Ariz. Admin. Code § 9-31-307

Current through Register Vol. 30, No. 50, December 13, 2024

Section R9-31-307 - Guaranteed Enrollment

A. Guaranteed Enrollment. A child who is determined eligible for Title XXI shall be guaranteed a one-time, 12-month period of continuous coverage unless a child:

1. Attains age 19,

2. Is no longer a resident of the state,

3. Is an inmate of a public institution,

4. Is determined to have been ineligible at the time of approval,

5. Obtains private or group health coverage,

6. Is adopted and the new household does not meet the qualifications of this program,

7. Is a patient in an institution for mental diseases,

8. Has whereabouts that are unknown, or

9. Has a head of household who:

a. Does not pay cost sharing premium amount when premiums are required as specified in A.R.S. §§ 36-2982 and 36-2903.01 and as specified in this Chapter,

b. Voluntarily withdraws from the program, or

c. Fails to cooperate in meeting the requirements of the program.

B. The 12-month guaranteed period shall begin with the month an applicant is initially enrolled.

Ariz. Admin. Code § R9-31-307

Adopted under an exemption from A.R.S. Title 41, Chapter 6, pursuant to Laws 1998, Ch. 4, § 11, 4th Special Session, effective October 23, 1998 (Supp. 98-4). Amended by exempt rulemaking at 5 A.A.R. 3670, effective September 10, 1999 (Supp. 99-3). Amended by final rulemaking at 7 A.A.R. 5846, effective December 7, 2001 (Supp. 01-4). Amended by exempt rulemaking at 9 A.A.R. 4560, effective October 1, 2003 (Supp. 03-4).