137 COMPLAINTS AND ADMINISTRATIVE APPEALS (AAM)

137 COMPLAINTS AND ADMINISTRATIVE APPEALS (AAM)

SR 13-19 Dated 09/13 Previous Policy

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If any individual or authorized representative expresses dissatisfaction with a decision regarding benefits or services, take all of the following steps:

1. Explain the basis for the decision and the applicable policy requirements.

2. Provide the individual an opportunity to have a conference with the Supervisor.

3. Provide the individual an opportunity to request an *administrative appeal.

4. Notify the individual that if requested within 15 days from the date on the notice of the action being appealed, a recipient ' s benefits may, under certain circumstances, be continued or reinstated at the previous level until the decision on the appeal is reached, and that the individual has a right to bring someone with them to the appeal, like a friend, relative, or lawyer, or they can come alone. DHHS will not pay for any legal services the individual wants, but there is free and reduced cost legal services available in NH.