New York Codes, Rules and Regulations
Title 9 - EXECUTIVE DEPARTMENT
Subtitle KK - Program for Elderly Pharmaceutical Insurance Coverage
Part 9610 - Application And Determination Of Eligibility
Section 9610.5 - Responsibility for prompt determination of eligibility
Universal Citation: 9 NY Comp Codes Rules and Regs ยง 9610.5
Current through Register Vol. 46, No. 12, March 20, 2024
(a) Upon receipt of an application for coverage, the contractor shall conduct an appropriate review and verification and secure, record and evaluate its findings in order to promptly determine eligibility or ineligibility.
(b) The decision to accept or deny the application shall be made as soon as the facts to support it have been established, but not later than 30 days from the date of application, except where the applicant requests additional time or where difficulties in verification lead to unusual delay.
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