Code of Maine Rules
10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES
144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL
Chapter 272 - COORDINATED CARE SERVICES FOR CHILDREN WITH SPECIAL HEALTH NEEDS
Chapter VIII - ADMINISTRATIVE HEARING POLICY
Section 144-272-VIII-C - NOTIFICATION OF APPEAL RIGHTS

Universal Citation: 10 ME Code Rules ยง 144-272-VIII-C

Current through 2024-38, September 18, 2024

1. Ineligible at time of application: An applicant found ineligible for the C.C.S./C.S.H.N. Program at the time of application or after the receipt of appropriate medical information, shall receive written notice of the C.C.S./C.S.H.N. Program's determination at the time the action is taken. This notice will contain the following information at a minimum:

a. the determination;

b. the basis for ineligibility and a citation to the statute or regulation that supports that decision;

c. the statement that the applicant has a right to appeal that decision; and

d. an explanation of the procedure to obtain a hearing.

2. Ineligible for further C.C.S./C.S.H.N. Program participation: A recipient found ineligible for further program participation shall receive written notification of the C.C.S./C.S.H.N. Program's intent to terminate, discontinue, suspend, or reduce services. At a minimum, the written notice to discontinue, terminate, suspend, or reduce services shall contain the following:

a. the date the intended action shall take effect;

b. the action the agency intends to take;

c. the reason(s) for the action;

d. the reference to the specific statues, rules or regulations supporting such action;

e. a statement of the recipient's rights to a hearing;

f. an explanation of the procedure to request an informal conference or a formal hearing including the date by which the recipient must request a conference or hearing; and

g. the circumstances under which C.C.S./C.S.H.N. Program services pending will continue an appeal.

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