Utah Admin. Code R414-311-5 - Application, Eligibility Reviews and Improper Medical Assistance
(1) Unless otherwise stated, the provisions
of Rule R414-308 apply to all applicants and enrollees.
(2) Subject to the provisions of Subsection
R414-311-5(3), an individual who is determined eligible shall receive 12 months
of coverage that begins with the first month of enrollment.
(3) Before the end of the 12-month
certification period, the eligibility agency may terminate eligibility if the
individual:
(a) turns 65 years old;
(b) moves out of state;
(c) becomes eligible for another Medicaid
program;
(d) enters an institution
for mental disease, except as described in Section
R414-302-6;
(e) is convicted of fraud;
(f) leaves the household; or
(g) is eligible for or receives
Medicare.
(4) An
individual who leaves prison, jail, or the Utah State Hospital must submit an
application within 60 days of release or discharge.
(5) An enrollee must verify at each review,
that the enrollee meets the criteria of a coverage group, as defined in Section
R414-311-2. An
enrollee who no longer meets criteria of a coverage group is no longer eligible
for Targeted Adult Medicaid.
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.