Examples of Appeals Entity in a sentence
When the FFM denies MAGI-related Medicaid to residents of those states who apply to the FFM, they may appeal those denials to the Federal Marketplace Appeals Entity (Marketplace Appeals Center).
If the state agency already has finished processing the AT received pursuant to the HHS Appeals Entity appeals process and determined the individual ineligible for Medicaid or CHIP, no further action based on the EFT is required.
Homeless applicants who are owed a main homelessness duty by the Council (under s.193 (2) of the Housing Act 1996, as amended) will be placed in Band A and will be able to bid for properties through the Home-Link scheme.
As part of comprehensive ‘exit strategies’ for the economic crisis, Member States should carry out ambitious reform programmes to ensure macroeconomic stability and the sustainability of public finance, improve competitiveness, and reduce macroeconomic imbalances.
All spectators came out from under their shady hollows and were on their feet.
This reinstatement is necessary, as the state agency will now need to determine the individual’s eligibility, taking into account any new information and documentation obtained by the HHS Appeals Entity during the appeals process.
Designation of Exchange Appeals Entity – Any Exchange appeals other than Large Employer Appeals may be accepted, processed and adjudicated by EOHHS if, at such time as the appeal is filed, the Exchange has in effect a Memorandum of Agreement (MOA) designating EOHHS as the entity responsible for such appeals.
In either of these situations, in conducting the Exchange-related appeal, the HHS Appeals Entity may determine the individual to be eligible for Medicaid or CHIP, contrary to the initial assessment or determination.
If the state has opted to accept decisions of the HHS Appeals Entity as a final determination of Medicaid or CHIP eligibility and it has not completed processing the AT prior to matching the AT with the EFT, the agency need only provide coverage to the individual based on the original application date (for Medicaid) or in accordance with its CHIP state plan (for CHIP).
If an individual denied Medicaid or CHIP eligibility by the state agency at initial application appeals that decision to the state’s appeals entity, the state is not required to redetermine eligibility following the HHS Appeals Entity decision.