Pennsylvania Code
Title 55 - HUMAN SERVICES
Part II - Public Assistance Manual
Subpart H - Appeal and Fair Hearing
Chapter 275 - APPEAL AND FAIR HEARING AND ADMINISTRATIVE DISQUALIFICATION HEARINGS
Subchapter A - APPEAL AND FAIR HEARING
GENERAL PROVISIONS
Section 275.3 - Requirements
Universal Citation: 55 PA Code ยง 275.3
Current through Register Vol. 54, No. 44, November 2, 2024
(a) Rights of the appellant. An appellant has the right to appear in person at the hearing and he may represent himself, or he may be represented. For food stamps, the appellant may also bring friends or relatives to the hearing; however the hearing examiner may limit the number of persons in attendance at the hearing if space limitations exist. The appellant or his representative, if any, have the following rights:
(1) To
present evidence on his own behalf, to bring witnesses or documents he deems
necessary, and to confront and cross-examine witnesses the county office,
administering agency or social service provider will produce to support its
decision or action.
(2) To request
a subpoena from the hearing officer for the production of evidence or witnesses
that he feels will be essential in obtaining necessary facts.
(3) To examine prior to the hearing, as well
as during the hearing, documents which the county office, administering agency
or social service provider will introduce as evidence in the hearing as well as
the contents of the case files as provided for in §
105.5 (relating to access by an
individual to his case file) or appropriate confidentiality regulations for the
service program.
(i) If the appellant requests
material from the case file, other than narrative material dated prior to
January 1, 1980 which the County Assistance Office, administering agency, or
service provider believes is within one of the exceptions of §
105.5(b) or
appropriate confidentiality regulations for the service program, a hearing
officer will determine prior to the date of the hearing, whether the material
is relevant and whether it tends to support the position of the appellant.
However, under no circumstances may the same hearing officer conduct the
hearing.
(ii) The hearing officer
will refuse access to irrelevant material, but will allow access with
appropriate safeguards to relevant, confidential information which supports the
position of the appellant. If the office, agency, or provider wishes to protect
the confidentiality of such relevant information, in spite of the decision of
the hearing officer, it must provide the relief requested. The case record
material will be made available on as early a date as possible prior to the
hearing so that the appellant and his representative shall have ample
opportunity to review the evidence of the county or that of the administering
agency or social service provider and prepare their case.
(iii) To obtain a hearing officer's
determination of whether the appellant may examine the material in question,
the County Assistance Office, administering agency or social service provider
will promptly provide the Office of Hearings and Appeals a summary of the
situation which will include the following:
(A) The decision or action which precipitated
the appeal and the reasons for it.
(B) The specific document or subject matter
the appellant wants to examine.
(C)
The reasons for withholding the material.
(iv) A copy of the summary will also be
promptly provided to the appellant, who shall have the right, on a timely
basis, to submit to the hearing officer the reasons for requesting the specific
matter which the appellant wishes to examine. The Hearing Officer will notify
the County Assistance Office, administering agency or social service provider
of his determination as to what materials are required to be disclosed with a
copy sent to the appellant and his representative, if any. The determination
will be made on a timely basis in advance of the date of the hearing. No
administrative appeal will be permitted from the determination of the hearing
officer.
(4) To be
provided with the names of the County Assistance Office, administering agency
or social service provider staff members and witnesses who will be present at
the hearing.
(5) To request
reconsideration of the reversal of a hearing decision by the Secretary within
15 days from the date of reversal.
(6) To appeal the final administrative action
of the Department within 30 days from the date of its order.
(b) Time limitations on right to appeal. An applicant or recipient must exercise his right of appeal within the following time limits. Appeals which do not meet the following time limitations will be dismissed without a hearing:
(1) Thirty days from the date of written
notice of a decision or action by a County Assistance Office, administering
agency or service provider except for food stamps which time limits are
indicated in paragraph (4).
(2)
Sixty days from the date of a decision or action by a County Assistance Office,
administering agency or service provider when they did not send written notice
because the notice was not required or 60 days from their failure to act except
for food stamps which time limits are indicated in paragraph (4).
(3) When the county office, administering
agency or service provider fails to send written notice which was required of
the action and of the right of appeal or because of administrative error,
ongoing delay or failure to take corrective action that should have been taken,
the time limit in paragraphs (2) or (4) will not apply. For a period of 6
months from the date of the action or failure to act, the client shall have the
right of appeal and shall exercise that right in writing. After 6 months from
the date of the county office, administering agency or service provider action
or failure to act, a written appeal may be filed with the agency provided that
the client signs an affidavit stating the following:
(i) The client did not know of his right of
appeal or believed the problem was being resolved administratively.
(ii) The client actually believes the county
office erred in its actions.
(iii)
The appeal is being made in good faith. Appeals which do not meet the time
limitations and requirements set forth in this paragraph and in paragraphs (1)
and (2) will be dismissed without a hearing.
(iv) An appeal request received by the agency
prior to March 1, 1979 will be controlled by the regulation in effect at the
time the request was received by the agency.
(4) For food stamps, the time limits in
paragraphs (1) and (2) will not apply. A household may request a hearing within
90 days from the date of an action by the County Assistance Office or loss of
benefits. Action by the County Assistance Office shall include a denial of a
request for restoration of benefits lost more than 90 days but less than 1 year
prior to the request. Additionally, a household may request a hearing to
dispute its current level of benefits at any time within a certification
period.
This section cited in 55 Pa. Code § 105.5 (relating to access by an individual to his case file); 55 Pa. Code § 275.4 (relating to procedures); 55 Pa. Code § 1181.564 (relating to when an appeal is required to be filed); and 55 Pa. Code § 3041.176 (relating to hearing procedures).
Disclaimer: These regulations may not be the most recent version. Pennsylvania 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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