If the Authority or an MCE takes action to deny, suspend, reduce or terminate services for an EPSDT Beneficiary, it must provide the EPSDT Beneficiary, and, as applicable, the EPSDT Beneficiary’s parent or guardian, with a written notice that complies with the requirements in OAR 410-141-3885 and OAR 410-120-1865, which require, without limitation:

1. (1) A statement of the intended action and effective date;
2. (2) The specific reasons and legal support for the action;
3. (3) An explanation of the EPSDT Beneficiary’s appeal and hearing rights;
4. (4) The EPSDT Beneficiary’s rights to representation.

Statutory/Other Authority

ORS 413.042

Statutes/Other Implemented

ORS 414.025, 414.065 & 414.150

History

DMAP 97-2023, adopt filed 12/27/2023, effective 01/01/2024