loading…
loading…
loading…
627
additional information which was not documented in ICCIS. While additional databases available to the CCPO are not accessible to the Designees, it may be necessary for the CCPO Eligibility and Benefits Staff to access them and obtain information to support or contradict the requestor’s claim. These databases should not be used unless there is specific information brought to light by the requestor or worker.
3. Conduct the Pre-Hearing Conference During the pre-hearing conference the requestor is provided the opportunity to speak freely regarding the issue under dispute and provide any corroborating information to support their request.
The CCPO Eligibility and Benefits Staff will ask open ended questions to obtain the requestor’s information and perspective on the issue. The CCPO Eligibility and Benefits Staff will identify, clarify, and/or advise the requestor of the specific regulations and policies governing the CCAP and unless new information is presented requiring further review, advise the requestor of the recommendation being made to the Contracted Services Quality Assurance Unit (CSQA) for the hearing. If the recommendation is to move forward with the hearing, the CCPO Eligibility and Benefits Staff will confirm the requestor’s request to either continue benefits or not and the possible implications if benefits continue and the hearing decision is not in their favor.
If it is determined the request for hearing is for a non-allowable reason or outside of the allowable timeframe, the CCPO Eligibility and Benefits Staff will advise the requestor the hearing is disallowed based on either timeliness in requesting or the subject matter; the information will be sent to the CCPO’s hearing representative and they will be hearing from them or the Administrative Law Judge (ALJ). The recommendation of disallowing the request with the reason is included on the Pre- Hearing Conference form, forwarded to CSQA, and documented in an ICCIS case note using the subject heading: Pre-Hearing recommendation XX-XX-XXXXX-FH.
If during the pre-hearing conference the requestor states they wish to withdraw their request they will be advised they must submit the request in writing. The verbal request to withdraw their request for hearing is included on Pre-Hearing Conference form, forwarded to CSQA, and documented in an ICCIS case note.If the CCPO receives the written request to withdraw thehearing