Nebraska Administrative Code
Topic - HEALTH AND HUMAN SERVICES SYSTEM
Title 471 - NEBRASKA MEDICAL ASSISTANCE PROGRAM SERVICES
Chapter 2 - PROVIDER PARTICIPATION
Section 471-2-007 - APPEAL RIGHTS
Universal Citation: 471 NE Admin Rules and Regs ch 2 ยง 007
Current through September 17, 2024
Any adverse action under Title 471 NAC may be appealed to the Medicaid Director by the person or entity against whom the action was taken.
007.01 HEARING REQUEST PROCEDURE. The person or entity appealing an adverse action must submit a written hearing request to the Medicaid Director.
007.01(A)
DEADLINES.
The following deadlines apply when submitting an appeal request:
(i) Administrative sanctions must be appealed
within 30 days of the date of the action;
(ii) Refund requests must be appealed within
30 days of the date of the action;
(iii) All other actions must be appealed
within 90 days of the date of the action.
007.01(B)
APPEALING BEFORE
EFFECTIVE DATE. A person or entity may appeal a termination or
exclusion before the effective date of the proposed termination or exclusion. A
termination or exclusion appealed before its effective date will not take
effect until the appeal has been decided, unless the termination or exclusion
is being imposed pursuant to
42 C.F.R.
455.416(c) or has an
immediate effective date because of a threat to client health and
safety.
007.02 HEARINGS. Appeal and hearing procedures are governed by 465 NAC 6.
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