N.D. Admin. Code 75-02-02.1-02

Current through Supplement No. 395, January, 2025
Section 75-02-02.1-02 - Application and redetermination
1.Application.
a. All individuals wishing to make application for Medicaid must have the opportunity to do so, without delay.
b. An application is a written request made by an individual desiring assistance under the Medicaid program, or by an individual seeking such assistance on behalf of another individual, to a county agency, the department, a disproportionate share hospital, as defined in section 1923(a)(1)(A) of the Act [ 42 U.S.C. 1396r-4(a)(1)(A)] , or a federally qualified health center, as described in section 1905(I)(2)(B) of the Act [ 42 U.S.C. 1396d(I)(2)(B) ].
c. A prescribed application form must be signed by the applicant or by someone acting responsibly for an incapacitated applicant.
d. Information concerning eligibility requirements, available services, and the rights and responsibilities of applicants and recipients must be furnished to all who require it.
e. A relative or other interested party may file an application on behalf of a deceased individual to cover medical costs incurred prior to the deceased individual's death.
f. The date of application is the date an application, signed by an appropriate individual, is received at a county agency, the department, a disproportionate share hospital, or a federally qualified health center.
2.Redetermination. A redetermination must be completed within thirty days after a county agency has received information indicating a possible change in eligibility status, when eligibility is lost under a category, and in any event, no less than annually. A recipient has the same responsibility to furnish information during a redetermination as an applicant has during an application.

N.D. Admin Code 75-02-02.1-02

Amended by Administrative Rules Supplement 2014-352, April 2014, effective April 1, 2014. .
Amended by Administrative Rules Supplement 2021-383, January 2022, effective 1/1/2022.

General Authority: NDCC 50-06-16, 50-24.1-04

Law Implemented: NDCC 50-24.1-01