Section R9-22-1304. Referral and Disposition of CRS Medical Eligi- bility Determination

A.      To refer an individual for a CRS medical eligibility determina- tion a person shall submit to the Administration the following information:

1.        CRS application;

2.        Documentation from a specialist who diagnosed the indi- vidual, stating the individual’s diagnosis;

3.        Diagnostic test results that support the individual's diag- nosis; and

4.        Documentation of the individual's need for specialized treatment of the CRS condition through medical, surgical, or therapy modalities.

B.       The Administration shall notify the CRS applicant, member or authorized representative of the outcome of the determination within 60 days of receipt of information required under sub- section (A). The member may appeal the determination under Chapter 34.

Historical Note

Adopted effective September 9, 1998 (Supp. 98-3). Amended by final rulemaking at 6 A.A.R. 3317, effective August 7, 2000 (Supp. 00-3). Section repealed by final

rulemaking at 10 A.A.R. 808, effective April 3, 2004 (Supp. 04-1). Section made by exempt rulemaking at 18

A.A.R. 2074, effective August 1, 2012 (Supp. 12-3). Rulemaking exemption repealed by Laws, 2012, Ch. 299,

Section 7; therefore a new Section was made by final rulemaking at 19 A.A.R. 2954, effective November 10,

2013 (Supp. 13-3). Amended by final rulemaking at 21

A.A.R. 2022, effective October 1, 2015 (Supp. 15-3).