X-2010, Applications

Revision 20-4; Effective October 1, 2020

Process the application within two business days of receipt, but no later than 15 business days from the application file date.

Re-open an application denied for failure to provide information or verification if the missing information is provided. Use the date all of the missing information was provided as the new file date. The original Form H1034, Medicaid for Breast and Cervical Cancer, is valid for up to 60 days. If the information on Form H1034 has changed or is more than 45 days old, the person and staff must update the form.