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1. The Division of Developmental Disabilities in the Department of Behavioral Healthcare, Developmental Disabilities and Hospitals (BHDDH) for adults with developmental/intellectual disabilities seeking Medicaid. The division also provides specialized assistance and case management services to beneficiaries. 2. The Division of Elderly Affairs (DEA) of the DHS is an additional source of application services for persons seeking LTSS in the home and community-based setting. These services are provided through community agencies under contract with DEA which also provide needs assessments to applicants and case management services to beneficiaries. 3. Community-based certified assisters including State Health Insurance Assistance Program (SHIP) counselors working through local Senior Centers and THE POINT, the State’s Aging and Disabled Resource Center (ADRC). E. Applicant Rights. The State is responsible for upholding the following rights of Medicaid LTSS applicants: 1. Authorized Representatives – Applicants may designate someone to serve as an authorized representative to help or act on their behalf in dealing with agency eligibility and LTSS specialists. 2. Translation Services – An interpreter or translator is available to assist in the application process, upon request. 3. Protection of Privacy -- All information applicants provide is kept confidential unless the agency is otherwise authorized to share with other State and federal agencies for the purposes of verification and enrollment. 4. Appeals - The agency accepts appeals and holds hearings on actions related to eligibility decisions in accordance with Part 10-05-2 of this Title. 5. Non-discrimination – Applicants are treated in a manner that is free from discrimination based on race, color, national origin, sex, gender identity or sexual orientation, age or disability. 6. Non-LTSS Medicaid Beneficiaries – Existing Medicaid beneficiaries who are seeking to expand their coverage to include LTSS may initiate the application process by requesting a change in coverage through their on- line account or by contacting DHS eligibility specialists. 4.6 Submitting the Application A. Completion of Forms and Signature. All application forms must be complete and signed before being submitted. To ensure equity between people who apply on-