C Change Letters

 

 

 

Revised 03/29/2022

Policy

A written notice is required if a change in circumstance causes:

·         A customer to lose eligibility;

·         A decrease in services;

·         An increase in the customer’s share of cost; or

·         An increase in the customer’s premium amount.

 

See MA1604 for information regarding written letters.

Definitions

Term

Definition

Change in Circumstance

Something that happens to a person which may impact his or her Medicaid eligibility, enrollment, share of cost or premium amount, or ability to be contacted or receive mail. 

 

Legal Authority

 

Program

Legal Authorities

All Programs except KidsCare

42 CFR 431.210, 211 and 213

42 CFR 435.917

42 CFR 435.919

KidsCare

42 CFR 457.343