Code of Massachusetts Regulations
130 CMR - DIVISION OF MEDICAL ASSISTANCE
Title 130 CMR 610.000 - MassHealth: Fair Hearing Rules
Section 610.065 - Powers and Duties of the Hearing Officer
Universal Citation: 130 MA Code of Regs 130.610
Current through Register 1531, September 27, 2024
(A) The hearing officer has the following duties:
(1) to administer the oath or
affirmation to anyone who will testify at the hearing and to an
interpreter/translator;
(2) to
assist all those present in making a full and free statement of the facts in
order to elicit all the information necessary to decide the issues involved and
to ascertain the rights of the parties;
(3) to ensure an orderly presentation of the
evidence;
(4) to ensure that all
parties have a full opportunity to present their claims orally or in writing
and to secure witnesses and evidence to establish their claims;
(5) to receive, rule on, exclude, or limit
evidence;
(6) to ensure a record is
made of the proceedings;
(7) to
render a fair, independent, and impartial decision based on the issues and
evidence presented at the hearing and in accordance with the law, including the
MassHealth agency's rules, regulations, and Policy Memoranda,
and to order MassHealth agency action if appropriate; and
(8) to inform appellants who are not fluent
in English of the right to a full and accurate interpretation by their own
interpreter, or by a MassHealth agency-provided interpreter. The hearing
officer will conduct the bilingual hearing in accordance with the guidelines
for conducting hearings through interpretation in the Hearing Officer Manual.
The purpose of the guidelines is to enable non-English speaking appellants to
understand and to participate in the entire hearing as fully as if the
appellants were fluent in English. To achieve this end, all statements,
including questions, answers, and comments, of the appellant, hearing officer,
witnesses, and any other persons participating in the hearing, will be fully
translated without alteration of such statements, such as by changing from the
first person to the third person.
(B) The hearing officer has the following powers to:
(1) limit attendance at the
hearing, at his or her discretion;
(2) change the date, time, or location of the
hearing on his or her own motion or at the request of any party, upon due
notice to the parties;
(3) request
a statement of the issues and define the issues, and, to accomplish this
purpose, to request the parties' participation in prehearing activities
including, but not limited to, a prehearing conference or
conferences;
(4) regulate the
presentation of evidence and the participation of the parties for the purpose
of ensuring an adequate and comprehensive record of the proceedings;
(5) issue subpoenas on his or her own motion
or upon request of any party to secure the presentation of evidence or
testimony;
(6) examine witnesses
and ensure that relevant evidence is secured and introduced;
(7) introduce into the hearing record by
reference or production any regulations, statutes, memoranda,
or other materials he or she believes relevant to the issues at the
hearing;
(8) continue the hearing
to a subsequent date to permit either party to produce additional evidence,
witnesses, or other materials;
(9)
when appropriate, direct the MassHealth agency to pay for the costs of an
independent medical examination;
(10) rule on any requests that may be made
during the hearing;
(11) reconvene
the hearing at his or her discretion at any time before the rendering of the
decision in accordance with
130 CMR 610.072 and
130 CMR
610.081; and
(12) order, at his or her discretion, written
briefs to be submitted, provided that all parties are notified of the
submission of the briefs and have opportunity to answer.
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