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• The treatment is contrary to the applicant's religious beliefs • Previous surgery of the same type recommended was unsuccessful • The recommended treatment is very risky because of its magnitude or unusual nature • Amputation of a major limb is involved.11 2015.20.00 REPORT CHANGES IN CIRCUMSTANCES The applicant/recipient must report any changes in circumstances affecting Medicaid eligibility to the DFR within 10 days of the date on which the change occurred or became known to the recipient.12

AGs will be advised at the point of application in the Rights & Responsibilities of their responsibility to report changes. This provision is applicable at any time after submission of the application, regardless of whether it has been approved or not. 2020.00.00 APPLICATION TIME STANDARDS

Due to federal requirements, applications must be processed within specific time standards. The time allowed varies depending on whether the applicant is alleging a disability. The time standard is counted beginning with the day following the date of application and ending with the date on which the eligibility notice is mailed. Time standards for application processing as required by the individual programs are explained in the following sections. 2020.15.00 APPLICATION TIME STANDARDS (MED)

The DFR must determine eligibility within federally prescribed time standards and must so inform each applicant both verbally and in writing at time of application. Notification to applicant may also be electronic. These time standards include the following:13 • 45 days for all MA categories except the Disabled categories (MA D and MADW), which is 90 days. 14

• The time standard covers the period from the date of application to the date the eligibility notice is mailed.15 The DFR must not utilize the time standard as a waiting period before granting MA. Additionally, the fact that a case is going to pend beyond the time standard cannot be used as the basis for denying the application.16

2020.20.00 APPLICATION PROCESSING DELAY