Section R9-34-312. Time-frame for Standard Resolution of an Appeal

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A.       For standard resolution of an appeal, AHCCCS shall resolve the appeal and mail written Notice of Appeal Resolution to the FFS member within 30 days after the day AHCCCS receives the appeal.

B.       If the FFS member requests an extension of the 30 day time frame in subsection (A), AHCCCS shall extend the time-frame up to an additional 14 days ifrequested by the FFS member.

C.     If additional information is needed by AHCCCS and the extension is in the best interest of the FFS member, AHC CCCS shall extend the time-frame in subsection (A) up to an additional 14 days. IfAHCCCS extends the time-frame, AHC CCS shall:

1.       Give the FFS member written notice of the reason for the decision to extend the time-frame, and

2.       Mail and carry out the resolution as expeditiously as the FFS member's health condition requires and no later than the date the extension expires.

D. For resolution decisions not reached within the time-frames in this Section, the appeal shall be considered denied on the date that the time-frames expires.

Historical Note

New Section made by final rulemaking at 10 A.A.R. 828, effective April 3, 2004 (Supp. 04-1).

                    
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