1. (a) A beneficiary who is suspended for noncompliance with the community engagement requirement, and fails to cure that suspension during redetermination, shall be disenrolled from granite advantage.

2. (b) A disenrolled beneficiary shall be re-enrolled as follows:

   1. (1) Within 90 days of disenrollment, a beneficiary may return to granite advantage by providing 100 hours of community engagement within a single calendar month;
   2. (2) Upon the department’s receipt of the reported 100 hours in (b)(1) above, the beneficiary’s eligibility shall be reopened as of the date that the hours are reported to the department; and
   3. (3) The beneficiary’s participation start date shall be the 1st of the month following the report in (b)(2) above.

3. (c) A beneficiary who is compliant with the community engagement requirement at redetermination but whose eligibility is terminated at redetermination for other reasons may, within 90 days of disenrollment, return to granite advantage by:

   1. (1) Satisfying any outstanding medicaid redetermination requirements pursuant to 42 CFR 435.119, 42 CFR 435.916, He-W 606, and He-W 684;
   2. (2) Upon satisfying any outstanding redetermination requirements in (c)(1) above, the beneficiary’s eligibility shall be reactivated to the date of closure; and
   3. (3) The beneficiary shall resume the reporting of community engagement hours the 1st of the month following the month that the outstanding redetermination requirements are met.

Source. #12733, INTERIM, eff 2-23-19, EXPIRES: 8-22-19; ss by #12796, eff 6-5-19 (formerly He-W 837.15)