Fair Hearing a de novo proceeding under Wis. Admin. Code § HA 3, before an impartial administrative law judge in which the petitioner or the petitioner’s representative presents the reasons why an action or inaction by the Department of Health Services, a county agency, a resource center or an MCO in the petitioner’s case should be corrected.
Fair Hearing. Explain that:
i) Enrollee has a right to a State Fair Hearing and Aid to Continuing in some situations.
ii) Describe situations when the Enrollee may ask for a fair hearing as described in Section 25 of this Agreement including State or LDSS decision about staying in or leaving the plan; decision the Contractor makes that stops or limits Medicaid benefits; Contractor decision agreeing with doctor who will not order services (must complain to the plan first).
iii) Describe how to request a fair hearing (assistance through member services, LDSS, State fair hearing contact).
Fair Hearing a. The proposed guardian has a right to and may request a fair hearing when:
i. The initial application for assistance is denied;
ii. The monthly assistance payment is decreased without the guardian’s agreement;
iii. The guardian’s request for a change in payment level due to a change in circumstances is denied; or
iv. Assistance is denied, reduced or terminated and the guardian disagrees with the decision.
Fair Hearing. LCDJFS and Subrecipient agree that Subrecipient is responsible for fulfilling responsibilities relative to appeals and state hearings in accordance with Chapter 5101:6-3-01 of the Ohio Administrative Code.
Fair Hearing. The process adopted and implemented by HHSC in 1 T.A.C. Chapter 357, in compliance with federal regulations and state rules relating to Medicaid Fair Hearings.
Fair Hearing. Participants may request a fair hearing when a reduction in services occurs or when a requested adjustment to the budget is denied or the amount of the budget is reduced.
Fair Hearing. In accordance with state regulations, DCDJFS is charged with fulfilling responsibilities relative to appeals and/or state hearings brought or initiated by those receiving and/or participating in the services. PROVIDER, its respective officials, officers, employees, agents, representatives, volunteers, and/or servants agree to and shall be under the direction of DCDJFS relative to any such appeals and/or state hearings. Additionally, PROVIDER, its respective officials, officers, employees, agents, representatives, volunteers, and/or servants agree to assist in the informational gathering and support processes related to the appeals and/or state hearing process and participation in the state hearing and/or appeal itself.
Fair Hearing. Resident shall be given notice of AMH's decision to terminate his or her appointment for Cause pursuant to Section 2.2.4 of this Agreement. Upon the issuance of the notice of the decision of termination, the Resident's active participation in the Department’s Residency Program shall end. The Resident may request a fair hearing with respect to the termination of appointment for Cause pursuant to Section 2.2.4 of this Agreement according to the policies and procedures of the AMH’s Graduate Medical Education Fair Hearing Policy, as amended from time to time. If the Resident does not request a fair hearing relating to the termination of his or her appointment within the time period and in the manner described in the Fair Hearing Policy or if Resident properly requests a fair hearing but later withdraws such request prior to the fair hearing, then the termination of the Resident's appointment shall be final and binding as of the effective date of termination identified at the time of the notice of the initial decision of termination or, if such an effective date is not provided, the date of the notice of the initial decision of termination. If the Resident requests a fair hearing in a timely and proper manner in accordance with the Fair Hearing Policy, (a) the termination of the Resident's appointment will be final and binding if the fair hearing panel does not change the termination decision, affirms the termination decision, or the fair hearing otherwise results in the upholding of the termination decision under the Fair Hearing Policy; and (b) the date of termination of Resident's appointment will be the effective date provided in the original notice of termination in accordance with Section 2.2.4 unless the fair hearing panel assigns an alternative date of termination in which case that new date shall govern.
Fair Hearing. FAC and Contractor agree that Contractor is responsible for fulfilling responsibilities relative to appeals and state hearings in accordance with Chapter 5101:6-3-01 of the Ohio Administrative Code.
Fair Hearing. LCDJFS and Contractor agree that Contractor is responsible for fulfilling responsibilities relative to appeals and state hearings in accordance with Chapter 5101:6-3-01 of the Ohio Administrative Code.
