A. Any person who desires county medical care will be given unrestricted opportunity to apply for eligibility and will be given a courteous interview during normal business hours.
B. Application forms provided by AHCCCS will be used to determine eligibility for county services. The county reserves the right to supplement AHCCCS forms with any forms deemed reasonable and necessary.
C. Applications shall be made under oath and false statements made in applications shall subject the person making them to penalties provided by law.
D. The eligibility interviewer will assist the applicant in completing the application form when necessary or required. If a foreign language interpreter is needed or if other special assistance is needed in completing the application process, the eligibility staff shall make that help available within the ability of said staff to procure such help.
E. Each applicant will be informed in writing of the procedures and requirements of the eligibility process, including but not limited to, the following:
1. Confidentiality of information provided;
2. Determination and notification process;
3. Meaning and significance of the agreement and declaration requiring his/her sworn oath on the eligibility application;
4. Right of appeal;
5. Requirements to report changes in income, assets, residency, U.S. legal status, household size, marital status, or medical coverage;
6. Effective date and expiration date of eligibility and the requirement to apply for a redetermination before expiration for continued care at county expense.
F. For the purpose of establishing eligibility, information shall be secured from the applicant and collateral sources. The applicant shall be the principal source of information and is responsible for providing all information and documentation reasonably required by the eligibility worker for determination of eligibility. This shall include authorization for any necessary investigation into the applicant's income, resources, household composition, residency, U.S. legal status and medical expenses.
G. Applicant is responsible for providing necessary information to complete the application within thirty days of the date of application, unless a thirty-day extension is agreed upon in writing by the head of household.
H. Applicant is responsible for notifying the department of changes in income, property, resources, household, medical coverage information, U.S. legal status or residence within ten calendar days of such change.
I. Applicant is responsible for reapplying for eligibility prior to expiration in order to avoid a lapse in coverage. This does not affect applicant's right to reapply at any time subsequent to lapse of coverage.
J. The application process shall be conducted in accordance with the written eligibility manual prepared by the director of the department of medical assistance.
(Ord. 1993-95 § 1 (part), 1993: Ord. 1991-2 § 1 (part), 1991)