37.79.208    PROVISIONAL BENEFITS, DETERMINATION OF ELIGIBILITY, AND APPLICATIONS FOR HMK

(1) Provisional HMK coverage group benefits may be extended to enrollees who would otherwise lose health care coverage while awaiting an HMK Plus determination. Provisional coverage may be extended to enrollees who:

(a) complete the HMK Plan renewal application process before their HMK coverage group benefits are scheduled to end;

(b) have been determined potentially eligible for HMK Plus coverage; and

(c) are awaiting an HMK Plus eligibility determination.

(2) A determination of HMK Plan eligibility will be completed within 45 calendar days after receipt of a complete application.

History: 53-4-1004, 53-4-1009, 53-4-1105, MCA; IMP, 53-4-1003, 53-4-1004, 53-4-1009, 53-4-1104, 53-4-1105, MCA; NEW, 2004 MAR p. 330, Eff. 2/13/04; AMD, 2009 MAR p. 1673, Eff. 10/1/09.