R9-28-417. Notification Requirements

A. Administration responsibilities. The Administration shall notify a member’s program contractor when a member is enrolled or disenrolled from the ALTCS program. The Administration shall include the following in the notification: 1. The member’s name, 2. The member’s identification number, 3. The member’s effective date of enrollment or disenrollment, and 4. The member’s share-of-cost on a monthly enrollment roster. B. Program contractor’s responsibilities. The program contractor shall notify the Administration if an ALTCS member has any change that may affect eligibility including but not limited to: 1. A change in residential address, 2. A change in medical or functional condition, 3. A change in living arrangement including: a. Alternative HCBS setting, b. Home, c. Nursing facility, or d. Other living arrangement not specified in this subsection, 4. Change in resource or income, or 5. Death.