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about your complaint. If your complaint appeal involves clinical<br />
matters your case will be reviewed by one or more qualified health<br />
professionalwith at least one clinical peer reviewer, were not<br />
involved in making the first decision about your complaint.<br />
If we have all the information we need you will know our decision<br />
in 30 business days. If a delay would risk your health you will<br />
get our decision in two business days of when we have all the<br />
information we need to decide the appeal. You will be given the<br />
reasons for our decision and our clinical rationale, if it applies.<br />
If you are still not satisfied, you or someone on your behalf can file<br />
a complaint at any time with the New York State Department of<br />
Health at 1-800-206-8125.<br />
RIGHT TO A FAIR HEARING<br />
Fair hearings<br />
A air earing is a chance for you to tell an dministrative aw<br />
udge from the New York State Office of Temporary and Disability<br />
Assistance, Office of Administrative Hearings, why you think a<br />
decision about your case made by a local social services agency is<br />
wrong. The Office of Temporary and Disability Assistance will then<br />
issue a written decision which will state whether the local agency’s<br />
decision was right or wrong. The written decision may order the<br />
local agency to correct your case.<br />
Request resources:<br />
• Request a air earing - Requests for earings can be completed<br />
online, by US Mail, by telephone or by fax.<br />
• Request an djournment or eopening - If you cannot appear at a<br />
hearing that has been scheduled but hasn’t been held yet, you may<br />
request that it be adjourned (postponed) to another date. You may<br />
submit your request for an adjournment online, by US Mail, by<br />
telephone or by fax. If the hearing date has already passed and you<br />
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