N.Y. Comp. Codes R. & Regs. tit. 9 § 9610.4

Current through Register Vol. 46, No. 36, September 4, 2024

Section 9610.4 - Decision on eligibility

(a) Decision on eligibility is the conclusion or determination reached in the application process. Such decision shall constitute the decision of the contractor. The decision shall be one of the following:

(1) Accepted for coverage. This means that eligibility has been established through review and verification to the satisfaction of the contractor.

(2) Not accepted for coverage. Applications are denied when:

(i) in the course of the application process the information given by the applicant establishes, without the need for further review and verification, that he/she is ineligible;

(ii) ineligibility is determined in the course of or upon completion of a review and verification, or if the applicant refuses to comply with any requirement essential to the determination of eligibility; or

(iii) the application is incomplete.

(3) No decision is required when:

(i) an application is withdrawn by the applicant; or

(ii) the contractor documents that the applicant has died, cannot be located, or has left the State prior to the completion of the review and verification.

(b) The applicant shall be notified in writing of the decision in accordance with these regulations.

N.Y. Comp. Codes R. & Regs. Tit. 9 § 9610.4