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3600.00.00 BENEFIT ISSUANCE

This chapter presents policy regarding benefit issuance. The chapter covers MA Identification Cards (Section 3615).

3605.00.00 REPRESENTATIVES AND PROTECTIVE PAYEES

As of June 1, 2014, this section no longer applies.

3605.05.05 WITHDRAWAL OF AUTHORIZATION

The authorized representative authorization is valid until the member withdrawals the authorization. The payee or another responsible AG member may withdraw the authorization at any time. Withdrawal of authorization will be made upon request in writing for Medicaid. Written requests will be placed in the case record.

3605.05.15.05 EVIDENCE OF MISREPRESENTATION

When evidence is obtained that an authorized representative has misrepresented an individual’s circumstances and has knowingly provided false information the representative may be disqualified from participating as an authorized representative. This disqualification may be for a period of up to one year.

A written notice must be sent to the affected AG and the authorized representative 30 days prior to the date of disqualification. This notification must include:

• The proposed action • The reason for the action • The AG’s right to request a fair hearing • The telephone number of the local office (1-800-403-0864).

Disqualification of representatives does not apply in the case of drug/alcohol treatment centers and those group facilities which act as authorized representatives for their residents. In these instances, the facility is liable for any over-issuance which may occur.

3605.20.00 AUTHORIZED REPRESENTATIVE FOR MEDICAID ELIGIBILITY

If the recipient has authorized in writing a representative to apply for MA on his behalf, that representative may also provide verification of incurred medical expenses without a separate authorization. The signed authorization may be time limited or indefinite.

3615.00.00 MA IDENTIFICATION CARDS

Section 3615.10.00 discusses identification cards.