64.05 Partial payments

Medicaid-only premium billing and payment. When a premium for Medicaid’s Dr. Dynasaur program is the only premium billed, payment of the full amount due is required to maintain coverage and eligibility. A payment of less than the full amount due will be considered by AHS as nonpayment. (b) Allocation of partial payments when multiple premiums billed Basic rule (i) When there is a premium for the VPharm program in addition to Medicaid’s Dr. Dynasaur program on the same bill, except as provided in paragraph (b)(2) of this subsection, when a payment covers at least one, but fewer than all, of the premiums due on the bill, the payment will be applied as payment of one or more premiums in full rather than as a partial payment of each of the billed premiums. The payment will be allocated by AHS in the following order: Dr. Dynasaur. VPharm. Dr. Dynasaur retroactive island (see § 64.01(l) for definition). (ii) Coverage will only continue for those for whom the full premium amount due has been received. Exception. An individual who wishes to specify a different payment allocation for the premiums due than as set forth in paragraph (b)(1) of this subsection may do so by calling AHS at the number listed on the bill. The individual must make such a request prior to the time the payment is applied to a coverage month.