Expedited Fair Hearing definition

Expedited Fair Hearing means a fair hearing, used when the Contractor determines, or the beneficiary or the beneficiary's provider certifies that following the 90 day timeframe for a fair hearing as established in 42 C.F.R. § 431.244(f)(1) would seriously jeopardize the beneficiary's life, health, or ability to attain, maintain, or regain maximum function. (42 C.F.R. § 431.244(f)(1); 42 C.F.R. § 438.410(a); Cal. Code Regs., tit. 9, § 1810.216.4.)
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Expedited Fair Hearing means a fair hearing, used when the Contractor determines, or the beneficiary or the beneficiary's provider certifies that following the 90 day timeframe for a fair hearing as established in 42 C.F.R. §
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Expedited Fair Hearing means a fair hearing as defined in Section 1810.216.6 to be used when the mental health plan determines or the beneficiary and/or the beneficiary’s provider certifies that that following the timeframe for a fair hearing as established in Title 42, Code of Federal Regulations, Section 431.244(f)(1) would seriously jeopardize the beneficiary’s life, health, or ability to attain, maintain, or regain maximum function.
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Examples of Expedited Fair Hearing in a sentence

  • In the case of an expedited Fair Hearing process, the HMO must inform the Member that he or she must first exhaust the HMO’s internal Expedited Appeal process prior to filing an Expedited Fair Hearing.

  • In the case of an expedited Fair Hearing process, the MCO must inform the Member that he or she must first exhaust the MCO’s internal Expedited Appeal process prior to filing an Expedited Fair Hearing request.

  • A recipient, his/her authorized representative or a provider acting on a recipient’s behalf (only under circumstances described below) may file for an Expedited Fair Hearing if the clinical documentation shows that the time permitted for a Standard Fair Hearing could jeopardize the individual’s life, health or ability to attain, maintain or regain maximum function.

  • During construction of this route, approximately 24 ha (97 acres) of land within the ROW would be temporarily disturbed.

  • If the required documentation is submitted after the initial Expedited Hearing request is received, the timeframe for the Expedited Fair Hearing will begin the day the required pertinent medical documentation is received by the DHCFP.

  • In the case of an expedited Fair Hearing process, the MCO must inform the Member that he or she must first exhaust the MCO’s internal Expedited Appeal process prior to filing an Expedited Fair Hearing.

  • Decisions on Expedited Fair Hearing requests will be made expeditiously as the recipient’s health condition requires, but no later than three working days after the date the request for a hearing has been received by the DHCFP office.

  • The request for an Expedited Fair Hearing must contain the recipient’s name, address, telephone number and Medicaid number, as well as the name, telephone number and address of the authorized representative and/or provider, if applicable, and must include all pertinent medical information that supports the reason for the urgent need of the expedited timeframe.

  • FIGURE II.3. Distribution of Expedited Fair Hearing Programs The literature provides a slightly more comprehensive view of state requirements for expedited reviews within Medicaid health plans.

  • The Expedited Fair Hearing request must be submitted with pertinent medical information that supports the reason for the urgent need of the expedited timeframe.


More Definitions of Expedited Fair Hearing

Expedited Fair Hearing means a fair hearing as defined in Section 1810.216.6 to be used when the mental health plan determines or the beneficiary and/or the beneficiary's provider certifies that that following the timeframe for a fair hearing as established in Title
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Related to Expedited Fair Hearing

  • Fair Hearing means the State hearing provided to beneficiaries pursuant to Title 22, CCR, Sections 50951 and 50953. All fair hearings requested by beneficiaries shall comply with 42 CFR §§ 431.220(a)(5), 438.408(f), 438.414, and 438.10(g)(1).

  • Expedited review means an examination, in accordance with

  • Expedited Dispute Timetable means the accelerated timetable for the resolution of disputes as set out in paragraph 2.6;

  • State Fair Hearing means the process set forth in subpart E of part 431 of CFR Title 42. State Fiscal Year (SFY) means 12 calendar months commencing on July 1 and ending on June 30 following or the 12-month period for which the State budgets funds.

  • Permanency hearing means a hearing, conducted with respect to a child who is in foster care, to determine the permanency plan for the child which includes:

  • Evidentiary Hearing means a hearing at which one or more Participants submits evidence for the record. A Testimonial Hearing is an Evidentiary Hearing, but an Evidentiary Hearing does not necessarily include the presentation of testimony by witnesses in person.

  • Public hearing means a hearing at which members of the public are

  • Hearing means an oral hearing and includes a hearing conducted in whole or in part by video link, telephone or other means of instantaneous two-way electronic communication;

  • Court Hearing means the hearing by the High Court of the Petition to sanction the Scheme under Section 453 of the Act.

  • Expedited Appeal means if a Member appeals a decision regarding a denied request for Prior Authorization (Pre-Service Claim) for an Urgent Care Claim, the Member or Member’s Authorized Representative can request an Expedited Appeal, either orally or in writing. Decisions regarding an Expedited Appeal are generally made within seventy-two (72) hours from the Plan’s receipt of the request.

  • Formal hearing means a board or department process that provides for the right of private parties to submit factual proofs as provided in § 2.2-4020 of the Administrative Process Act in connection with case decisions. Formal hearings do not include the factual inquiries of an informal nature provided in § 2.2-4019 of the Administrative Process Act.

  • Hearing aid means an instrument or device designed for regular and constant use in or proximate to the human ear and represented as aiding or improving defective human hearing.

  • Administrative hearing means a type of hearing that an appellant may elect in which the presiding officer reviews the written record only and makes a decision based on the facts available within the appeal file. An administrative hearing does not require an in-person or teleconference hearing. The final determination to establish whether an administrative hearing may be held will be made by the appeals section or the presiding officer.

  • Arbitration Act means the Arbitration and Conciliation Act, 1996 and shall include any amendment to or any re-enactment thereof as in force from time to time.

  • Adjudicatory hearing means a hearing to determine:

  • Expedited Deliverability Study means a deliverability study that an eligible Developer may elect to pursue as that term is defined in OATT Section 25 (OATT Attachment S) that may determine the extent to which an existing or proposed facility satisfies the NYISO Deliverability Interconnection Standard at its requested CRIS level without the need for System Deliverability Upgrades. The schedule and scope of the study is defined in Sections 25.5.9.2.1 and 25.7.1.2 of this Attachment S.

  • Mold remediation in accordance with professional standards means mold remediation of that

  • Sale Hearing means the hearing of the Bankruptcy Court to approve the Sale Procedures and Sale Motion and enter the Sale Approval Order.

  • Informal hearing means a meeting between the Division and the licensee when a temporary suspension order has been issued.

  • Final Approval Hearing means the hearing before the Court where the Parties will request the Final Judgment to be entered by the Court approving the Settlement Agreement, the Fee Award, and the incentive award to the Class Representative.

  • Procedure means one or more surgical procedures or medical therapy performed in a Center of Excellence.

  • Final Fairness Hearing means the hearing in the Action for the Court to consider final approval of this Settlement and the entry of Judgment.

  • Plan hearing means the public hearing on a proposed project area plan required

  • Complaints Procedure means the School's procedure for handling complaints from parents, as amended from time to time for legal or other substantive reasons, or in order to assist the proper administration of the School. It does not form part of the contract between you and the School. A copy of the most up-to-date procedure is on the School's website and is otherwise available from the School at any time upon request;

  • Contested case hearing means a proceeding before the Authority under the Administrative Procedures Act when any of the following contests an adverse determination, action, or as it relates to an MCE enrollee, an adverse benefit determination:

  • Professional land surveyor means a professional land surveyor licensed under ch. 443.