Support Services for Adults with Developmental ... - DHS home
Support Services for Adults with Developmental ... - DHS home
Support Services for Adults with Developmental ... - DHS home
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(d) The individual or the individual's legal representative may request<br />
an expedited hearing if the individual or the individual's legal<br />
representative feels that there is immediate, serious threat to the<br />
individual's life or health should the normal timing of the hearing<br />
process be followed.<br />
(e) If the individual or the individual's legal representative requests a<br />
hearing be<strong>for</strong>e the effective date of the proposed action and requests<br />
that the existing services be continued, <strong>DHS</strong> shall continue the<br />
services.<br />
(A) <strong>DHS</strong> must continue the services until whichever of the<br />
following occurs first:<br />
(i) The current authorization expires;<br />
(ii) The administrative law judge issues a proposed order<br />
and <strong>DHS</strong> issues a final order; or<br />
(iii) The individual is no longer eligible <strong>for</strong> Medicaid<br />
benefits.<br />
(B) <strong>DHS</strong> must notify the individual or the individual's legal<br />
representative that <strong>DHS</strong> is continuing the service. The notice<br />
must in<strong>for</strong>m the individual or the individual's legal<br />
representative that, if the hearing is resolved against the<br />
individual, <strong>DHS</strong> may recover the cost of any services continued<br />
after the effective date of the continuation notice.<br />
(f) <strong>DHS</strong> may reinstate services if:<br />
(A) <strong>DHS</strong> takes an action <strong>with</strong>out providing the required notice<br />
and the individual or the individual's legal representative<br />
requests a hearing;<br />
(B) <strong>DHS</strong> fails to provide the notice in the time required in this<br />
rule and the individual or the individual's legal representative<br />
requests a hearing <strong>with</strong>in 10 days of the mailing of the notice of<br />
action; or<br />
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