Missouri's Guide to Home and Community Based Services

WHAT IF I DON'T AGREE WITH A SERVICE DECISION?

When a decision is made to deny, reduce, change or stop Medicaid funded services, you will receive a letter that tells you about the appeal process. You have 90 days from the date of the decision to file an appeal. Once the State receives your request for a hearing, you will get another letter telling you the date, time, and place of the hearing.

If the Medicaid services you currently receive are being stopped or reduced, you can continue to receive the service while your case is in the appeal process. To do this, you must file your appeal within ten days from the date of the notice.

WHAT IF I DON'T LIKE THE APPEAL DECISION?

If you don't like the decision in your case, you can appeal the decision to your local Circuit Court after the appeals decision is made by the Department of Social Services.

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Missouri's Guide to Home and Community Based Services' Quick Links
[ Cover Page | Table of Contents | Introduction | What Are My Options? | How Do I Qualify? | Applying for Services | Appeal Process | What is Consumer Directed Care? | Other Program Available for Non-Medicaid Eligible Individuals | Questions for Nursing Facility Residents or Individuals in an RCF or ICF/MR | Aged and Disabled Waiver | AIDS Waiver | Independent Living Waiver | Lopez Waiver | MR/DD Comprehensive Waiver | MR/DD Community Support Waiver | Physical Disability Waiver | Consumer Directed State Plan Services | DHSS HCY State Plan Services | Other State Agencies to Contact | Agencies and Terminology | Numbers to Know ]