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CODE OF COLORADO REGULATIONS 10 CCR 2505-10 8.100 Medical Services Board

81 f. If the member submits the redetermination form and/or verification information before the end of the eligibility period, the member must maintain coverage until the eligibility site can make a final determination. g. If the member submits the redetermination form and/or verification information after the end of the eligibility period, the member will not maintain coverage. h. If a member fails to sign the signature form or comply with any of these requirements, the member will be terminated from the program for failure to complete the redetermination process. 4. The eligibility site shall perform the following actions upon receiving the redetermination form and/or verification information: a. Date-stamp all submitted documentation upon receipt to ensure accurate processing timeliness. b. Thoroughly review the submitted documentation for completeness, accuracy, and consistency. c. Document verifications in the case file and CBMS case comments. The case file shall be used as a checklist in the redetermination process and shall be used to keep track of matters requiring further action. d. Determine eligibility 30 calendar days from the date of receiving the redetermination form and/or verification information. e. If incomplete information is submitted or a member reports new changes, contact the member by telephone or in writing to provide required documents or requested verifications. If requested verifications are needed, the eligibility site must send a form with a letter specifying the items that require completion. The member shall return the completed request form to the eligibility site no later than ten working days. The eligibility site will have fifteen working days from the date the documents are received to make a final determination.