9 CRR-NY 9620.1NY-CRR

STATE COMPILATION OF CODES, RULES AND REGULATIONS OF THE STATE OF NEW YORK
TITLE 9. EXECUTIVE DEPARTMENT
SUBTITLE KK. PROGRAM FOR ELDERLY PHARMACEUTICAL INSURANCE COVERAGE
PART 9620. INVESTIGATION AND VERIFICATION
9 CRR-NY 9620.1
9 CRR-NY 9620.1
9620.1 Investigation.
(a) The contractor is responsible for reviewing all aspects of eligibility and obtaining verification of information received. Appropriate inquiry shall be made of the applicant and secondary sources of information as the efficient administration of the program may require taking into account the administrative costs of full review and verification of each application and the need to maintain the fiscal integrity of the program. In this respect the contractor may defer full review and verification or fully review and verify only a statistically valid random sample of the applications filed with the approval of the executive director.
(b) Any review and verification of eligibility shall be conducted in a manner that will not result in practices that violate an applicant's or participant's constitutional rights. An applicant or participant shall be permitted to appear with an attorney or other representative at any interview, conference or redetermination with a representative of the contractor, whenever such interview, conference or redetermination relates the questions of eligibility for assistance, or the amount of the registration fee, premium or deductible which the person interviewed is or was required to pay.
9 CRR-NY 9620.1
Current through September 15, 2021
End of Document

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.