NAC439.772. Notice of approval or denial of application; notice of name of new enrollee.

     1. Within 45 days after receiving an application for a subsidy, the Department will provide written notice to the applicant of its approval or denial of the application.

     2. If the application is approved, the notice must state:

     (a) The amount of the subsidy that the Department will pay to a contractor, PDP or MA-PD, or to the State Plan for Medicaid on behalf of the applicant;

     (b) The amount of the annual household income on which the eligibility was based; and

     (c) If the applicant is deemed eligible but there is insufficient money available from the amount allocated for subsidies by the Department, that the applicant has been placed on a waiting list in the order of priority described in NAC 439.773.

     3. If the application is denied, the notice must state:

     (a) The reason for the denial;

     (b) The procedure for requesting a hearing to review the decision of the Department as set forth in NAC 439.779; and

     (c) The procedures for a hearing before the Department as set forth in NAC 439.779 to 439.787, inclusive.

     4. Within 30 days after the Department approves an application, the Department will provide the name of the new enrollee whose application was approved to the contractor or any other entity necessary to ensure appropriate coordination of benefits.

     (Added to NAC by Dep’t of Health & Human Services by R157-05, eff. 11-17-2005)