405 IAC 2-3.2-6 Appeal rights

Sec. 6. (a) A qualified provider's decision regarding presumptive eligibility is not a Medicaid eligibility determination. The notice and appeals rights of Medicaid applicants and members set forth in 405 IAC 1.1 do not apply. A woman cannot appeal a qualified provider's decision regarding presumptive eligibility. (b) The notice and appeal rights of Medicaid applicants and members will apply when the division makes a Medicaid eligibility determination with respect to the woman.