42 CFR 435.907 - Application
| Cite as | 42 CFR 435.907 |
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16 practice notes
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Medicaid, Children's Health Insurance Programs, and Exchanges: Essential Health Benefits in Alternative Benefit Plans, Eligibility Notices, Fair Hearing and Appeal Processes for Medicaid and Exchange Eligibility Appeals and Other Provisions Related to Eligibility and Enrollment for Exchanges, Medicaid and CHIP, and Medicaid Premiums and Cost Sharing
...serve in that capacity for one individual, for example for a parent or incapacitated relative. Under current regulations at 42 CFR 435.907, retained in the Medicaid eligibility final rule, states must accept applications from authorized representatives acting on behalf of an applicant. In t......
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Securing Updated and Necessary Statutory Evaluations Timely
...Gross Income (MAGI) methodologies. Regulations implementing Income and Eligibility Verification requirements at 42 CFR 435.940-435.965. 42 CFR 435.907, related to Medicaid application Medicaid cost-sharing regulations. Regulations governing Medicaid waivers, including Section 1115 and Secti......
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Medicaid and Children's Health Insurance Programs: Essential Health Benefits in Alternative Benefit Plans, Eligibility Notices, Fair Hearing and Appeal Processes, and Premiums and Cost Sharing; Exchanges: Eligibility and Enrollment
...Response: Provisions related to preserving the date of the Medicaid or CHIP application are contained in this final rule at 42 CFR 435.907(h). Comment: Commenters supported the inclusion of language that requires the application to not be considered withdrawn if, upon appeal, the applicant ......
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Rosen v. Tennessee Com'R of Finance and Admin., No. 3:98-0627.
...Defendant's requiring persons known to be SPMI or SED enrollees to personally sign the Medical Eligibility application form violates 42 C.F.R. § 435.907(a). 1. The 45 Day Under the Medicaid Act, the state plan must provide medical assistance "with reasonable promptness." 42 U.S.C.......
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10 cases
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Rosen v. Tennessee Com'R of Finance and Admin., No. 3:98-0627.
...Defendant's requiring persons known to be SPMI or SED enrollees to personally sign the Medical Eligibility application form violates 42 C.F.R. § 435.907(a). 1. The 45 Day Under the Medicaid Act, the state plan must provide medical assistance "with reasonable promptness." 42 U.S.C. § 1396a(a......
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Price v. Director, Case No. 1:13-cv-74
...requirePage 37the signature of the applicant (a "real-time" event), but do not prevent the provision of retroactive benefits. See 42 C.F.R. § 435.907(f); Ohio Admin. Code 5160:1-1-51(D), (G), (I), (K). There is no logical explanation for why the requirement of a "real-time" signature should......
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Wilson v. Gordon, No. 14–6191.
...§ 18083(b)(1)(A)(iii). Thus, states must actually have a system in place for accepting streamlined applications directly. See also 42 C.F.R. § 435.907(a) (stating that “the agency must accept an application” for Medicaid) (emphasis added). States must provide applicants the option to apply ......
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Dep't of Health & Human Servs. v. Rasmer (In re Estate of Rasmer), Docket No. 153356
...law, DHHS determines eligibility when someone first applies for Medicaid benefits and must also periodically redetermine eligibility. See 42 CFR 435.907, 435.911, and 435.916. And so, in certain cases, DHHS may be required to provide written information not only when a beneficiary seeks a r......
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1 firm's commentaries
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Simplified, Real-Time Verification Issue Brief
.... Endnotes i ACA §1411, §1413(c); 42 CFR 435.945, 45 CFR 155.315, 155.320. ii ACA §§ 1413(b)(1)(A) and 2201; 45 CFR 155.405; 42 CFR 435.907(a). iii Final Medicaid eligibility guidance provides that beginning in 2014, state Medicaid agencies must accept self-attestation of pregnancy unless t......
5 provisions
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Medicaid and Children's Health Insurance Programs: Essential Health Benefits in Alternative Benefit Plans, Eligibility Notices, Fair Hearing and Appeal Processes, and Premiums and Cost Sharing; Exchanges: Eligibility and Enrollment
...Response: Provisions related to preserving the date of the Medicaid or CHIP application are contained in this final rule at 42 CFR 435.907(h). Comment: Commenters supported the inclusion of language that requires the application to not be considered withdrawn if, upon appeal, the applicant ......
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Securing Updated and Necessary Statutory Evaluations Timely
...Gross Income (MAGI) methodologies. Regulations implementing Income and Eligibility Verification requirements at 42 CFR 435.940-435.965. 42 CFR 435.907, related to Medicaid application Medicaid cost-sharing regulations. Regulations governing Medicaid waivers, including Section 1115 and Secti......
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Medicaid, Children's Health Insurance Programs, and Exchanges: Essential Health Benefits in Alternative Benefit Plans, Eligibility Notices, Fair Hearing and Appeal Processes for Medicaid and Exchange Eligibility Appeals and Other Provisions Related to Eligibility and Enrollment for Exchanges, Medicaid and CHIP, and Medicaid Premiums and Cost Sharing
...serve in that capacity for one individual, for example for a parent or incapacitated relative. Under current regulations at 42 CFR 435.907, retained in the Medicaid eligibility final rule, states must accept applications from authorized representatives acting on behalf of an applicant. In t......
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Patient Protection and Affordable Care Act; Establishment of Exchanges and Qualified Health Plans; Exchange Standards for Employers
...the definition of ``application filer,'' described in Sec. 155.300(a), incorporate language included in Medicaid proposed regulations at 42 CFR 435.907, allowing that applications be completed by ``the applicant, an authorized representative, or someone acting responsibly for the applicant.......
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