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Each person that applies for AHCCCS Medical Assistance must receive a letter explaining the decision on their application. See MA1604 for information regarding written letters.
Generally, denial letters are automatically sent out by:
Hospital staff from subscriber organizations for HPE; and
Health-e-Arizona Plus (HEAplus) for all other programs.
When a letter generated by HEAplus appears to be incorrect, see Procedures for Manual Letters for instructions.
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Term |
Definition |
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Denial |
A determination that a person is not eligible for Medical Assistance benefits. |
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Program |
Legal Authorities |
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All Programs except KidsCare and HPE |
42 CFR 435.917 |
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KidsCare |
42 CFR 457.340(e) |
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Hospital Presumptive Eligibility |
AAC R9-22-1601 |