16 Del. Admin. Code § 4203-10.0
Current through Register Vol. 28, No. 7, January 1, 2025
Section 4203-10.0 - Termination Of Eligibility10.1 Eligibility terminates: 10.1.1 When the enrollee attains other medical insurance as listed in 4.1.4.10.1.2 When the enrollee is no longer receiving treatment for cancer as defined in 4.1.1.10.1.3 When the enrollee no longer meets the technical or financial eligibility requirements.10.1.4 When applicants provided temporary eligibility status fail to obtain health insurance coverage or satisfy the requirements to transition to full eligibility status.10.1.5 Twenty-four months after the date that cancer treatment is initiated for each primary cancer diagnosis.10.2 If eligibility is terminated, it may only be renewed for an individual who is diagnosed with a new primary cancer. An individual who has a recurrence of cancer for which coverage has been previously provided is not eligible for additional coverage. The determination of a new primary cancer or recurring cancer is made by the treating physician.10.3 When temporary eligibility is terminated or a disposition of ineligibility is received, applicants may request a financial hardship waiver and submit to DHSS for review to determine if a significant financial hardship exists for the applicant.16 Del. Admin. Code § 4203-10.0
11 DE Reg 680 (11/01/07)
18 DE Reg. 67( 7/1/2014) (Final)