A beneficiary’s coverage under ECHO may be denied. What is true regarding the denial?

When a beneficiary’s coverage under the Extended Care Health Option (ECHO) is denied, the correct assertion regarding the denial is that it is subject to review. This means that the decision made can undergo a process where it is evaluated again, often involving a re-assessment of the circumstances surrounding the denial. The ECHO denials can typically be appealed, and beneficiaries have the right to contest decisions regarding their coverage. Therefore, the notion that the decision cannot be contested is inaccurate because beneficiaries do have mechanisms in place to challenge or seek a reconsideration of denials. Additionally, the other assertions about the denial lacking review or automatically renewing without further evaluation do not accurately represent the policies surrounding ECHO coverage.