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This document provides the findings of fact and conclusions of law regarding a hearing concerning the termination of services under the Title XIX MR/DD Waiver Services Program for a claimant in West
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Obtain the State Hearing Decision form from the appropriate agency or website.
02
Read the instructions carefully to understand the requirements.
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Fill out personal information accurately, including your name, address, and case number.
04
Detail the specific decision being appealed, including dates and relevant facts.
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Provide a clear explanation of why you disagree with the decision.
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Who needs State Hearing Decision?

01
Individuals who have received a decision regarding public assistance benefits or services.
02
People who wish to contest a decision made by a state agency.
03
Clients seeking to appeal eligibility determinations in health care programs.
04
Beneficiaries who feel their rights have been violated regarding state resources.
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People Also Ask about

If you disagree with an action taken by the County or the Department of Health Care Services, or you disagree with an eligibility determination made by Covered California, you have 90 days to request a state hearing. After 90 days, you must prove you had a good reason for asking late.
Overview of. State Hearings. State hearings are an administrative, informal process available to clients who want to appeal a decision that denied, changed, or terminated, services or aid.
A court hearing differs from a trial because hearings do not decide a case, while an actual trial results in a verdict. There is no cross-examination of witnesses or evidence at a hearing, whereas the presentation of evidence and witness accounts for a significant part of the trial.
If you're a provider, call our Provider Hotline at 800-686-1516. If you're an Ohio Medicaid member, call our Consumer Hotline at 800-324-8680.
To start an appeal, the Member, their representative or in some cases their Provider must contact CareSource Advantage. Appeal requests must be within 60 calendar days from the date on the written notice sent concerning a coverage decision.
Complete the form “Request for an Administrative Review of the Child Support Order,” also called JFS 01849. Attach evidence. Gather documents that prove your eligibility for a review and documents that show your circumstances are different. Submit your paperwork.
A Hearing Officer obtains testimony and financial documents from the parties and then runs the Ohio Child Support Guidelines to determine the amount of child support and medical support that should be paid. The Hearing Officer will also determine which party is to provide health insurance for the child(ren).

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A State Hearing Decision is a formal ruling issued by a state hearing officer following an administrative hearing. It outlines the findings and conclusions regarding disputes related to state services or benefits.
The agency or department that is responsible for the service or benefit in question is required to file the State Hearing Decision. Additionally, parties involved in the hearing may also need to provide documentation.
To fill out a State Hearing Decision, include details such as the names of the involved parties, case number, summary of the hearing, evidence presented, findings of fact, conclusions of law, and the final decision or ruling.
The purpose of a State Hearing Decision is to resolve disputes by providing a legal determination that clarifies the rights and obligations of the parties regarding state services or benefits.
Information that must be reported on a State Hearing Decision includes the names of the parties, case number, hearing date, issues being contested, summary of testimonies and evidence, findings, and the final decision or order.
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