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COMBINED MEDICAID 1503-1 Timely and Adequate Notice

Supersedes: CMA 1503-1(1/1/2023) Reference: 42 CFR 431.206, .210, .211, .213 and .214; 435.919; ARM 37.5.505 and 37.82.101 Overview: Timely and/or adequate notice must be provided for all adverse actions. An adverse action is any action to close, suspend or decrease assistance, or to increase a spend down obligation for an ongoing case. CONTENT REQUIREMENTS: Complete Notice -- A written statement that informs the client of the: 1. Action taken and/or the eligibility period, 2. Reason for the action, 3. Speciﬁc agency policy and state and federal regulations supporting an adverse action, 4. Date the action will occur, 5. Person’s right to request a hearing, 6. How the person may request a fair hearing, 7. That the person may represent themselves or use legal counsel, a relative, a friend, or other spokesman, and 8. The timeframes by which the Department must take ﬁnal administrative action.

TIMELINESS REQUIREMENTS: Adequate Notice -- Written notice mailed no more than two working days after system cutoff and received by the client no later than the date of action or date beneﬁts would have been received. Timely Notice -- Written notiﬁcation as stated above, mailed at least 10 calendar days prior to the date of action.

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Official source

COMBINED MEDICAID 1503-1 Timely and Adequate Notice

Supersedes: CMA 1503-1(1/1/2023) Reference: 42 CFR 431.206, .210, .211, .213 and .214; 435.919; ARM 37.5.505 and 37.82.101 Overview: Timely and/or adequate notice must be provided for all adverse actions. An adverse action is any action to close, suspend or decrease assistance, or to increase a spend down obligation for an ongoing case. CONTENT REQUIREMENTS: Complete Notice -- A written statement that informs the client of the: 1. Action taken and/or the eligibility period, 2. Reason for the action, 3. Speciﬁc agency policy and state and federal regulations supporting an adverse action, 4. Date the action will occur, 5. Person’s right to request a hearing, 6. How the person may request a fair hearing, 7. That the person may represent themselves or use legal counsel, a relative, a friend, or other spokesman, and 8. The timeframes by which the Department must take ﬁnal administrative action.

TIMELINESS REQUIREMENTS: Adequate Notice -- Written notice mailed no more than two working days after system cutoff and received by the client no later than the date of action or date beneﬁts would have been received. Timely Notice -- Written notiﬁcation as stated above, mailed at least 10 calendar days prior to the date of action.