B Approval Letters

 

 

Revised 03/29/2022

Policy

Every person that applies for AHCCCS Medical Assistance must receive a letter explaining the decision on their application. See MA1604 for information regarding written letters.

Generally, approval letters are automatically sent out by:

·        Hospital staff from subscriber organizations for HPE; and

·        Health-e-Arizona Plus (HEAplus) for all other programs. 

Definitions

Term

Definition

Approval Letter

A decision letter that notifies a customer of approval of AHCCCS Medical Assistance program eligibility. 

Subscriber Organizations

An organization that has signed a HEAplus subscription agreement that sets forth the terms under which the organization may have access to HEAplus.

 

Legal Authority

Program

Legal Authorities

All Programs except KidsCare and HPE

42 CFR 435.917

KidsCare

42 CFR 457.340

Hospital Presumptive Eligibility (HPE)

AAC R9-22-1601