1. A. Administration responsibilities. The Administration shall notify a member’s program contractor when a member is enrolled or disenrolled from the ALTCS program. The Administration shall include the following in the notification:

   1. 1. The member’s name,
   2. 2. The member’s identification number,
   3. 3. The member’s effective date of enrollment or disenrollment, and
   4. 4. The member’s share-of-cost on a monthly enrollment roster.

2. B. Program contractor’s responsibilities. The program contractor shall notify the Administration if an ALTCS member has any change that may affect eligibility including but not limited to:

   1. 1. A change in residential address,
   2. 2. A change in medical or functional condition,

   3. 3. A change in living arrangement including:

      1. a. Alternative HCBS setting,
      2. b. Home,
      3. c. Nursing facility, or
      4. d. Other living arrangement not specified in this subsection,
   4. 4. Change in resource or income, or
   5. 5. Death.

Historical Note

New Section adopted by final rulemaking at 6 A.A.R. 896, effective February 8, 2000 (Supp. 00-1).

R9-28 418. Disenrollment

The Administration shall disenroll an ALTCS member on the last day of the month following receipt of appropriate notification under R9-28-411 except:

1. The Administration shall disenroll an ALTCS member who dies. A member’s last day of enrollment shall be the date of death.

2. The Administration shall disenroll a member immediately when the member voluntarily withdraws from the ALTCS program.

3. If ALTCS benefits have been continued pending an eligibility appeal decision and the discontinuance is upheld as specified in 9 A.A.C. 34, the Administration shall disenroll a member effective on the date of the hearing decision.

New Section adopted by final rulemaking at 6 A.A.R. 896, effective February 8, 2000 (Supp. 00-1). Amended by final rulemaking at 14 A.A.R. 2090, effective July 5, 2008 (Supp. 08-2). Amended by final rulemaking at 20 A.A.R. 234, effective January 7, 2014 (Supp. 14-1).