1. An applicant is responsible for completing
the application forms legibly and accurately, answering all questions fully,
and presenting to the department all necessary documentation in regard to
residence, income, and enrollment in Medicare Part B.
An applicant is also responsible for the
i. Reading the certification and
authorization statement on the application form.
ii. Signing or marking the application
iii. Obtaining the signature
or mark of the spouse, if the income of the spouse is included, and the
signature of the preparer, if any, on the application form.
iv. Submitting the completed application
forms to the Department.
Assisting the department in securing evidence which corroborates the
applicant's statements when necessary.
(b) Applicants who do not consent to and
assist with a review by the department of information submitted by the
applicant, may be denied eligibility.
(c) Applicants who anticipate an immediate
need for medical care which would be covered under the program may request
expedited processing of their applications by the Department. Any such request
shall be made in writing and shall contain a signed statement by the applicant,
that he or she is in immediate need of medical care. When expedited processing
is requested as provided herein, the Department will make an eligibility
determination within three (3) business days of receipt of the
Conn. Agencies Regs.
Effective December 17,