Arizona Administrative Code
Title 9 - HEALTH SERVICES
Chapter 22 - ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM - ADMINISTRATION
Article 3 - GENERAL ELIGIBILITY REQUIREMENTS
Section R9-22-314 - Withdrawal from AHCCCS Medical Coverage
Universal Citation: AZ Admin Code R 9-22-314
Current through Register Vol. 30, No. 38, September 20, 2024
A. A member may withdraw from AHCCCS medical coverage at any time by giving oral or written notice of withdrawal to the Administration or its designee. The member or the member's legal or authorized representative shall provide the Administration or its designee with:
1. The reason for the withdrawal,
2. The date the notice is effective,
and
3. The name of the member for
whom AHCCCS medical coverage is being withdrawn.
B. If a notice of withdrawal does not identify specific members the Administration or its designee shall discontinue eligibility for any members that the person submitting the withdrawal has legal authority to act on behalf of.
C. The Administration or its designee shall notify the member of the discontinuance as required by R9-22-312.
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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