Page 351

MEDICAL SERVICES POLICY MANUAL,SECTION J

J 100 Notice of Action Requirements

J-100 Notice of Action Requirements

MS Manual 06/1/25 A Notice of Action is sent to an individual whenever an application has been approved or denied, a hardship request has been denied or assistance has been reduced or terminated. All notices must include: • A statement of action the Agency intends to take, • The effective date of the action, • The reason(s) for the action, • The manual policy reference(s) supporting the action, • An explanation of the individual’s right to request a hearing, and • An explanation of the circumstances under which assistance is continued if a hearing is requested. Federal regulations require an advance notice be given for termination of assistance or reduction of assistance. The following sections define these notice requirements and list when advance notice is not required.

J-110 Advance Notice for Termination of Assistance MS Manual 06/01/25 When the Division of County Operations (DCO) proposes to terminate assistance for a recipient, advance notice will be sent to the recipient using a form called a “Notice of Action.” The effective date of any reductions or terminations of service, as well as time for appeals, is counted from the date listed on the Notice of Action. Advance Notice must contain all information listed in MS J-100. To provide the recipient with time to appeal the adverse decision, the effective date of the action will be no earlier than thirty-five (35) days from the date listed on the Advanced Notice. If a hearing is not requested within thirty- five (35) days of the date listed on the Advance Notice, the adverse action indicated on the notice will be taken.