B Decision Letters

 

 

Revised 03/29/2022

Policy

All customers must receive a letter explaining the decision on their renewal. See MA1604 for information regarding written letters.

Definitions

Term

Definition

Decision Letter

A letter that notifies a customer of the action taken for their AHCCCS Medical Assistance program eligibility including:

·        Approval;

·        Denial;

·        Discontinuance;

·        Change in share of cost, premium amount or co-payments;

·        Change in eligible medical services; and

·        Enrollment with a health plan or program contractor.

 

Legal Authority

Program

Legal Authorities

All Programs

42 CFR 435.916

42 CFR 435.919