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- VOLUME A-1 (Title 18)
- Chapter II - Regulations of the Department of Social Services
- SubChapter B - Public Assistance
- Article 2 - Determination of Eligibility--Categorical
- Part 373 - REFUGEE CASH ASSISTANCE AND REFUGEE MEDICAL ASSISTANCE
- Title: Section 373.8 - Fair hearings.
Title: Section 373.8 - Fair hearings.
Section 373.8. Fair hearings. To the extent not inconsistent with this Part, all of the requirements in Part 358 of this Title concerning notice requirements and fair hearings will apply to the RCA and RMA programs. For the purposes of Part 358, RCA will be considered public assistance.
Volume
VOLUME A-1 (Title 18)
- VOLUME A-1 (Title 18)
- Chapter II - Regulations of the Department of Social Services
- SubChapter B - Public Assistance
- Article 2 - Determination of Eligibility--Categorical
- Part 360 - MEDICAL ASSISTANCE
- SubPart 360-1 - INTRODUCTION AND DEFINITIONS
- SubPart 360-2 - APPLICATION PROCESS
- Section 360-2.1 - Introduction.
- Section 360-2.2 - Applying for MA.
- Section 360-2.3 - Investigation of eligibility.
- Section 360-2.4 - Decision.
- Section 360-2.5 - Notification of acceptance/denial.
- Section 360-2.6 - Changes in circumstances affecting classification or eligibil
- Section 360-2.7 - Termination of MA; notification of discontinuance.
- Section 360-2.8 - Right to a conference.
- Section 360-2.9 - Right to a fair hearing.
- SubPart 360-3 - ELIGIBILITY REQUIREMENTS
- Section 360-3.1 - Introduction.
- Section 360-3.2 - Conditions of eligibility.
- Section 360-3.3 - Who is eligible for MA.
- Section 360-3.4 - Who is excluded from receiving MA.
- Section 360-3.5 - MA for State residents outside their district of residence.
- Section 360-3.6 - Eligibility of persons temporarily in the State.
- Section 360-3.7 - Presumptive eligibility.
- SubPart 360-4 - FINANCIAL ELIGIBILITY
- Section 360-4.1 - Introduction.
- Section 360-4.2 - Size of MA household.
- Section 360-4.3 - Available income.
- Section 360-4.4 - Available resources.
- Section 360-4.5 - Availability of assets held in trust.
- Section 360-4.6 - Net available income and resources.
- Section 360-4.7 - Standard exemptions.
- Section 360-4.8 - Determination of financial eligibility; effect of excess
- Section 360-4.9 - Post-eligibility utilization of income.
- Section 360-4.10 - Treatment of income and resources of institutionalized spouses
- SubPart 360-5 - ELIGIBILITY BASED ON DISABILITY
- Section 360-5.1 - Introduction.
- Section 360-5.2 - Definitions.
- Section 360-5.3 - Medical criteria for disability determination.
- Section 360-5.4 - Reapplication.
- Section 360-5.5 - Examination.
- Section 360-5.6 - Grandfathered cases.
- Section 360-5.7 - Pending of disability cases.
- Section 360-5.8 - Effective date of disability.
- Section 360-5.9 - Trial work period.
- Section 360-5.10 - Medically determined drug addicts and alcoholics.
- Section 360-5.11 - Evaluation of disability.
- Section 360-5.12 - Determination of blindness status.
- SubPart 360-6 - ENTITLEMENT TO MEDICAL ASSISTANCE
- Section 360-6.1 - Introduction.
- Section 360-6.2 - Authorization for MA.
- Section 360-6.3 - Free choice by recipient guaranteed.
- Section 360-6.4 - Restriction of recipient access to services (recipient restriction program)
- Section 360-6.5 - Fair hearing requirements in utilization review cases.
- Section 360-6.6 - Where care and services may be provided.
- Section 360-6.7 - REPEALED
- Section 360-6.8 - Medical care coordinator program (MCCP).
- SubPart 360-7 - PAYMENT FOR MA SERVICES
- Section 360-7.1 - Introduction.
- Section 360-7.2 - MA program as payment source of last resort.
- Section 360-7.3 - Use of health, hospital or accident insurance.
- Section 360-7.4 - Liability of third parties.
- Section 360-7.5 - Method of payment for medical care
- Section 360-7.6 - Payment for services or supplies.
- Section 360-7.7 - Payments of deductibles and coinsurance under title XVIII of
- Section 360-7.8 - Payments of premiums under Title XVIII of the Social Security
- Section 360-7.9 - Special needs of MA recipients subject to chronic care budget
- Section 360-7.10 - Reserved
- Section 360-7.11 - Medical assistance liens and recoveries.
- Section 360-7.12 - Co-payments by recipients.
- SubPart 360-8 - CONFIDENTIALITY OF HIV- AND AIDS-RELATED INFORMATION
- SubPart 360-9 - Catastrophic Health Care Expense Program
- Section 360-9.1 - Scope.
- Section 360-9.2 - Demonstration applications.
- Section 360-9.3 - Definitions.
- Section 360-9.4 - Eligibility for the CHCEP Services.
- Section 360-9.5 - Responsibilities of the CHCEP applicant and recipient.
- Section 360-9.6 - Powers and responsibilities of the social services district.
- Section 360-9.7 - Powers and responsibilities of the department.
- SubPart 360-10 - Medicaid Managed Care Programs
- Section 360-10.1 - Introduction
- Section 360-10.2 - Scope
- Section 360-10.3 - Definitions
- Section 360-10.4 - Individuals required to enroll in an MMCO
- Section 360-10.5 - Individuals exempt or excluded from enrollment in an MMCO
- Section 360-10.6 - Good cause for changing or disenrolling from an MMCO
- Section 360-10.7 - Good cause for changing primary care practitioners
- Section 360-10.8 - Fair hearings
- Section 360-10.9 - Marketing/Outreach
- Section 360-10.10 - MMCO unacceptable practices
- Section 360-10.11 - MMCO sanctions and due process
- Section 360-10.12 REPEALED
- Section 360-10.13 REPEALED
- Section 360-10.14 REPEALED
- Section 360-10.15 REPEALED
- Section 360-10.16 REPEALED
- Section 360-10.17 REPEALED
- Subpart 360-11 REPEALED
- Part 361 - CASE MANAGEMENT ACTIVITIES FOR PREGNANT AND PARENTING ADOLESCENTS
- Section 361.0 Scope
- Section 361.1 - Definitions.
- Section 361.2 - Administrative requirements.
- Section 361.3 - Prohibited activities.
- Section 361.4 - Eligibility.
- Section 361.5 - Voluntary participation in case management activities.
- Section 361.6 - Intake and screening of cases.
- Section 361.7 - Initial contacts.
- Section 361.8 - Initial interviews and needs assessments; case openings; interim
- Section 361.9 - Comprehensive needs assessments; identifying goals, tasks and
- Section 361.10 - Referrals to, and monitoring of, services and assistance.
- Section 361.11 - Amending and reevaluating personal plans.
- Section 361.12 - Individual case records.
- Section 361.13 - Closing and reopening cases.
- Part 366 - CHILD ASSISTANCE PROGRAM - OTDA
- Part 368 - AID TO THE AGED, BLIND OR DISABLED
- Section 368.1 - Definitions.
- Section 368.2 - Application for AABD.
- Section 368.3 - Determination of initial eligibility.
- Section 368.4 - Financial factors.
- Section 368.5 - Non-financial factors.
- Section 368.6 - Planning for employment, rehabilitation and training--aid to the disabled.
- Section 368.7 - Special category requirements
- Section 368.8 - Decision.
- Section 368.9 - Determination of grant and its payment.
- Section 368.10 - Living arrangements.
- Section 368.11 - Character of aid.
- Section 368.12 - Protective payments in the AABD program.
- Section 368.13 - Determination of continuing eligibility.
- Section 368.14 - Reapplication.
- Part 369 - FAMILY ASSISTANCE OTDA
- Part 370 - SAFETY NET ASSISTANCE
- Section 370.1 - Application.
- Section 370.2 - Determination of initial eligibility.
- Section 370.3 - Emergency and short-term cases.
- Section 370.4 - Determination and payment of the grant.
- Section 370.5 - Determination of continuing eligibility.
- Section 370.6 - Appeals by social services officials.
- Section 370.7 - Safety net assistance supplementation.
- Section 370.8 - Shelter residents.
- Section 370.9 - Referral to local child support enforcement unit of applicants for or recipients of safety net assistance
- Section 370.10 - Temporary Shelter Supplements (TSS)
- Part 371 - PUBLIC INSTITUTIONAL CARE - OTDA & CFS
- Part 372 - EMERGENCY ASSISTANCE TO NEEDY FAMILIES WITH CHILDREN - OTDA
- Part 373 - REFUGEE CASH ASSISTANCE AND REFUGEE MEDICAL ASSISTANCE
- Section 373.1 - General.
- Section 373.2 - Eligibility requirements for RCA and RMA.
- Section 373.3 - Documentation of immigration status.
- Section 373.4 - Consideration of income and resources.
- Section 373.5 - Need standards and payment levels.
- Section 373.6 - Requirements for employment related services and employ
- Section 373.7 - Conciliation.
- Section 373.8 - Fair hearings.
- Part 374 - TAX REFUND OFFSET FOR OVERPAYMENTS OF PUBLIC ASSISTANCE - OTDA
- Part 360 - MEDICAL ASSISTANCE
- Article 3 - Authorization and Payment
- Article 4 - Services to Individuals
- Part 385 - EMPLOYMENT RELATED REQUIREMENTS, PROGRAMS AND SERVICES - OTDA & DOL
- Part 386 - STAFF DEVELOPMENT
- Part 387 - FOOD STAMPS PROGRAM - OTDA
- Part 388 - FOOD ASSISTANCE PROGRAM - OTDA
- Part 390 - DONATED GRANTS OF MONEY, PROPERTY OR SERVICES
- Part 393 - HOME ENERGY ASSISTANCE PROGRAM - OTDA
- Part 394 - UTILITY DISCONNECTION AND FUEL NONDELIVERY PROCEDURES - OTDA
- Article 5 - Resources
- Part 395 - MILITARY SERVICE BENEFITS - DVA & OTDA
- Part 396 - Lottery Prize Intercept for Repayment of Public Assistance - OTDA
- Part 397 - EMERGENCY ASSISTANCE FOR ADULTS - OTDA
- Part 398 - STATE SUPPLEMENTAL PERSONAL NEEDS ALLOWANCE
- Part 399 - FOOD STAMP FRAUD AND FOOD STAMP INTENTIONAL PROGRAM VIOLATIONS--DISQUALIFICATION - OTDA
- Article 2 - Determination of Eligibility--Categorical
- SubChapter B - Public Assistance
- Chapter II - Regulations of the Department of Social Services