Utah Administrative Code
Topic - Health
Title R382 - Children's Health Insurance Program
Rule R382-1 - Benefits and Administration
Section R382-1-8 - Agency Conferences, Fair Hearings, and Appeals
Current through Bulletin 2024-06, March 15, 2024
(1) A CHIP applicant or beneficiary may request an agency conference in accordance with Section R414-301-5 at any time to resolve a problem without requesting an agency action under the Utah Administrative Procedures Act (UAPA).
(2) The CHIP applicant or beneficiary, parent, legal guardian, or authorized representative may request an agency action, also called a fair hearing, if the individual disagrees with an agency decision regarding the individual's eligibility. The request for a fair hearing must be in accordance with Section R414-301-7.
(3) The Department of Workforce Services shall conduct fair hearings on eligibility in accordance with Section R414-301-7.
(4) If a CHIP beneficiary disagrees with a decision of the MCO regarding a covered benefit or service, the beneficiary may appeal the decision through the MCO.