Fair Hearing definition

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).
Fair Hearing means a hearing before the Washington State Office of Administrative Hearings.
Fair Hearing means the process adopted and implemented by HHSC in 25 T.A.C. Chapter 1, in compliance with federal regulations and state rules relating to Medicaid Fair Hearings.

Examples of Fair Hearing in a sentence

  • Appendix F specifies the state's procedures to provide individuals the opportunity to request a Fair Hearing, including providing notice of action as required in 42 CFR §431.210.

  • In the event the Medical Staff Member remains suspended pursuant to this Section for a period greater than sixty (60) Days, and unless the Board determines that there is good cause to make an exception, the Medical Staff Member shall be deemed to have voluntarily withdrawn his or her Medical Staff Membership and/or Clinical Privileges, without right of appeal or Fair Hearing.

  • Indicate whether the State operates another dispute resolution process that offers participants the opportunity to appeal decisions that adversely affect their services while preserving their right to a Fair Hearing.

  • The Medical Staff Member shall have no right to a Fair Hearing, and no Notice is required, as a prerequisite to the suspension of the Medical Staff Member's Medical Staff Membership and/or Clinical Privileges.

  • THIS UNDERTAKING SHALL BE GOVERNED BY AND CONSTRUED IN ACCORDANCE WITH THE LAWS OF THE STATE OF NEW YORK APPLICABLE TO AGREEMENTS MADE AND TO BE WHOLLY PERFORMED WITHIN SUCH STATE.


More Definitions of Fair Hearing

Fair Hearing means the administrative decision-making process that requires aggrieved individuals to be given the opportunity to confront the evidence against them and have their evidence considered by an impartial fact finder in a meaningful time and manner. FAQs means frequently asked questions. Federally Qualified Health Center (FQHC) means an entity that meets the requirements of, and receives a grant and funding pursuant to, the Public Health Service Act. An FQHC also includes an outpatient health program, a facility operated by a tribe or tribal organization under the Indian Self-Determination Act (PL 93-638) and an Urban Indian organization receiving funds under Title V of the Indian Health Care Improvement Act, codified at 25 U.S.C. 1601 et seq. Financial Requirements means, for the purposes of compliance with Behavioral Health parity requirements in 42 C.F.R. § 438, Subpart K, deductibles, copayments, coinsurance, or out-of- pocket maximums. Financial requirements do not include premiums or aggregate lifetime or annual dollar limits. Fiscal Management Agency (FMA) means an entity contracting with the State that provides the fiscal administration functions for Members receiving the Self-Directed Community Benefit. The FMA must be an entity operating under Section 3504 of the IRS code, Revenue Procedure 70-6 and Notice 2003-70, as the agent to Members for the purpose of filing certain federal tax forms and paying federal income tax withholding, FICA and FUTA taxes. The FMA also files State income tax withholding and unemployment insurance tax forms, pays the associated taxes and
Fair Hearing means the State hearing provided to beneficiaries pursuant to sections 50951 and 50953 of Title 22 of the California Code of Regulations section and section 1810.216.6 of Title 9 of the California Code of Regulations 1810.216.
Fair Hearing means the administrative decision-making process that requires aggrieved individuals to be given the opportunity to confront the evidence against them and have their evidence considered by an impartial fact finder in a meaningful time and manner. Federally Qualified Health Center (FQHC) means an entity that meets the requirements of, and receives a grant and funding pursuant to, the Public Health Service Act. An FQHC also includes an outpatient health program, a facility operated by a tribe or tribal organization under the Indian Self-Determination Act (PL 93-638) and an Urban Indian organization receiving funds under Title V of the Indian Health Care Improvement Act, codified at 25 U.S.C. 1601 et seq. Financial Requirements means, for the purposes of compliance with Behavioral Health parity requirements in 42 C.F.R. part 438, subpart K, deductibles, copayments, coinsurance, or out-of- pocket maximums. Financial requirements do not include premiums, Aggregate Lifetime Dollar Limits, or Annual Dollar Limits. Fiscal Management Agency (FMA) means an entity contracting with the State that provides the fiscal administration functions for Members receiving the Self-Directed Community Benefit. The FMA must be an entity operating under Section 3504 of the IRS code, Revenue Procedure 70-6 and Notice 2003-70, as the agent to Members for the purpose of filing certain federal tax forms and paying federal income tax withholding, FICA, and FUTA taxes. The FMA also files State income tax withholding and unemployment insurance tax forms, pays the associated taxes, and processes payroll based on the eligible Self-Directed Community Benefit services authorized and provided. Formulary means the list of drugs covered by the CONTRACTOR which shall, at a minimum, follow HCA’s Preferred Drug List (PDL).
Fair Hearing means 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. Farm Worker Child (FWC) means a child birth through age 20 of a Migrant Farm Worker. Fee-for-Service means the traditional Medicaid Health Care Services payment system under which providers receive a payment for each unit of service according to rules adopted pursuant to Chapter 32, Texas Human Resources Code. Financial Statistical Report (see FSR below).
Fair Hearing means the opportunity afforded any Medicaid applicant or recipient, for whom there has been a determination to deny, reduce or terminate benefits or services, except when the determination is due solely to a law or policy requiring an automatic change, to have one or more impartial officials who have not been directly or indirectly involved in the initial determination of the action in question render a final decision based on information submitted for review pursuant to the hearing standards contained in federal regulations.
Fair Hearing means an appeal filed with the Human Services Board, whose procedures are specified in rules separate from the MCE grievance and appeal process.
Fair Hearing means a hearing that is conducted pursuant to the procedural requirements of Rules 65-2.042 through 65-2.069, F.A.C.