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UPDATED: NOVEMBER 2007

495

OTHER ELIGIBILITY REQUIREMENTS DECISION AND NOTIFICATION DISCONTINUANCE OR REDUCTION

TIMELY NOTICE

Policy: When a recipient's Medicaid coverage is terminated or reduced, the recipient is adequately notified in writing 10 days in advance of the action (See OTHER ELIGIBILITY REQUIREMENTS DECISION AND NOTIFICATION DISCONTINUANCE OR REDUCTION). However, if one of the following conditions has resulted in the termination or reduction of Medicaid, it is not necessary to send a notice 10 days in advance of the action. Instead, the adequate notice is sent by the date of the termination. These conditions are:

1. The recipient has provided a signed statement that s/he no longer wants Medicaid.

2. The recipient is admitted or committed to an institution that does not qualify for federal financial participation.

3. The recipient's whereabouts are unknown and his/her mail has been returned by the post office indicating no known forwarding address.

References: Dept. Reg. 360-2.7 358-3.3(d)

ADM

89 ADM-21

(MRG)