Ariz. Admin. Code § R9-22-1304 - Referral and Disposition of Crs Medical Eligibility Determination

A.To refer an individual for a CRS medical eligibility determination a person shall submit to the Administration the following information:

1. CRS application,

2. Documentation from a specialist who diagnosed the individual, stating the individual's diagnosis,

3. Diagnostic test results that support the individual's diagnosis, and

4. Documentation of the individual's need for specialized treatment of the CRS condition through medical, surgical, or therapy modalities.

B. The Administration shall notify the CRS applicant, member or authorized representative of the outcome of the determination within 60 days of receipt of information required under subsection (A). The member may appeal the determination under Chapter 34.

Notes

Ariz. Admin. Code § R9-22-1304

Adopted effective September 9, 1998 (Supp. 98-3). Amended by final rulemaking at 6 A.A.R. 3317, effective August 7, 2000 (Supp. 00-3). Section repealed by final rulemaking at 10 A.A.R. 808, effective April 3, 2004 (Supp. 04-1). Section made by exempt rulemaking at 18 A.A.R. 2074, effective August 1, 2012 (Supp. 12-3). New section made by final rulemaking at 19 A.A.R. 2954, effective November 10, 2013. Amended by Final rulemaking at 21 A.A.R. 2022, effective 10/1/2015.