Utah Admin. Code R382-10-5 - Verification and Information Exchange
(1)
The provisions of Section
R414-308-4
apply to applicants and enrollees of CHIP.
(2) The Department and the eligibility agency
shall safeguard applicant and enrollee information in accordance with Section
R414-301-4.
(3) The Department or the eligibility agency
may release information concerning applicants and enrollees and their
households to other state and federal agencies to determine eligibility for
other public assistance programs.
(4) The Department adopts and incorporates by
reference
42
CFR 457.348,
457.350,
and 457.380, October 1, 2012 ed.
(5) The Department shall enter into an
agreement with the Centers for Medicare and Medicaid Services (CMS) to allow
the FFM to screen applications and reviews submitted through the FFM for CHIP
eligibility.
(a) The agreement must provide
for the exchange of file data and eligibility status information between the
Department and the FFM as required to determine eligibility and enrollment in
insurance affordability programs, and eligibility for advance premium tax
credits and reduced cost sharing.
(b) The agreement applies to agencies under
contract with the Department to provide CHIP eligibility determination
services.
(6) The
Department and the eligibility agency shall release information to the Title
IV-D agency and Social Security Administration to determine benefits.
Notes
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