Ariz. Admin. Code § R9-31-310 - Notice Requirements
A. Notice
Requirements. The notice requirements as described in
R9-22-312 apply to
this Chapter.
1.
If approved, the notice shall contain the name and
effective date of eligibility for each approved applicant;
2.
If denied, the notice shall contain:
a.
The name of each ineligible
applicant,
b.
The effective date of the denial,
c.
The reasons for ineligibility including appropriate
income calculations and income standard when the reason for the denial is based
on excess income,
d.
The legal authority supporting the reason for
ineligibility, and
e.
The resource or reference materials where the legal
authority citations are found.
B.
Terminations.
1.
When the Administration proposes a termination of
Title XXI eligibility, the Administration shall provide a member
with:
a.
Advance notice at least 10 days before the effective
date of the adverse action except as provided in subsection
(B)(1)(b).
b.
Adequate notice no later than the date of adverse
action when a member:
i.
Voluntarily withdraws and indicates an understanding
of the results of the action,
ii.
Becomes an inmate of a public institution as
specified in
R9-31-303(I) ,
iii.
Dies and the Administration has verification of the
death,
iv.
Has whereabouts that are unknown and the
Administration's loss of contact is confirmed by returned mail from the post
office with no forwarding address, or
v.
Is approved for Title XIX.
2.
In addition to the requirements listed in subsection
(A)(2), the termination notice shall include an explanation of a member's right
to continued Title XXI coverage pending a request for hearing as provided in 9
A.A.C. 31, Article 8 and 14.
Notes
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