The Reasonable Opportunity Period (ROP) is a period of 90 days given to a consumer to provide proof of attested information submitted on an application when Georgia Access cannot electronically verify the attested information through trusted data sources.
When information reported to Georgia Access on an application, such as a customer’s household income cannot be electronically verified by Georgia Access, a Data Matching Inconsistency (DMI) is generated, and the customer has 90-days to submit documentation verifying their information. The customer will receive an eligibility determination notice from Georgia Access via their preferred mode of communication (email or postal mail) with information about how to resolve the DMI. Reminder notices will also be sent until the customer submits the correct documentation or the ROP has expired. This information will also be available on the customer’s account dashboard. The ROP is 90 calendar days and begins on the date the customer submits their application through Georgia Access.
The 90-day ROP will remain open until the requested documentation is provided by the consumer and approved by Georgia Access. It is important that consumers respond to Georgia Access’s request for additional documentation within the 90-day ROP. If the requested documentation is not received within the 90-day ROP, Georgia Access may take administrative action, such as removing the consumer’s eligibility for federal financial assistance (Advance Premium Tax Credits), or the insurance policy may be terminated. The consumer will again be notified by Georgia Access of any action taken on their account through their preferred mode of communication.
Consumers who do not provide documentation within the 90-day ROP may have their QHP enrollment and/or financial assistance eligibility revoked or redetermined based on available data sources after a five day processing grace period. The five day processing grace period, which starts after the ROP ends, enables time for receipt and manual processing of paper documentation submissions sent to Georgia Access.
After the ROP expires, action can no longer be taken on that application, and the customer will need to reapply for coverage through Georgia Access. To avoid having administrative action taken on their account, consumers should read and respond to mail sent from Georgia Access to their home address, check their online Georgia Access inbox through their account portal for communications, and attempt to respond to Georgia Access’s request for additional documentation within the 90-day ROP.
If a consumer has questions regarding their monthly insurance premium, they should contact Georgia Access customer service directly at 1-888-687-1503.
Also See:
How do I submit documents if I am conditionally eligible?