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MS 0515 (1) Volume 1 - General Administration MS 0515 - R. 1/1/19 - OMTL-538 The Final Order [The Cabinet Secretary/Secretary’s Designee issues the final order for the hearing. A. The final order accepts the recommended order, rejects or modifies the recommended order, or returns the issue back to the hearing officer for further action before a final order is issued. B. The Cabinet Secretary/Secretary’s Designee has 60 to 90 days to issue a final order from the date the hearing request. C. The Cabinet Secretary/Secretary’s Designee will sign the final order and upload it to the Hearings Module, creating a task for the Hearings Public Assistance Program Specialist (PAPS) to review and assign for appropriate action. The Cabinet Secretary/Secretary’s Designee will also mail a copy of the final order to the following:] 1. The recipient; 2. The representative; 3. If the issue involved patient status in a skilled nursing home, to the Department for Medicaid Services (DMS). D. The final order becomes part of the record and approves or rejects the recommended order and provides the available appeal rights. E. A final order is followed until the next time the household’s eligibility is redetermined.