Partial federal government shutdown
HCA does not anticipate any immediate impacts to our services or disruption to provider payments at this time. We will continue to monitor the situation and share updates if anything changes.
HCA does not anticipate any immediate impacts to our services or disruption to provider payments at this time. We will continue to monitor the situation and share updates if anything changes.
To explain how often the agency reviews individuals' eligibility based on the health care coverage they receive and their circumstances.
Effective September 6, 2025
This is a reprint of the official rule as published by the Office of the Code Reviser. If there are previous versions of this rule, they can be found using the Legislative Search page.
If an administrative review for a renewal cannot be completed and no review has been completed over the phone or in-person, then the household is ineligible for coverage. No review form is needed if the review is completed on or before the eligibility review end date or within the first 30 days after termination for Classic cases or 90 days for MAGI.
Note: If a household does not return a review form or returns it late, check the household record for an Equal Access Plan.
If you initiate a review for CN coverage, ACES keeps Apple Health open even if the individual does not return the required proof. When pending a review, set an alert to check the case and determine if the individual returned the required proof.