You be eligible for Medicaid to enroll in “The Waiver”. Therefore, if you are found to be ineligible for Medicaid, you may appeal that decision. The appeal process is included on the application form and will be included with your determination letter. It is also explained below.
The Department of Human Services (DHS) must notify you if you are denied Medicaid. If you disagree with this decision or are ever dissatisfied with any decision the DHS makes, you have the right to request a fair hearing to appeal that decision. To request a fair hearing, you must send a letter to the DHS within 90 days from the date on the letter the DHS sent you telling you that you have been denied coverage.
Send your letter to this address:
Department of Human Services
Administrative Appeals Office
P.O. Box 339
Honolulu, HI 96809
You may ask the Legal Aid Society of Hawai`i, the Hawaii Disability Rights Center (HDRC) or another advocacy agency to help you prepare for and participate in this hearing. Information on contacting advocacy agencies is provided in the Resource section of this guidebook.
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