Fair Hearings definition

Fair Hearings means the appeals process federally mandated for the title IV-E independent living program by 45 C.F.R. 1356.10 and 45 C.F.R. 1355.30. The required details of this appeals process are provided in 45 C.F.R. 205.10. The Department of Children and Family Services has already incorporated this appeals process, in Chapter 65-2, F.A.C., for other federal public assistance programs. However, certain provisions for Independent Living Fair Hearings which differ from those for other programs will be listed in the [next] draft of Rule 65C-28.0200, F.A.C.
Fair Hearings means the appeals process federally mandated for the title IV-E Iindependent Lliving Pprogram by 45 C.F.R. 1356.10 and 45 C.F.R. 1355.30. The required details of this appeals process are provided in 45 C.F.R. 205.10 incorporated by reference. A copy of the federal regulation is available upon request by contacting the Office of Family Safety, 1317 Winewood Blvd., Tallahassee, Florida 32399. The Department of Children and Family Services has already incorporated this appeals process, in Chapter 65-2, F.A.C., for other federal public assistance programs. However, certain provisions for Independent Living Fair Hearings which differ from those for other programs can be found in Rule 65C-31.009, F.A.C. will be listed in the [next] draft of Rule 65C-28.0200, F.A.C.

Examples of Fair Hearings in a sentence

  • By execution of this Agreement, the Facility, its agents, representatives, successors and assigns shall be authorized to have access to the Resident’s Medicaid file, and, if the Facility so elects, to act on behalf of the Resident in connection with any and all matters involving Medicaid, including, but not limited to, representation of the Resident at Administrative Fair Hearings and Article 78 judicial appeals.

  • The majority of services are included in this statewide managed care structure, including long-term services and supports (LTSS), behavioral health, and pharmacy, delivered in a highly coordinated manner.

  • Such cooperation and participation shall include, but not be limited to, providing testimony, reports, records and documents at, and in preparation for Fair Hearings, aid continuing in appropriate cases, and compliance with Fair Hearing decisions.

  • If a Member requests a Fair Hearing, the MCO will complete the request for Fair Hearing and submit the form via facsimile to the appropriate Fair Hearings office, within five (5) calendar days of the Member's request for a Fair Hearing.

  • Informal conferences and Fair Hearings are conducted in accordance with the Massachusetts Administrative Procedures Act and the Standard Adjudicatory Rules of Practice and Procedure.

  • Within five (5) calendar days of notification that the Fair Hearing is set, the MCO will prepare an evidence packet for submission to the HHSC Fair Hearings staff and send a copy of the packet to the Member.

  • For more information on filing an appeal, go to the KanCare Ombudsman webpages for Appeals and Fair Hearings and scroll to the Managed Care Organization section.• If the appeal is denied, you have the option of filing a fair hearing.

  • Within five (5) calendar days of notification that the Fair Hearing is set, the HMO will prepare an evidence packet for submission to the HHSC Fair Hearings staff and send a copy of the packet to the Member.

  • For more information on filing a fair hearing, go to the KanCare Ombudsman webpages for Appeals and Fair Hearings and scroll to the Managed Care Organization section.

  • If a Member requests a Fair Hearing, the HMO will complete the request for Fair Hearing, and submit the form via facsimile to the appropriate Fair Hearings office, within five (5) calendar days of the Member's request for a Fair Hearing.


More Definitions of Fair Hearings

Fair Hearings means the appeals process federally mandated for the title IV-E independent living program by 45 C.F.R. 1356.10 and 45 C.F.R. 1355.30. The required details of this appeals process are provided in 45
Fair Hearings. BEFORE THE ADMINISTRATION. 3.8.7.1 The TPA/HCO shall explain to enrollees their rights and the procedures concerning “fair hearings” before the ADMINISTRATION. The parties at a hearing must include the TPA/HCO, as well as the enrollee, its representative, or an estate representative of a deceased enrollee. The enrollee or provider may file an appeal within a reasonable timeframe that cannot be less than 20 days, and may not exceed 90 days from the date of the notice of TPA/HCO’s disposition of the appeal concerning a complaint/grievance or other action. 3.8.7.2 The ADMINISTRATION’s hearing decision shall be within the following timeframe: a) Ninety (90)
Fair Hearings before the ADMINISTRATION shall be conducted subject to the applicable provisions of the Uniform Administrative Procedure Act, Law No. 170 of August 12, 1988, as amended, including that decisions issued by the ADMINISTRATION through “fair hearings” are subject to review before the San Xxxx Panel of the Court of Appeals of the Commonwealth of Puerto Rico.
Fair Hearings means the process adopted and implemented by the Texas Department of Health, 25 TAC Chapter 1, in compliance with federal regulations and state rules relating to Medicaid Fair Hearings Part 431, found at 42 CFR Subpart E, and 1 TAC, Chapter 357. Health care services means medically necessary physical medicine, behavioral health care and health-related services which an enrolled population might reasonably require in order to be maintained in health, including, as a minimum, emergency services and inpatient and outpatient services. Linguistic access means translation and interpreter services, for written and spoken language to ensure effective communication. Linguistic access includes sign language interpretation and the provision of other auxiliary aids and services to persons with disabilities. Medically necessary health care services means health care services, other than behavioral health care services which are:

Related to Fair Hearings

  • 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).

  • 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.

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

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

  • 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:

  • 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;

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

  • 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.

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

  • Confirmation Hearing means the hearing held by the Bankruptcy Court pursuant to section 1128 of the Bankruptcy Code to consider confirmation of this Plan, as such hearing may be adjourned or continued from time to time.

  • Adjudicatory hearing means a hearing to determine:

  • 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.

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

  • 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.

  • 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.

  • Prehearing conference means a proceeding scheduled and conduc- ted by a hearing officer to address issues in preparation for a formal administrative hearing.

  • Settlement Hearing means the hearing set by the Court under Rule 23(e)(2) of the Federal Rules of Civil Procedure to consider final approval of the Settlement.

  • Loss of Hearing means the total and complete loss of the ability to hear any sound as a result of a Covered Accident. The loss must be certified by a Legally Qualified Physician that the loss of hearing is permanent with no reasonable expectation of recovery.

  • Licensed health care professional means a person who possesses a professional medical license that is valid in Oregon. Examples include, but are not limited to, a registered nurse (RN), nurse practitioner (NP), licensed practical nurse (LPN), medical doctor (MD), osteopathic physician (DO), respiratory therapist (RT), physical therapist (PT), physician assistant (PA), or occupational therapist (OT).

  • Fairness Hearing means a hearing on the settlement proposed in this Settlement Agreement held by the Court to determine whether the proposed settlement is fair, reasonable, and adequate, and whether it should be finally approved by the Court.

  • 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:

  • Qualified mental health professional means a licensed medical practitioner or any other person meeting the qualifications specified in OAR 309-019-0125.

  • Health professional means any of the following:

  • Inspector General means the metropolitan transporta-

  • Licensed health care practitioner means a physician, as defined in Section 1861(r)(1) of the Social Security Act, a registered professional nurse, licensed social worker or other individual who meets requirements prescribed by the Secretary of the Treasury.

  • Hearing Panel means a panel responsible for adjudicating disciplinary cases pursuant to a Notice of Charges authorized by a Review Panel.