1. (a) The MRT shall conduct reviews of continued medical eligibility for Title XIX benefits based on current evidence of the recipient’s disability or based upon changes in eligibility.
2. (b) At the time of medical eligibility review, the MRT shall determine whether the recipient meets the eligibility standards in accordance with He-W 508.03 and He-W 508.04.
3. (c) The department shall issue a written notice to the recipient when a denial of continued medical eligibility is made following a medical eligibility review.

4. (d) The written notice in (c) above shall include:

   1. (1) The recipient’s identifying information:
   2. (2) A listing of the medical and non-medical reports used for consideration during the medical eligibility review process;
   3. (3) A description of the impairments used for consideration during the medical eligibility review process;
   4. (4) The reasons for the department’s decision;
   5. (5) The legal basis supporting the department’s decision(s);
   6. (6) Information that a fair hearing on the denial of continued medical eligibility may be requested within 30 calendar days of the date on the notice of denial, in accordance with He-C 200; and
   7. (7) Information on how to reapply for medical assistance.
5. (e) The department shall continue the recipient’s medical eligibility after a denial of continued medical eligibility in accordance with (c) above when the recipient submits to the local district office both a request for a fair hearing and for a continuation of benefits during the appeal process not later than 10 calendar days from the date on the written notice of denial.

Source. #9291, eff 7-1-09