Current through Vol. 42, No. 1, September 16, 2024
(a)
Client rights. Every
applicant and participating household has the right to appeal any action that
affects the household's participation in the Supplemental Nutrition Assistance
Program (SNAP), per Section 273.15(a) of Title 7 of the Code of Federal
Regulations (
7
C.F.R. §
273.15(a)) .
Applicants and recipients are advised verbally and in writing of their right to
a fair hearing and of the procedures for appealing any decision.
(b)
Hearing request. A hearing
request may be made verbally or in writing.
(1) When the client contacts the county
office to request a fair hearing, the client is given an opportunity to review
the situation with a supervisory or administrative staff member in the local
county office. When the situation is not resolved in the review or the client
does not wish to review the situation with local supervisory or administrative
staff, the worker explains hearing procedures to the client, completes the
first page of Form 13MP001E, Request for a Fair Hearing, and gives or mails the
form to the client to complete the rest of the form.
(2) Households wanting to contest a denial of
expedited service must be given an opportunity to have an Oklahoma Department
of Human Services (DHS) conference scheduled within two- business days unless
the household requests it be scheduled later or states it does not wish to have
a DHS conference, per
7
C.F.R. §
273.15(d). A
fair hearing must be held if the issue is not resolved or the household does
not withdraw its request for a fair hearing by signing Form 13MP004E,
Withdrawal of Request for Hearing.
(3) When a fair hearing is requested by a
household that plans to move to another state before a hearing decision would
normally be reached, such as a migrant farmworker household, DHS expedites
processing the hearing before the household plans to leave the state, per 7
C.F.R. § 273, 15(i) and Oklahoma Administrative Code (OAC)
340:2-5-65.
(c)
Participation during appeal.
When a household requests a fair hearing during the 10-calendar day advance
notice period, the household's food benefits are continued at the same level as
authorized immediately prior to the notice of adverse action, unless the
household specifically waives continuation of benefits, per
7
C.F.R. §
273.15(k).
Benefits are not continued when the certification period expires prior to the
fair hearing request.
(1) When the household
chooses:
(A) to continue food benefits at the
previous level until the hearing decision is reached and the hearing decision
is not in the household's favor, the household is required to reimburse the
ineligibly received benefits; and
(B) not to continue food benefits at the
previous level until the hearing decision is reached and the hearing decision
is in the household's favor, the household is entitled to the retroactive
benefits lost during the appeal period.
(2) When the household fails to request
continuation of benefits within the advance notice period and later establishes
there was good cause for the failure, the worker reinstates the benefits to the
prior basis.
(3) When benefits are
reduced or closed because of a mass change without individual notice of adverse
action, per OAC
340:50-9-5(k)(3)(A),
the worker only reinstates benefits to the previous level when the issue being
appealed is that eligibility or benefits were improperly computed or federal
law or regulation is being misapplied or misinterpreted by DHS.
(4) When a household requests a hearing and
continuation of benefits as a result of an action taken by DHS at initial
certification or on a subsequent application, benefits are not reinstated or
continued except as authorized at such initial or subsequent
certification.
(d)
Reduction or closure prior to hearing decision. Once continued,
benefits are not reduced or closed prior to a hearing decision unless:
(1) the certification period expires. When
this occurs, the household may reapply and be determined eligible for a new
certification period and benefit amount as determined by DHS;
(2) the hearing officer makes a preliminary
decision, in writing and at the hearing, that the sole issue is one of federal
law or regulation and that the household's claim that DHS improperly computed
benefits or misinterpreted or misapplied the federal law or regulation is
invalid;
(3) a change in
circumstances occurs that affects the household's eligibility or basis of
issuance while the hearing decision is pending and the household does not
request an additional hearing and continuation of benefits after the notice of
adverse action. The benefit allotment must be based on any income the household
had prior to the first notice of adverse action; or
(4) the household or its authorized
representative verbally withdraws the fair hearing request and does not inform
DHS of its desire to reinstate the fair hearing within 10-calendar days of
receiving written notice from DHS confirming the withdrawal request.
(e)
Hearing decision.
Hearing decisions are made by the Appeals Committee, per OAC
340:2-5-76.
(1) The hearing is conducted, a decision is
reached, and the household and county office are notified of the decision
within 60- calendar days of receipt of the fair hearing request per
7
C.F.R. §
273.15(c). The
notice also informs the household of any further appeal rights.
(2) When the decision is:
(A) in the household's favor and results in
an increase in household benefits, the benefit increase is reflected in the
household's electronic benefit transfer account within 10-calendar days of
receipt of the hearing decision unless the hearing decision effective date
corresponds with the next benefit issuance date; or
(B) not in the household's favor and results
in a benefit decrease, the worker decreases the household's food benefits
effective the next scheduled benefit issuance date.
Amended at 11 Ok Reg
345, eff 10-15-93 (emergency); Amended at 11 Ok Reg 2667, eff 6-13-94; Amended
at 21 Ok Reg 841, eff 4-26-04; Amended at 25 Ok Reg 937, eff 6-1-08; Amended at
27 Ok Reg 1241, eff 6-1-10