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10.18.05.00.htm 10.18.05.00. Title 10 MARYLAND DEPARTMENT OF HEALTH Subtitle 18 HUMAN IMMUNODEFICIENCY VIRUS (HIV) INFECTION AND ACQUIRED IMMUNODEFICIENCY SYNDROME (AIDS) Chapter 05 Maryland AIDS Drug Assistance Program: Eligibility Authority: Health General Article, §2-104(b) and (i) and 2-105(a) and (b) and 18-102(a) Annotated Code of Maryland
10.18.05.01.htm 10.18.05.01. 01 Definitions.. A. In this chapter, the following terms have the meanings indicated.. B. Terms Defined.. 1) “Acquired Immunodeficiency Syndrome (AIDS) means the medical condition caused by the Human Immunodeficiency Virus.2) “Applicant” means an individual who has submitted an application to the Maryland AIDS Drug Assistance Program and whose eligibility status for the Maryland AIDS Drug Assistance Program has not yet 3) “Department” means the Maryland Department of Health..
10.18.05.02.htm 10.18.05.02. 02 Eligibility.. A. Except when an individual is enrolled in Medical Assistance but does not have prescription coverage assistance, an individual who is eligible for Medical Assistance is not eligible for MADAP.B. To be eligible for benefits, an individual shall meet the following criteria:. 1) Residency;. 2) Medical; and. 3) Financial.. C. Residency Criteria. To meet the residency criteria the individual shall be a resident of Maryland.
10.18.05.03.htm 10.18.05.03. 03 Application and Enrollment.. A. Application.. 1) Applicant.. a) An applicant shall submit a completed application to the Department on the form designated by the Department that includes:i) Responses to all applicable questions; and. ii) Supporting documentation related to residency, medical, and financial eligibility criteria.. b) An applicant may voluntarily withdraw the application at any time without prejudice.. c) An applicant may submit a new application at any time..
10.18.05.04.htm 10.18.05.04. 04 Changes in Eligibility and Disenrollment.. A. A recipient shall notify the Department within 10 business days of a change in:. 1) Availability of third-party payment for services covered under MADAP;. 2) Gross income; or. 3) Address.. B. If a change reported in §A of this regulation results in a recipient no longer qualifying for MADAP, the Department shall:1) Determine the recipient ineligible for MADAP; and. 2) Disenroll the recipient..
10.18.05.05.htm 10.18.05.05. 05 Reconsideration and Appeal.. A. An applicant or recipient who has been notified by the Department of ineligibility for or disenrollment from MADAP benefits may request reconsideration of the decision by submitting additional supporting documentation or information to the Department within 30 business days of notification.B. If an applicant or recipient submits a timely request for reconsideration, the Department shall:. 1) Review all additional supporting documentation,
10.18.05.06.htm 10.18.05.06. 06 Recovery of Payments.. If MADAP benefits have been incorrectly paid or another payer has been identified, the Department shall seek recovery of the amount of those payments.
10.18.05.07.htm 10.18.05.07. 07 Fraud.. The Department shall pursue cases of suspected misrepresentation or fraud pursuant to Criminal Law Article, §8-503, Annotated Code of Maryland, or any other applicable statutory provision.
10.18.05.08.htm 10.18.05.08. 08 Confidentiality.. Unless otherwise authorized by law, the Department:. A. Shall keep all applicant and recipient personal information confidential;. B. May not disclose personal information kept on an applicant or recipient without written consent of the:1) Applicant;. 2) Recipient;. 3) Applicant’s parent or legal guardian; or. 4) Recipient’s parent or legal guardian;. C. Shall comply with the laws and regulations concerning the privacy and security of protected healt
10.18.05.09.htm 10.18.05.09. 09 Availability of Funding and Program Termination.. A. If sufficient monies are not available to fund MADAP, the Department shall take the action necessary to eliminate a deficit which may include MADAP termination.B. If MADAP is terminated the Department shall provide benefits for each current recipient until the earlier of:1) The end of the recipient’s enrollment period; or. 2) Six months from the date MADAP is terminated..
10.18.05.9999.htm 10.18.05.9999. Administrative History Effective date:. Regulations .01―15 adopted as an emergency provision effective November 27, 2002 (29:25 Md. R. 1979) adopted permanently effective February 17, 2003 (30:3 Md. R. 180)Regulation .01B amended effective March 16, 2015 (42:5 Md. R. 486). Regulation .02 amended effective March 16, 2015 (42:5 Md. R. 486). Regulation .03B, C amended as an emergency provision effective August 11, 2004 (31:18 Md. R. 1348) amended permanently effect
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