Page 2153
eligibility until the department receives verification that the recipient has ceased getting SSI or has moved out of the state, even if the recipient fails to submit the recipient’s review application. (g) The department may set a recipient’s review period of less than the duration set in (a) of this section to establish a review date that coincides with a level of care review date, home and community-based waiver services review date, or other significant date related to that recipient’s continued eligibility for Medicaid or other programs administered by the department. (h) Notwithstanding the review periods established in (a) — (g) of this section, upon receipt of information from any source that indicates that a change in circumstances affecting a recipient’s continued eligibility may have occurred, the department will investigate and may require that a review application be completed. (i) If additional verification or documentation is necessary to support continued eligibility under this section, the department will act in accordance with 7 AAC 100.016. (j) In this section,
(1) “review date” means the date marking the end of a review period and the end of a recipient’s Medicaid eligibility for or authorization for services if the department does not redetermine the recipient’s eligibility under this chapter;
(2) “review period” means the period of time a recipient is eligible for Medicaid without the department redetermining the recipient’s Medicaid eligibility. (Eff. 7/20/2007, Register 183; am 4/1/2009, Register 189; am 10/1/2009, Register 191) Statutory Authority: Authority: AS 47.05.010 AS 47.07.040 7 AAC 100.022. Timely, untimely, and late review applications. (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