Section R9-22-307. Approval or Denial of Eligibility

A.      Approval. If the applicant meets all the eligibility require- ments and conditions of eligibility of this Article, the Admin- istration or its  designee  shall approve  the application and provide the applicant with an approval notice. The approval notice shall contain:

1.        The name of each approved applicant,

2.        The effective date of eligibility for each approved appli- cant,

3.        The   reason  and  the   legal  citations  if   a  member  is approved for only emergency medical services, and

4.        The applicant's right to appeal the decision.

B.       Denial. If an applicant fails to meet the eligibility requirements or conditions of eligibility of this Article, the Administration or its designee shall deny the application and provide the applicant with a denial notice. The denial notice shall contain:

1.        The name of each ineligible applicant,

2.        The specific reason why the applicant is ineligible,

3.        The income and resource calculations for the applicant compared to the income or resource standards for eligibil- ity when the reason for the denial is due to the applicant's income or resources exceeding the applicable standard,

4.        The legal citations supporting the reason for the ineligi- bility,

5.        The location where the applicant can review the legal citations,

6.        The date of the application being denied; and

7.        The applicant's right to appeal the decision and request a hearing.

Historical Note

Adopted effective August 30, 1982 (Supp. 82-4).

Amended subsections (A) and (C), added subsection (G) and (H) effective October 1, 1983 (Supp. 83-5). Former Section R9-22-307 repealed, new Section R9-22-307 adopted effective November 20, 1984 (Supp. 84-6).

Amended effective October 1, 1985 (Supp. 85-5). Amended subsection (A) as an emergency effective December 4, 1985 pursuant to A.R.S. § 41-1003, valid for only 90 days (Supp. 85-6). Permanent amendment to subsection (A) effective February 5, 1986 (Supp. 86-1).

Amended subsections (E) and (F) effective October 1, 1986 (Supp. 86-5). Amended effective January 1, 1987,

filed December 31, 1986 (Supp. 86-6). Amended subsec-

tion (A) effective February 26, 1988 (Supp. 88-1).

Amended effective May 30, 1989 (Supp. 89-2). Amended

effective April 13, 1990 (Supp. 90-2). Amended effective

September 29, 1992 (Supp. 92-3). Amended under an exemption from the provisions of the Administrative Pro- cedure Act, effective July 1, 1993 (Supp. 93-3). Amended under an exemption from the provisions of the Adminis- trative Procedure Act, effective October 26, 1993 (Supp. 93-4). Amended under an exemption from the provisions of the Administrative Procedure Act, effective October 8, 1996; filed with the Office of the Secretary of State November 6, 1996 (Supp. 96-4). Section repealed by

final rulemaking at 5 A.A.R. 294, effective January 8, 1999 (Supp. 99-1). New Section R9-22-307 made by final

rulemaking at 20 A.A.R. 192, effective January 7, 2014

(Supp. 14-1).