R382-10-20. Termination and Notice  


Latest version.
  •   (1) The eligibility agency shall notify an applicant or enrollee in writing of the eligibility decision made on the application or periodic eligibility review.

      (2) The eligibility agency shall notify an enrollee in writing ten calendar days before the effective date of an action that adversely affects the enrollee's eligibility.

      (3) Notices under Section R382-10-20 shall provide the following information:

      (a) the action to be taken;

      (b) the reason for the action;

      (c) the regulations or policy that support the action when the action is a denial, closure or an adverse change to eligibility;

      (d) the applicant's or enrollee's right to a hearing;

      (e) how an applicant or enrollee may request a hearing; and

      (f) the applicant's or enrollee's right to represent himself, use legal counsel, a friend, relative, or other spokesperson.

      (4) The eligibility agency need not give ten-day notice of termination if:

      (a) the child is deceased;

      (b) the child moves out-of- state and is not expected to return;

      (c) the child enters a public institution or an institution for mental diseases; or

      (d) the child's whereabouts are unknown and the post office has returned mail to indicate that there is no forwarding address.