Utah Admin. Code R414-320-4 - General Eligibility Requirements
(1)
The provisions of Sections
R414-302-3,
R414-302-4,
R414-302-7,
and
R414-302-8
concerning United States (U.S.) citizenship, alien status, state residency, use
of social security numbers, and applying for other benefits, apply to adult
applicants and enrollees of UPP.
(2) The provisions of Sections
R382-10-6,
R382-10-7, and
R382-10-9
concerning U.S. citizenship, alien status, state residency and social security
numbers apply to child applicants and enrollees.
(3) An individual who is not a U.S. citizen
or national, or who does not meet the alien status requirements of Sections
R414-302-3
or
R382-10-6
is not eligible for any services or benefits under the UPP program.
(4) Health plans must meet the criteria of
being an UPP qualified health plan.
(5) An individual must apply for the UPP
program before he turns 65 years of age. Enrollment shall end effective the end
of the month in which an individual turns 65 years of age.
(6) The eligibility agency only accepts
applications during open enrollment periods. The eligibility agency may limit
the number of individuals it enrolls.
(a) The
eligibility agency may stop enrollment of new individuals at any
time.
(b) The open enrollment
period may be limited to:
(i) adults with
children living in the home;
(ii)
adults without children living in the home, or;
(iii) other groups designated in advance by
the eligibility agency consistent with efficient administration of the
program.
(c) The
eligibility agency may not accept applications or maintain waiting lists during
a period that it stops enrollment of new individuals.
(d) A child is not subject to the open
enrollment requirement to enroll in UPP.
(7) Residents of public institutions are not
eligible for UPP.
(a) A child under the age
of 18 is not a resident of an institution if the child is living temporarily in
the institution while arrangements are being made for other
placement.
(b) A child who resides
in a temporary shelter for a limited period of time is not a resident of an
institution.
(8) The
eligibility agency may not require an applicant or enrollee for the UPP program
to provide Duty of Support information. An adult whose eligibility for Medicaid
has been denied or terminated for failure to cooperate with Duty of Support
requirements may not enroll in the UPP program.
Notes
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