Current through the 2024 Fourth Special Session
Section 26B-3-903 - Eligibility(1) A traditionally eligible child may enroll in the program if the child: (a) is a bona fide Utah resident;(b) does not have access to or coverage under other health insurance, including any coverage available through a parent or legal guardian's employer;(c) is ineligible for Medicaid benefits;(d) resides in a household whose gross family income, as defined by rule, is at or below 200% of the federal poverty level; and(e) is not an inmate of a public institution or a patient in an institution for mental diseases.(2) A child who qualifies for enrollment in the program under Subsection (1) may not be denied enrollment due to a diagnosis or pre-existing condition.(3)(a) The department shall determine eligibility and send notification of the eligibility decision within 30 days after receiving the application for coverage.(b) If the department cannot reach a decision because the applicant fails to take a required action, or because there is an administrative or other emergency beyond the department's control, the department shall:(i) document the reason for the delay in the applicant's case record; and(ii) inform the applicant of the status of the application and time frame for completion.(4) The department may not close enrollment in the program for a child who is eligible to enroll in the program under the provisions of Subsection (1).(5) The program shall:(a) apply for grants to make technology system improvements necessary to implement a simplified enrollment and renewal process in accordance with Subsection (5)(b); and(b) if funding is available, implement a simplified enrollment and renewal process.Amended by Chapter 332, 2023 General Session ,§ 2, eff. 1/1/2024.Renumbered as § 26B-3-903 by Chapter 306, 2023 General Session ,§ 126, eff. 5/3/2023.Amended by Chapter 393, 2019 General Session ,§ 28, eff. 5/14/2019.Amended by Chapter 344, 2011, 2011 General Session.