Md. Code Regs. 10.18.01.04

Current through Register Vol. 51, No. 11, May 31, 2024

Section 10.18.01.04 - Application and Enrollment

A. Application.

(1) The agent of the applicant shall submit a completed TAP application to the Department on the form designated by the Department that includes:

(a) Responses to all applicable questions; and

(b) A copy of the completed application or other verifiable documentation for Medical Assistance or LIS enrollment.

(2) The agent of the applicant or the applicant may voluntarily withdraw the application at any time without prejudice.

(3) The Department shall:

(a) Review and process a TAP application by the end of the first business day following receipt;

(b) Approve a TAP application if the:

(i) TAP application is complete;

(ii) Applicant is determined to be eligible; and

(iii) Department is able to ascertain that the applicant will likely be found eligible for Medical Assistance or LIS;

(c) Issue a client identification number if the TAP application is approved;

(d) Disapprove a TAP application if the:

(i) TAP application is incomplete; or

(ii) Agent of the applicant fails to provide sufficient information or documentation to determine eligibility; and

(e) Contact the agent of the applicant with the status of the TAP application.

B. Enrollment.

(1) A recipient shall be approved for coverage beginning the first day of the month in which the:

(a) TAP application was received; or

(b) Recipient will need access to medications through TAP.

(2) Benefits shall end on the date that a determination of Medical Assistance or LIS coverage occurs.

Md. Code Regs. 10.18.01.04

Regulation .04 adopted effective 43:6 Md. R. 408, eff.3/28/2016; amended effective 46:10 Md. R. 485, eff. 5/20/2019