Ariz. Admin. Code § 6-6-1811

Current through Register Vol. 30, No. 50, December 13, 2024

Section R6-6-1811 - Continuation of Services During the Administrative Review Process

A. The Division shall continue authorizing a Member's service solely funded by the state if:

1. The Member or the Member's Representative files a timely request for Administrative Review;

2. The request for Administrative Review involves the termination, suspension, or reduction of a previously authorized service or termination of eligibility for Division services;

3. The period covered by the original authorization has not expired; and

4. The Member or the Member's Representative requests continuation of services at the time of the request for Administrative Review.

B. If a request is made under subsection (A) and the Division continues the Member's service while the Administrative Review is pending, the Division shall continue services until:

1. The Member or the Member's Representative withdraws the request for Administrative Review,

2. The Member or the Member's Representative fails to file a timely Appeal for hearing under Article 22 of this Chapter,

3. Final administrative or judicial resolution of the subject matter in the request for Administrative Review occurs and it is in the Division's favor, or

4. The time-period or service limits of a previously authorized service have been met.

C. The Division shall take the Action as specified in the written notice if the request for Administrative Review is untimely.

Ariz. Admin. Code § R6-6-1811

Adopted by final rulemaking at 23 A.A.R. 3350, effective 1/27/2018.