Mississippi Administrative Code
Title 23 - Rehabilitation And Disabilities
Part 300 - Appeals
Chapter 2 - Fee-for-Service Applicant and Beneficiary Appeals
Rule 23-300-2.15 - Local Hearing Procedure
Universal Citation: MS Code of Rules 23-300-2.15
Current through December 10, 2024
A. The purpose of a local hearing is to provide an informal proceeding to allow the applicant/beneficiary or representative to:
1.
Present new or additional information;
2. Question the action taken on the
applicant/beneficiary's case, and
3. Hear an explanation of eligibility
requirements as they pertain to the applicant/beneficiary's
situation.
B. The regional office is responsible for:
1.
Completing a supervisory review of the action under appeal,
2. Preparing the state hearing
record,
3. All activities involved
in the local hearing process, and
4. Taking appropriate action on the case at
the end of the hearing process.
C. Local Hearing Requirements.
1. When a request for a local hearing is
received, the local hearing will be scheduled no later than twenty (20) days
after receipt of the request. The applicant/beneficiary will be allowed time to
obtain additional information or request an attorney, relative or friend to
attend the hearing and give evidence.
2. A local hearing must not be scheduled
without giving five (5) days advance notice to the applicant/beneficiary unless
the applicant/beneficiary waives advance notice time.
3. The regional office staff member who
conducts the hearing cannot be one who has participated in determining
eligibility or directed the decision.
D. After the Local Hearing.
1. When a decision has been reached, the
regional office must notify the applicant/beneficiary of the decision in
writing and advise the applicant/beneficiary of his/her right to request a
state hearing.
2. The local hearing
officer will prepare a summary of the local hearing. The summary serves the
same purpose as a transcript and is filed in the case record. The summary must
be included as part of the state hearing record when the applicant/beneficiary
requests a state hearing after an adverse local hearing decision. The summary
must contain sufficient information to enable the state hearing officer to have
a clear understanding of what transpired during the local hearing.
3. When the local hearing decision is
unfavorable to the applicant/beneficiary, the new effective date of closure or
reduced benefits must be included on the notification of continuation of
benefits applied during the hearing process. The new effective date of closure
or reduced benefits must include an effective date at the end of the fifteen
(15) day Advance Notice Period. A second (2nd) Notice of Adverse Action is not
required.
42 C.F.R. Part 431 Subpart E; Miss. Code Ann. §§ 43-13-116, 43-13-117, 43-13-121
Disclaimer: These regulations may not be the most recent version. Mississippi may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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