Examples of State Fair Hearing in a sentence
You will also be notified in writing of your additional appeal rights under Medicare, or Medical Assistance through the State Fair Hearing Process.
Table 5 below and Exhibit D, Member Complaint, Grievance, Appeal, and State Fair Hearing Process, of this Contract outline additional specific requirements pertaining to Complaints, Grievances, and Appeals.
Any Adverse Benefit Determination or Appeal that is not resolved wholly in favor of the Member by the Contractor may be Appealed by the Member or the Member’s Authorized Representative to the Division for a State Fair Hearing conducted in accordance with 42 C.F.R. § 431 Subpart E.
The Member information shall also advise Members of their right to file a request for a State Fair Hearing with the Division of Medicaid, upon notification of a Contractor Adverse Benefit Determination, subsequent to an Appeal of the Contractor Adverse Benefit Determination.
The member may make written request for continuation of benefits within ten (10) calendar days of notice of Adverse Benefit Determination, pending the determination of a State Fair Hearing.