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MISSISSIPPI DIVISION OF MEDICAID Eligibility Policy and Procedures Manual CHAPTER 100 – General Provisions P a g e | 21

Effective Month: March 2019 hearing, fax documentation of the request to the Office of Appeals upon receipt and follow up by mailing the written request to the Office of Appeals. Requests for an Expedited Hearing Due to the time constraints imposed for an expedited hearing and the medical urgency of such a request, prompt and timely action must be taken when the RO becomes aware an expedited appeal is requested. The date the request becomes known by whatever means is the date the expedited appeal request is received. • If the expedited hearing is granted, the individual will be notified in writing by use of form DOM-351A, Notice of Decision on Request for Expedited Local Hearing that includes the date, time and specifics of the hearing. Use of DOM- 350, Request for a Local Hearing, accommodates a request for an expedited hearing. An alternate form of written request can be accepted but must provide the reason an expedited hearing is needed, i.e., describe the medical urgency. • If the expedited hearing request is denied, DOM-351A, Notice of Decision on Request for Expedited Local Hearing, is used to notify the individual of the negative decision and reason(s) for denial. It also advises the eligibility hearing request will be treated as a standard hearing with separate notification of date, time and location. • If the regional office has already received a request for a hearing and the individual subsequently requests an expedited hearing, document the case with the date the expedited hearing was requested and how the expedited request was made - in person, via fax, by telephone, or other electronic means - and the reason the individual is requesting an expedited hearing. o If a local hearing has not been held, take action to grant or deny the local expedited decision as described above. o If a local hearing has already been held and the individual requests an expedited hearing, an additional local hearing is not required. DOM-351, Notice of Decision on Local Hearing, notifies the individual of the expedited hearing decision. The individual has the right to request a state hearing if the local hearing is adverse.