Alaska Administrative Code › Title 7 - Health and Social Services › Part 7 - Medicaid Assistance Eligibility › Chapter 100 - Medicaid Eligibility › Article 1 - Common Medicaid Eligibility Requirements › 7 AAC 100.022 - Timely, untimely, and late review applications

Current through May 31, 2024
(a) A timely review
				  application is one that is received on or before the date requested. If the
				  department determines that a timely review application requires additional
				  documentation, the department will send a notice to the recipient requesting
				  the additional documentation and giving the recipient at least 10 days after
				  the date of the notice to submit the additional documentation. If eligibility
				  is found after reviewing the review application and any additional
				  documentation timely received, the department will determine a new review due
				  date in accordance with
				  7 AAC 100.020. If the department determines that the
				  recipient is not eligible, or if the requested documentation is not received on
				  or before the due date, the department will send the recipient a notice that,
				  starting the first day of the month immediately after the date of that notice,
				  the recipient will no longer be eligible for Medicaid.
(b) An untimely review application is one
				  that is not received on or before the date requested, but is received on or
				  before by the last day of the month eligibility is set to end according to the
				  notice under (a) of this section. If the department determines that an untimely
				  review application requires additional documentation, the department will send
				  a notice to the recipient requesting the additional documentation and giving
				  the recipient at least 10 days after the date of the notice to submit the
				  additional documentation. If the department is unable to determine eligibility
				  on or before the last day of the month in which eligibility is set to end, the
				  department will extend eligibility one month to allow time for the department
				  to complete its determination of whether the recipient is eligible for
				  benefits. If eligibility is found after reviewing the review application and
				  any additional documentation timely received, the department will determine a
				  new review due date in accordance with
				  7 AAC 100.020. If the department determines that the
				  recipient is not eligible, or if the requested documentation is not received on
				  or before the due date, the department will send the recipient a notice that,
				  starting the first day of the month immediately after the date of that notice,
				  the recipient will no longer be eligible for Medicaid.
(c) A late review application is one that is
				  received after the month the recipient's Medicaid eligibility has ended. If the
				  review application is received
(1) in the
				  month following the month the recipient's eligibility ended, the late review
				  application will be accepted, but will be treated as a new application for
				  Medicaid and the applicant must meet all requirements of a new applicant,
				  except that an interview is not required; and
(2) more than one calendar month after the
				  recipient's eligibility ended, the department will not accept the late review
				  application; if the department does not accept the late review application
				  under this paragraph, a recipient must submit a new application.