State Fair Hearing. See Administrative Law Hearing Subcontract: Any written contract between the Contractor and a third party, including a Provider, to perform a specified part of the Contractor’s obligations under this Contract.
State Fair Hearing. A “state fair hearing” is a quasi-judicial proceeding conducted by a judge, during which each hearing party may present arguments and evidence, including witness(es), and cross examine witness(es) against them, with respect to a decision regarding the availability or delivery of services or benefits, made by an agency. An “agency” is a government unit or managed care health plan involved in a hearing as a hearing party. Such agencies include all 58 California counties, the Los Angeles Department of Children and Family Services, the California Department of Aging, the CDSS Office of Services to the Blind, all 27 Medi- Cal Field Offices, and several CDHS units, including: Beneficiary Utilization Review Unit, Benefits Branch-Vision, In-Home Operations, Managed Care Operations Branch, Recovery Section, and Office of Medi-Cal Dental Services.
State Fair Hearing. A hearing conducted by the Division or its Agent in accordance with 42 C.F.R. § 431 Subpart E for applicants, Members or beneficiaries.
State Fair Hearing. An impartial review of a decision made by the MDHHS or one of its contract agencies which is conducted by a Michigan Administrative Hearings System (MAHS) Administrative Law Judge under the oversight, supervision, and authority of MDHHS so as to provide due process rights required by applicable law.
State Fair Hearing. Medicaid consumers who request or receive services that are paid for with Medicaid funds per Michigan’s approved use of Section (a)(1)(A) of the Social Security Act will be provided an Adverse Benefit Determination when services are denied, reduced, suspended or terminated. Consumers must exercise their right to a local appeal process before requesting their right to a State Fair Hearing.
State Fair Hearing. Providers must exhaust UHC appeal process prior to submitting a State Fair Hearing. Request must specifically request a “fair hearing” and should describe the decision appealed and the specific reasons for the appeal. Requests must be submitted within 30 calendar days from the date of the notice of the action, plus 3 calendar days if the notice is mailed. Send written request via regular mail to: Office of Administrative Hearings 0000 X. Xxxxxx Xxxxxx Xxxxxx, XX 00000 Refer to Chapter 15 of the Provider Administrative Guides found on UHC Community Plan for additional information.
State Fair Hearing. A hearing conducted by the Division of Medicaid or its Agent in accordance with 42 C.F.R. § 431 Subpart E.
State Fair Hearing. Medicaid consumers who request or receive services that are paid for with Medicaid funds per Michigan’s approved use of Section (a)(1)(A) of the Social Security Act will be provided an Adverse Benefit Determination when services are denied, reduced, suspended or terminated. Consumers must exercise their right to a local appeal process before who request or receive services that are paid for with Medicaid funds per Michigan’s approved use of Section (a)(1)(A) of the Social Security Act have the requesting their right to a State Fair Hearing. They also have the right to a local appeal process when services are denied, reduced, suspended or terminated.
State Fair Hearing. A State Fair Hearing is an independent review conducted by the State Department of Social Services and is the final arbiter of appeals for actions taken by the LMHP. The hearing ensures that you receive the mental health services you are entitled to under the MHP. You may request a State Fair Hearing only if you are a Medi-Cal recipient, and when you have completed the MHP’s Appeal process. You may also request for an Expedited State Fair Hearing when the mental health plan determines or the beneficiary and/or the beneficiary’s provider certifies that following the time frame for a fair hearing would seriously jeopardize the beneficiary’s life, health, or ability to attain, maintain, or regain maximum function. If you want a State Fair Hearing, your request must be made within 90 days from the date you receive the Notice of Action.
