Indiana Administrative Code
Title 405 - OFFICE OF THE SECRETARY OF FAMILY AND SOCIAL SERVICES
Article 10 - HEALTHY INDIANA PLAN
Rule 5 - Member Appeals
Section 5-1 - Appeals of determinations by the office or division
Universal Citation: 405 IN Admin Code 5-1
Current through September 18, 2024
Authority: IC 12-15-44.5-9
Affected: IC 12-15-44.5
Sec. 1.
(a) For purposes of this rule, the term action means any of the following:
(1) A termination of benefits.
(2) A suspension of benefits.
(3) A change in benefits.
(4) A denial of covered services.
(5) A reduction of covered
services.
(b) In the event that the office or the division takes an action that the applicant, pending applicant, conditionally eligible individual, or member believes was undertaken erroneously, such person or entity may request an administrative hearing under 405 IAC 1.1.
(c) Appeals under this rule shall be governed by the procedures and time limits set out in 405 IAC 1.1.
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