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This document contains the findings, conclusions, and decision of the State Hearing Officer regarding the claimant's appeal against the termination of services under the Aged Disabled Waiver program.
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How to fill out State Hearing Decision

01
Obtain the State Hearing Decision form from the relevant state agency's website or office.
02
Read the instructions at the beginning of the form carefully to understand the requirements.
03
Fill in your personal information, including your name, address, and any case or reference number.
04
Clearly state the decision you are appealing and provide any necessary details about the original decision.
05
Include any relevant evidence or documentation that supports your appeal.
06
Review the completed form to ensure all information is accurate and complete.
07
Sign and date the form.
08
Submit the form to the designated office, either by mail or electronically if allowed.

Who needs State Hearing Decision?

01
Individuals who have received a decision that they disagree with from a state agency regarding benefits, services, or other entitlements typically need the State Hearing Decision.
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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 determination made by a state administrative law judge or hearing officer regarding disputes related to public assistance programs or benefits.
The party that is dissatisfied with a decision made by a state agency regarding public assistance programs is required to file a State Hearing Decision.
To fill out a State Hearing Decision, the filer must provide details such as their personal information, the issues at stake, relevant dates, and any supporting documentation or evidence to support their case.
The purpose of a State Hearing Decision is to resolve disputes fairly and impartially and to ensure that individuals receive their entitled benefits under the law.
The information that must be reported includes the names of the parties involved, the nature of the dispute, details of the decision being appealed, any pertinent dates, and the outcome of the hearing.
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