Section R9-22-2006. Approval, Denial, or Discontinuance of Eligibility

A.      Eligibility determination. The Administration shall determine eligibility under this Article and send the notice under subsec- tion (B) or (C) within seven days of receiving a complete application.

B.       Approval. If a woman meets all the eligibility requirements in this Article, the Administration shall provide the woman with an approval notice. The approval notice shall contain:

1.        The name of the eligible woman, and

2.        The effective date of eligibility.

C.      Denial. If the Administration denies eligibility, the Adminis- tration shall provide the woman with a denial notice. The denial notice shall contain:

1.        The name of the ineligible woman,

2.        The specific reason why the woman is ineligible,

3.        The legal citations supporting the reason for the denial,

4.        The location where the woman can review the legal cita- tions, and

5.        Information regarding the woman’s appeal and request for hearing rights.

D.      Discontinuance.

1.        Except as specified in subsection (D)(2), if a woman no longer meets an eligibility requirement under this Article, the Administration shall provide the woman a Notice of Action no later than 10 days before the effective date of the discontinuance.

2.        The Administration may mail the Notice of Action no later than the effective date of the discontinuance if the Administration:

a.         Receives a written statement from the woman volun- tarily withdrawing from AHCCCS,

b.        Receives information confirming the death of the woman,

c.         Receives returned mail with no forwarding address from the post office and the woman’s whereabouts are unknown, or

d.        Receives information confirming that the woman has been approved for Title XIX services outside the state of Arizona.

3.        The Notice of Action shall contain the:

a.         Name of the ineligible woman,

b.        Effective date of the discontinuance,

c.         Specific reason why the woman is discontinued,

d.        Legal citations supporting the reason for the discon- tinuance,

e.         Location where the woman can review the legal cita- tions, and

f.         Information  regarding  the  woman’s  appeal  and request for hearing rights.

E.       Request for hearing. A woman who is denied, or discontinued for the Breast and Cervical Cancer Treatment Program may request a hearing under Chapter 34.

Historical Note

New Section made by final rulemaking at 7 A.A.R. 5814, effective December 6, 2001 (Supp. 01-4). Section repealed; new Section made by final rulemaking at 12

A.A.R. 4488, effective January 6, 2007 (Supp. 06-4).