Arizona Administrative Code
Title 9 - HEALTH SERVICES
Chapter 22 - ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM - ADMINISTRATION
Article 3 - GENERAL ELIGIBILITY REQUIREMENTS
Section R9-22-307 - Approval or Denial of Eligibility

Universal Citation: AZ Admin Code R 9-22-307

Current through Register Vol. 30, No. 38, September 20, 2024

A. Approval. If the applicant meets all the eligibility requirements and conditions of eligibility of this Article, the Administration or its designee shall approve the application and provide the applicant with an approval notice. The approval notice shall contain:

1. The name of each approved applicant,

2. The effective date of eligibility for each approved applicant,

3. The reason and the legal citations if a member is approved for only emergency medical services, and

4. The applicant's right to appeal the decision.

B. Denial. If an applicant fails to meet the eligibility requirements or conditions of eligibility of this Article, the Administration or its designee shall deny the application and provide the applicant with a denial notice. The denial notice shall contain:

1. The name of each ineligible applicant,

2. The specific reason why the applicant is ineligible,

3. The income and resource calculations for the applicant compared to the income or resource standards for eligibility when the reason for the denial is due to the applicant's income or resources exceeding the applicable standard,

4. The legal citations supporting the reason for the ineligibility,

5. The location where the applicant can review the legal citations,

6. The date of the application being denied; and

7. applicant's right to appeal the decision and request a hearing.

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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