written record of a collateral
contact: such as a verbal statement from a representative of an agency or
organization, or an individual with actual knowledge of the
information;
18. Complete a review
of eligibility:
a. Any time there is a change
in a member's circumstance that may affect eligibility,
b. For a member approved for the MED program
under
R9-22-1435
through
R9-22-1440
before the end of the six-month eligibility period,
c. Of each member's continued eligibility for
AHCCCS medical coverage once every 12 months;
19. The Administration or its designee shall
discontinue eligibility and notify the member of the discontinuance under
R9-22-307
if the member:
a. Fails to comply with the
review of eligibility,
b. Fails to
comply under
42 CFR
433.148 with the requirements and conditions
of eligibility under this Article regarding assignment of rights and
cooperation of establishing paternity and obtaining medical support,
or
c. Does not meet the eligibility
requirements; and
20.
Redetermine eligibility for a person terminated from the SSI cash program.
a. Continuation of AHCCCS medical coverage.
The Administration shall continue AHCCCS medical coverage for a person
terminated from the SSI cash program until a redetermination of eligibility is
completed.
b. Coverage group
screening. Before terminating a person from the SSI cash program, the
Administration shall determine if the person is eligible for coverage as a
person described in A.R.S. §§
36-2901(6)(a)(i) through
(vi) or
36-2934.
c. Eligibility decision.
i. If a person is eligible under this Article
or 9 A.A.C. 28, Article 4, the Administration shall send a notice informing the
applicant that AHCCCS medical coverage is approved.
ii. If a person is ineligible, the
Administration shall send a notice to deny AHCCCS medical coverage.
B. Applicant and Member Responsibilities.
1. An applicant
or a member shall authorize the Administration or its designee to obtain
verification for initial eligibility or continuation of eligibility.
2. As a condition of eligibility, an
applicant or a member shall:
a. Provide the
Administration or its designee with complete and truthful information. The
Administration or its designee may deny an application or discontinue
eligibility if:
i. The applicant or member
fails to provide information necessary for initial or continuing
eligibility;
ii. The applicant or
member fails to provide the Administration or its designee with written
authorization or electronic authorization to permit the Administration or its
designee to obtain necessary initial or continuing eligibility
verification;
iii. The applicant or
member fails to provide verification under
R9-22-304
after the Administration or its designee made an effort to obtain the necessary
verification but has not obtained the necessary information; or
iv. The applicant or member does not assist
the Administration or its designee in resolving incomplete, inconsistent, or
unclear information that is necessary for initial or continuing
eligibility;
b.
Cooperate with the Division of Child Support Services (DCSS) in establishing
paternity and enforcing medical support obligations when requested unless good
cause exists for not cooperating under
42
CFR 433.147 as of October 1, 2012, which is
incorporated by reference, on file with the Administration, and available from
the U.S. Government Printing Office, Mail Stop: IDCC, 732 N. Capitol St., NW,
Washington, DC, 20401. This incorporation by reference contains no future
editions or amendments. The Administration or its designee shall not deny
AHCCCS eligibility to an applicant who would otherwise be eligible, is a minor
child, and whose parent or legal representative does not cooperate with the
medical support requirements or first- and third-party liability requirements
under Article 10 of this Chapter; and
c. Provide the information needed to pursue
third party coverage for medical care, such as:
i. Name of policyholder,
ii. Policyholder's relationship to the
applicant or member,
iii. Name and
address of the insurance company, and
iv. Policy number.
3. A member or an applicant shall:
a. Send to the Administration or its designee
any medical support payments received while the member is eligible that result
from a medical support order;
b.
Cooperate with the Administration or its designee regarding any issues arising
as a result of Eligibility Quality Control described under A.R.S. §
36-2903.01;
and
c. Inform the Administration or
its designee of the following changes within 10 days from the date the
applicant or member knows of a change:
i. In
address;
ii. In the household's
composition;
iii. In
income;
iv. In resources, when
required under the Medical Expense Deduction (MED) program;
v. In Arizona state residency;
vi. In citizenship or immigrant
status;
vii. In first- or
third-party liability that may contribute to the payment of all or a portion of
the person's medical costs;
viii.
That may affect the member's or applicant's eligibility, including a change in
a woman's pregnancy status;
ix.
Death;
x. Change in marital status;
or
xi. Change in school
attendance.
4. As a condition of eligibility, an
applicant or a member shall cooperate with the assignment of rights as required
by
R9-22-311.
If the applicant or member receives medical care and services for which a first
or third party is or may be liable, the applicant or member shall cooperate
with the Administration or its designee in assisting, identifying and providing
information to assist the Administration or its designee in pursuing any first
or third party who is or may be liable to pay for medical care and
services.
5. A pregnant woman under
A.R.S. §
36-2901(6)(a)(ii)
is not required to provide the
Administration or its designee with information regarding paternity or medical
support from a father of a child born out of wedlock.
C. Administration or its designee responsibilities at Eligibility Renewal.
1.
The Administration or its designee shall renew eligibility without requiring
information from the individual if able to do so based on reliable information
available to the agency, including through an electronic data match. If able to
renew eligibility based on such information, the Administration or its designee
shall send the member notice of:
a. The
eligibility determination; and
b.
The member's requirement to notify the Administration or its designee if any of
the information contained in the renewal notice is inaccurate.
2. If unable to renew eligibility,
the Administration or its designee shall:
a.
Send a pre-populated renewal form listing the information needed to renew
eligibility,
b. Give the member 30
days from the date of the renewal form to submit the signed renewal form and
the information needed,
c. Send the
member notice of the renewal decision under
R9-22-312 or
R9-22-1413(B)
as applicable.
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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