Nebraska Administrative Code
Topic - HEALTH AND HUMAN SERVICES SYSTEM
Title 477 - MEDICAID ELIGIBILITY
Chapter 10 - FAIR HEARING PROCESSES
Section 477-10-002 - RIGHT TO FAIR HEARING
Universal Citation: 477 NE Admin Rules and Regs ch 10 ยง 002
Current through September 17, 2024
Every applicant or client has the right to appeal any action, inaction, or failure to act with reasonable promptness by requesting a fair hearing.
002.01 REASONS FOR APPEAL. The applicant or client may appeal because:
(A) His or her application is
denied;
(B) His or her application
is not acted on with reasonable promptness;
(C) His or her Medicaid is
suspended;
(D) His or her services
are reduced;
(E) His or her
Medicaid case is closed;
(F) His or
her services are changed to be more restrictive; or
(G) He or she thinks the Department's action
was erroneous.
002.02 CHANGES IN STATE OR FEDERAL LAW. The client is not entitled to a fair hearing when either state or federal law requires automatic case adjustments for classes of clients unless the reason for an individual appeal is an incorrect eligibility determination.
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