HOME    SEARCH    ABOUT US    CONTACT US    HELP   
           
This is an obsolete version of the rule. Please click on the rule number to view the current version.

37.79.207    TERMINATION OF ELIGIBILITY AND GUARDIAN LIABILITY

(1) CHIP eligibility terminates immediately upon:

(a) death of the enrollee; or

(b) incarceration of the enrollee.

(2) CHIP eligibility terminates at the end of the month:

(a) the enrollee attains the age of 19 years;

(b) the parent or guardian or enrollee becomes eligible for state employee insurance benefits;

(c) the department becomes aware that the enrollee is a beneficiary of other creditable health insurance;

(d) the enrollee is determined eligible for medicaid;

(e) upon voluntary disenrollment of the CHIP enrollee;

(f) the enrollee moves out of Montana;

(g) the department becomes aware that the applicant has moved without providing a new address and CHIP is unable to locate the applicant; or

(h) when a completed renewal application has not been received by the department.

(3) Termination of eligibility, based on insufficient funding at the department may not be effective earlier than the end of the month notice of termination is given to the enrollee or the enrollee's parent or guardian.

(4) A parent or guardian is liable to the department and the department may collect from the parent or guardian the amount of actual premiums or payments or both to providers for any benefits furnished to the enrollee because of an intentional misrepresentation or a failure to give notice of changes as required by this subchapter.

History: Sec. 53-4-1009, MCA; IMP, Sec. 53-4-1003, MCA; NEW, 2000 MAR p. 1221, Eff. 5/12/00; AMD, 2004 MAR p. 330, Eff. 2/13/04.

Home  |   Search  |   About Us  |   Contact Us  |   Help  |   Disclaimer  |   Privacy & Security