Section R9-22-304. Verification of Eligibility Information

A.      Except as provided in subsection (E), if information provided by or on behalf of an applicant or member on an application, renewal form or otherwise does not conflict with information obtained by the agency through an electronic data match, the Administration or its designee shall determine or renew eligi- bility based on such information.

B.       The Administration or its designee shall not require an appli- cant, member, or representative to provide additional verifica- tion unless the verification cannot be obtained electronically or the verification obtained electronically conflicts with informa- tion provided by or on behalf of the applicant or member.

C.      If information provided by or on behalf of an applicant or member does conflict with information obtained through an electronic data match, the applicant or member shall provide the Administration or its designee with information or docu- mentation necessary to verify eligibility, including evidence originating from an agency, organization, or an individual with actual knowledge of the information.

D.      Income information obtained through an electronic data match shall be considered reasonably compatible with income infor- mation provided by or on behalf of an individual if both meet or both exceed the applicable income limit.

E.       The Administration or its designee shall not accept the appli- cant’s or member’s statement by itself as verification of:

1.        SSN;

2.        Qualified alien status, except as described under 42 USC 1320b-7(d)(4)(A); or

3.        Citizenship,   except    as   described    under   42   USC 1396a(ee)(1).

F.       The Administration or its designee shall give an applicant or member at least 10 days from the date of a written or elec- tronic request for information to provide required verification. The Administration or its designee may deny the application or discontinue eligibility if an applicant or a member does not provide the required information timely.

Historical Note

Adopted effective August 30, 1982 (Supp. 82-4). Former Section R9-22-304 repealed, new Section R9-22-304 adopted effective November 20, 1984 (Supp. 84-6).

Amended effective October 1, 1985 (Supp. 85-5). Section repealed by final rulemaking at 5 A.A.R. 294, effective January 8, 1999 (Supp. 99-1). New Section R9-22-304 made by final rulemaking at 20 A.A.R. 192, effective Jan- uary 7, 2014 (Supp. 14-1).