9 CRR-NY 9610.6NY-CRR
9 CRR-NY 9610.6
9 CRR-NY 9610.6
9610.6 Notification.
(a) Applicants have the right to adequate notice of their determination of eligibility.
(1) Notification shall be given within three days of the decision to accept or deny an application (except during the 120-day period beginning July 1, 1987, when notification of denial shall be given within 10 days of a decision to deny.)
(2) Notification of denial shall clearly set forth the decision of the contractor and the specific reason why the application was denied. Notification of acceptance shall clearly set forth the decision and the cost-sharing responsibilities of the applicant.
(b) Participants are entitled to timely and adequate notice of any change affecting their coverage, except for mass changes.
(c) Participants are entitled to adequate notice of any adjustment to the copayment schedule 30 days prior to the effective date of the change.
(d) Participants also have the right to adequate notice 30 days prior to the due date of any quarterly or annual registration fee or premium. The notice shall state the amount due, the date on which payment is to be received and that his/her coverage shall expire 30 days after the due date if payment is not received.
9 CRR-NY 9610.6
Current through September 15, 2021
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IMPORTANT NOTE REGARDING CONTENT CURRENCY: JULY 31, 2023, is the date of the most recently produced official NYCRR supplement covering this rule section. For later updates to this section, if any, please: consult editions of the NYS Register published after this date; or contact the NYS Department of State Division of Admisnistrative Rules at [email protected]. See Help for additional information on the currency of this unofficial version of the NYS Rules.