Utah Administrative Code
Topic - Health
Title R414 - Integrated Healthcare
Rule R414-308 - Application, Eligibility Determinations, Improper Medical Assistance, and Suspension of Benefits
Section R414-308-7 - Change Reporting and Benefit Changes
Current through Bulletin 2024-06, March 15, 2024
(1) A recipient must report to the eligibility agency reportable changes as defined in Section R414-301-2 within 10 calendar days of the change.
(2) The eligibility agency shall:
(3) If verification is needed, the agency shall send a written request and give the recipient at least 10 calendar days from the notice date to respond.
(4) If the recipient does not provide verification, or a reported change does not affect all household members, the agency may only take action on those individuals who are affected by the change.
(5) If a due date falls on a non-business day, then the due date shall be the close of the next business day.
(6) If a change has an adverse effect on the recipient, the agency shall change eligibility after the month in which proper notice is sent.
(7) If the agency can verify that a change is timely, the change becomes effective on the first day of the month of report.
(8) If the agency cannot verify that a change is timely, the change becomes effective on the first day of the month in which the agency receives verification.
(9) If a recipient requests to add a new household member, the effective date of the change is the date of request, and the following provisions apply:
(10) An overpayment may occur if the recipient does not report changes timely, or if the recipient does not return verification by the verification due date.