Issues for Hearing

3 years ago

The fair hearing or the appeal from agency review must give the applicant a de novo hearing if requested. 42…

Discovery in Medicaid Cases

3 years ago

As a general rule, discovery is not permitted in any proceeding before an ALJ, except to the extent specifically authorized…

Pre-Trial Motions in Medicaid Cases

3 years ago

Form All requests made to the Administrative Law Judge shall be made by motion. Unless made during the hearing, motions…

Summary Determination in Medicaid Cases

3 years ago

Form; timing A Motion for Summary Determination may be filed no later than thirty days prior to the date a…

Pre-Hearing Conferences in Medicaid Cases

3 years ago

An ALJ may order a prehearing conference to simplify the issues being presented. Conferences may be held in person or…

Notice, Due Process and Procedure in Medicaid Fair Hearings

3 years ago

Minimum Federal Requirements for Medicaid Fair Hearings Each State must give Medicaid applicants the right to a fair hearing when…

Verification for Medicaid Applications

3 years ago

All applications for ABD Medicaid require that the applicant's basic eligibility be verified. See ABD Manual Section 2201-4. Applications for…

Continuing Benefits While Appeal is Pending

3 years ago

If benefits are being terminated or reduced, the applicant/recipient may request that benefits continue while the appeal is pending. A…

Requesting a Medicaid Fair Hearing

3 years ago

Right to a Hearing The right to a hearing is a property right and belongs to the applicant. See Bd.…

Medicaid is required to be simple, but you have no right to enforce its simplicity

3 years ago

Theoretically, Medicaid should be simple. It’s anything but simple. Also, theoretically, the Medicaid program should be administered in the best…