10.18.10.04

.04 Application and Enrollment.

A. Application.

(1) The agent of the applicant shall:

(a) Submit a complete Urgent MADAP application to the Department on the form designated by the Department; and

(b) Within 30 business days of submitting the application, submit all supporting documentation required by the Department.

(2) The agent of the applicant or applicant may voluntarily withdraw the Urgent MADAP application at any time without prejudice.

(3) The Department shall:

(a) Review and process an Urgent MADAP application by the end of the first business day following receipt;

(b) Approve an Urgent MADAP application if the:

(i) Urgent MADAP application is complete; and

(ii) Applicant is determined to be eligible;

(c) Issue a client identification number if the Urgent MADAP application is approved;

(d) Disapprove an Urgent MADAP application if the:

(i) Urgent MADAP application is incomplete;

(ii) Applicant is determined to be ineligible; or

(iii) Agent of the applicant fails to provide sufficient information or documentation to determine eligibility; and

(e) Contact the agent of the applicant with the status of the Urgent MADAP application.

B. Enrollment.

(1) A recipient shall be approved for coverage beginning the first day of the month in which the:

(a) Urgent MADAP application was received; or

(b) Recipient will need access to medications through Urgent MADAP.

(2) Benefits shall end on the date that a determination of MADAP coverage occurs and not later than 60 calendar days from the date the Urgent MADAP application was approved.