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402 W. Washington Street, Room W392 Indianapolis, IN 46204 To the attention of: Medicaid Civil Rights Appeal Email Appeal Request To: MedicaidCivilRights@fssa.IN.gov The Civil Rights Review Board will be made up of at least one designee from DFR, Medicaid, the Office of Healthy Opportunities, and the Office of General Counsel. Any conflicts of interest will be reported and resolved before the appeal moves forward. The Civil Rights Review Board will obtain and review the investigation record from DFR to make a determination. Once they have obtained and reviewed all of the necessary information, the Civil Rights Review Board will draft a letter that summarizes the findings and responds to the appeal. The letter will be mailed to the complainant, and forwarded to the Medicaid Civil Rights inbox (MedicaidCivilRights@fssa.IN.gov), within sixty (60) days of receiving the appeal, summarizing the Board’s decision and any actions that may be taken as a result. 1440.20.10 THE FAMILY INDEPENDENCE SECTION AND DISCRIMINATION COMPLAINTS The Family Independence Section’s responsibilities in resolving complaints of discrimination are described below. Complaint has been received. Attempt to get as much information as possible as described in Section 1440.20.00 under 'Complaint Format'. If the complaint alleges discrimination by a specific worker or refers to one incident (and there is no allegation of or reason to believe that there is a policy or practice in the office that may be discriminatory), refer the complainant to the appropriate DFR State Eligibility Manager and Regional Manager within one day after receiving receipt. If the complaint alleges widespread discrimination or discriminatory practices in the local office, arrange to have someone from Family Independence Section go to the local office to investigate the allegation. The investigation would be conducted in a manner similar to the procedures described in Section 1440.20.05, but more emphasis would be put on contacting other applicants and recipients of the same protected class as the complainant to see if they had experienced similar treatment. These cases would also be handled in the same timeframes described under local office procedures. Acknowledge receipt of the complaint to the complainant in writing within five days after receipt.