3-007.01 Renewal of Eligibility

477 NAC 3-007.01

 

A redetermination of eligibility for medical assistance must be completed every 12 months.

Renewal shall be completed on the basis of information available to the agency without requiring information from the individual. Information will only be required from the individual when not available through other sources (See Appendix 477-000-002).

Note: A prepopulated renewal form shall be required every 12 months for non-MAGI based renewals.

If information is not available to complete a renewal, a prepopulated renewal form shall be sent. The completed renewal form and necessary verifications shall be returned within 30 days of the date the renewal form was sent.

If the renewal form and necessary information is submitted within 90 days after termination, a new application shall not be required.

Note: For Medically needy category the client is ineligible if there is no medical need. The client shall be informed in writing that they may reapply if there is a medical need at a later date.

 

{01/2014}