Current through Register Vol. 54, No. 44, November 2, 2024
Section 2050.51 - General requirements(a) Providers shall notify each applicant or client of an eligibility determination or redetermination within 10 days of the date the provider makes the decision.(b) Providers may notify an applicant or client either orally or in writing of an eligibility determination or redetermination which is favorable to the applicant or client.(c) Providers shall, by means of a Departmentally approved written notice form, notify each applicant or client of a determination or redetermination resulting in a denial, reduction, or termination of service. The notification may be made orally if the requested service is either provided or continued without interruption through another funding source or if the applicant or client agrees with the denial, reduction, or termination.(d) If a written notice is required, providers shall complete an original and three copies of all applicable portions of the written notice form, including: (1) A clear statement of the decision and the effective date.(2) A full statement of the reasons for the decision.(3) A citation and brief explanation of the regulation used as the basis for the decision.(4) Pertinent information concerning the applicant's or client's right to appeal and request a Departmental fair hearing.(e) Following the preparation of a written notice form, the provider shall: (1) Promptly mail or hand-deliver the original and two copies to the applicant or client.(2) Retain the final copy in either the client's file or in a rejected application file, as appropriate.(f) A county may require its providers to do one of the following:(1) Prepare and submit to the county for approval and mailing all written notices to applicants and clients.(2) Submit to the county an "information only" copy of written notices prepared by the provider.(g) Providers shall forward a request for a fair hearing to the Department's Office of Hearings and Appeals within 72 hours of its receipt.