Ask for an informal discussion with staff from the DHS concerning any action involving your services if you are dissatisfied. (DD/MR Waiver participants may also ask for an informal discussion with the DOH);
Be notified in advance, before your services are reduced or discontinued;
If you are dissatisfied with any action by the DHS or DOH, you may ask for a fair hearing before a Hearings Officer. Participants in the DD/MR Waiver have the option to request a fair hearing from the DOH, whose recommendation will be forwarded to the DHS for a final decision. Your request must be in writing on the respective department’s form or any other paper and must state that you want a hearing and why you do not agree with the respective department’s action that adversely affects you. The DHS or the DOH must receive your written request for a fair hearing within 90 days of the date a notice of any adverse action is mailed to you. Your fair hearing request should be addressed and sent to:
Department of Human Services
Administrative Appeals Office
P.O. Box 339
Honolulu, HI 96809
(or for Participants in the DD/MR Waiver)
Department of Health
Director of Health
1250 Punchbowl St.
Honolulu, HI 96813
If you have been admitted into a Medicaid waiver program, your services may continue if your request for a fair hearing is received no later than the day before a reported action is to take effect and will continue until the fair hearing decision is reached. If your services continue pending a fair hearing decision and the Fair Hearing Officer’s decision is not in your favor, or if you withdraw or abandon your request, you will need to repay the amounts you were not entitled to receive.
You also have the right to:
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