B Denial Letters

 

 

 

Revised 03/29/2022

Policy

Each 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, denial 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

Denial

A  determination that a person is not eligible for Medical Assistance benefits.

 

Legal Authority

 

Program

Legal Authorities

All Programs except KidsCare and HPE

42 CFR 435.917

KidsCare

42 CFR 457.340(e)

Hospital Presumptive Eligibility

AAC R9-22-1601