E1706 Changes Before the Hearing is Held - Examples

1)    Two Consecutive Actions to Discontinue Eligibility

At his June renewal, the customer had $10,000 in his savings account, and the worker took action to end ALTCS eligibility.  His ALTCS is ending after June 30th. 

On June 28th, the customer appeals this decision.  Because the appeal was requested before the date his coverage stops, the customer’s ALTCS eligibility is continued during the appeal process. 

On July 5th, AHCCCS discovers that the customer also has a promissory note with a countable value of $30,000.  Because the customer was approved for continued benefits during the appeal process, the change is not processed pending a hearing decision.

2)    Two Consecutive Actions to Increase the Share of Cost

In January the customer’s Social Security income increased by $20.00.  This change in income is processed on February 4th.  Because of the higher income, the customer’s share of cost (SOC) is increasing as of March.  AHCCCS sends her a letter about this change in the SOC.  

The customer files an appeal on February 19th, before the change is effective.  Her SOC is changed back to the previous amount during the appeal process.  On March 1st, the customer reports that she started receiving another pension.  Because the customer was approved for the prior SOC amount during the appeal process, the change is not processed pending a hearing decision.