If you applied for Medicaid Home and Community-Based Services (HCBS) Waiver services and received a notice of decision saying you were not eligible, you may:
- Explore other resources to meet your needs.
- You can only receive Respite from one source; if you are NOT on a waiver, you may be able to receive Lifespan Respite.
- Request to speak with the person who reviewed your application. This person can explain why you were not eligible. To request to speak with the person who reviewed your application, call: (877) 667-6266.
- Reapply with additional information not submitted on your previous application. A new application can be processed if an appeal is not in process.
- Appeal the eligibility decision by requesting a fair hearing within 90 days of receiving your notice of decision.
The Appeal Process
If you are not satisfied with the explanation of why you are not eligible, you may request a fair hearing. Your case will be reviewed by a DHHS Hearing Officer. You may represent yourself or ask someone to assist you.
At the hearing, both sides present evidence. You have a right to have witnesses testify. Anyone who testifies can be asked questions by the other side and the Hearing Officer. At the end of the hearing, the Hearing Officer makes a recommendation to the DDD Director. The Director makes the final decision.