Applicants and participants have a right to request a fair hearing in any of the situations described below:
- (a) Denial of an application or request for participation in MRRP or a component under MRRP or the right to apply or reapply for participation in MRRP or a component under MRRP;
- (b) The failure of a Case Management Provider to give notice in a timely manner of action on an application for MRRP;
- (c) A Case Management Provider action concerning the suspension, reduction or termination of assistance of any kind under MRRP;
- (d) The failure of the Case Management Provider to give notice in a timely manner of action taken on a request for increased assistance;
(e) Unresolved disputes involving:
- 1. issues concerning employment or training services, including, but not limited, to the designation of a participant, exemption from participation status, good cause determination;
- 2. scope and amount of payment; or
- 3. a decision to recoup an overpayment;
- (f) Any condition of eligibility for, or receipt of, assistance which is not authorized by 121 CMR 2.400 through 2.565;
- (g) The failure of the Case Management Provider to act upon a request for assistance within time limits required by 121 CMR 2.600: Determination of Initial and Continuing Eligibility.
- (h) A denial or termination of eligibility for Refugee Medical Assistance. If a specific medical service is denied or a provider of medical services is denied, the appeal is through the Division of MassHealth.