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Application Procedure: Individuals needing medical assistance should apply directly to the State or local welfare agency. States should contact the Regional Administrator, HCFA for application forms. (See Appendix IV of the Catalog for agency Regional Office addresses.) This program is excluded from coverage under OMB Circular No. A-110. Award Procedure: States are awarded funds quarterly based on their estimates of funds needed to provide medical assistance to the needy. Awards are made quarterly on a fiscal year basis as follows: October 1, January 1, April 1, and July 1. Individuals receive medical care from providers of medical care who are participating in the Medicaid program. Deadlines: An individual needing medical assistance may apply to the State at any time. States must submit quarterly estimates of funds needed no later than August 15, November 15, February 15, and May 15, in order to receive a timely quarterly grant award for the following quarter. Range of Approval/Disapproval Time: Up to 60 days. The States usually provide needy individuals with immediate medical assistance. Appeals: Individuals denied medical assistance by the State or local welfare agency must be given a fair hearing on appeal (see 42 CFR, Subchapter C, Part 431, Subpart E). States have 60 days to resubmit revised applications. Renewals: Recipients receive assistance as long as they are qualified under State requirements. ASSISTANCE CONSIDERATIONS:

 

 

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