Page 1
UPDATED: JUNE 2011
457
TABLE OF CONTENTS
OTHER ELIGIBILITY REQUIREMENTS
APPLICATION, CERTIFICATION AND RENEWAL ...................................................... .461
FACILITATED ENROLLERS…………………………………….…………………463
NEW APPLICATION ........................................................................................ 465
FAMILY PLANNING BENEFIT PROGRAM APPLICATION…………………... 476
MEDICARE D LOW INCOME SUBSIDY APPLICATION……………………... 478
REAPPLICATION ............................................................................................ .479
RENEWAL…………………….…………..……………………………………..…...481
DECISION AND NOTIFICATION……………………………………………………..…….. 486
ACCEPTANCE……………………………………………………………………....488
DENIAL…………………………………………………………………………….....490
WITHDRAWAL OF APPLICATION……………………………………………… 492
DISCONTINUANCE OR REDUCTION……………………………………………493
TIMELY NOTICE………………………………………………………………495
RETROACTIVE ELIGIBILITY PERIOD……………………………………………………..495.1
PAYMENT OF PAID MEDICAL BILLS ……………………………………………495.2
PAYMENT OF UNPAID MEDICAL BILLS ……………………………………….495.6
FINANCIAL MAINTENANCE…………………………………………………………………496
OWNERSHIP AND AVAILABILITY…………………………………………………………..498
AUTHORIZATION……………………………………………………………………………..504
CARD ISSUANCE .......................................................................... …………………… 506
RECIPIENT RESTRICTION PROGRAM (RRP) ..................................................... …..508
CO-PAY ......................................................................................................................... 509
(MRG)