Common use of Filing of Appeals Clause in Contracts

Filing of Appeals. Beneficiaries may file appeals orally or in writing for any DVHA action; an oral appeal must be followed by a written, signed appeal, unless the beneficiary has requested an expedited appeal. Oral inquiries to appeal an action are treated as appeals to establish the earliest possible filing date. Providers and representatives of the beneficiary may initiate appeals, with the beneficiary’s written consent. Appeals of actions must be filed with DVHA within 90 days of the date of the DVHA notice of action. The date of the appeal, if mailed, is the postmark date. The appeal process will include assistance by staff members of DVHA with the support of the AHS Medicaid Policy Unit, as needed, to the beneficiary to initiate and participate in the appeal, including but not limited to completing forms, providing auxiliary aids such as interpreter services and toll-free numbers that have adequate TTY/TTD capability. Beneficiaries will not be subject to retribution or retaliation for appealing an action. Demonstration enrollees may seek assistance from the Long-Term Care Ombudsman and/or other independent advocate designated by the State.

Filing of Appeals. Beneficiaries may file appeals orally or in writing for any DVHA action; an oral appeal must be followed by a written, signed appeal, unless the beneficiary has requested an expedited appeal. Oral inquiries to appeal an action are treated as appeals to establish the earliest possible filing date. Providers and representatives of the beneficiary may initiate appeals, with the beneficiary’s written consent. Appeals of actions must be filed with DVHA within 90 days of the date of the DVHA notice of action. The date of the appeal, if mailed, is the postmark date. The appeal process will include assistance by staff members of DVHA with the support of the AHS Medicaid Policy Unit, as needed, to the beneficiary to initiate and participate in the appeal, including but not limited to completing forms, providing auxiliary aids such as interpreter services and toll-toll free numbers that have adequate TTY/TTD capability. Beneficiaries will not be subject to retribution or retaliation for appealing an action. Demonstration enrollees may seek assistance from the Long-Term Care Ombudsman and/or other independent advocate designated by the State.