Arizona Administrative Code
Title 9 - HEALTH SERVICES
Chapter 22 - ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM - ADMINISTRATION
Article 3 - GENERAL ELIGIBILITY REQUIREMENTS
Section R9-22-313 - Withdrawal of Application

Universal Citation: AZ Admin Code R 9-22-313

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

A. An applicant may withdraw an application at any time before the Administration or its designee completes an eligibility determination by making an oral or written request for withdrawal to the Administration or its designee and stating the reason for withdrawal.

B. If an applicant orally requests withdrawal of the application, the Administration or its designee shall document the:

1. Date of the request,

2. Name of the applicant for whom the withdrawal applies, and

3. Reason for the withdrawal.

C. An applicant may withdraw an application in writing by:

1. Completing an Administration-approved voluntary withdrawal form; or

2. Submitting a written, signed, and dated request to withdraw the application.

D. The effective date of the withdrawal is the date of the application.

E. If an applicant requests to withdraw an application, the Administration or its designee shall:

1. Deny the application, and

2. Notify the applicant of the denial following the notice requirements under R9-22-307.

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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