2025
Agency: DIVISION OF MEDICAID
Compilation: No
Proposed Date: 7/3/2025 Final Date:
Effective Date: Withdrawal Date:
Rule: Title 23: Medicaid, Part 101: Coverage Groups and Processing Applications and Reviews Redetermination Processes, Rule(s) 1.10, 3.1, 3.4, 4.2, 4.9, 5.3, 6.1, 6.2, 11.1, 11.2, 12.2-12.5, 13.2 Summary: This Administrative Code is being submitted to include the following revisions: adds Medicare Part B-ID as a cost sharing-group, clarifies certain application submission options and timeliness standards, removes references to a required interview, modifies reasons for early termination, removes prohibition on changing children from CHIP to Medicaid during the continuous eligibility period, removes prohibition on completing administrative ex parte reviews on cases with an asset test, clarifies that electronic sources should be used to attempt renewal if the review form is not returned, and adds changes from Medicaid to CHIP and CHIP to Medicaid as an adverse action
System Number: 28153
Notice | Full Text
Agency: DIVISION OF MEDICAID
Compilation: No
Proposed Date: 6/4/2025 Final Date:
Effective Date: Withdrawal Date:
Rule: Title 23: Medicaid, Part 305: Program Integrity, Chapter 1: Program Integrity, Rule 1.4: Provider Peer Review Protocol
Summary: This administrative code is being revised to update the peer review protocols to include the option for the Executive Director to designate appropriate staff for certain responsibilities
System Number: 28073
Notice | Full Text
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