Webinars | Sep 23, 2013

Individual Eligibility Appeals Webinar

Melinda Dutton, Partner, Manatt Health Solutions Kinda Serafi, Counsel, Manatt Health Solutions

Introduction & Overview

The State Coverage Initiatives program, in coordination with the State Network, hosted a webinar on September 23, 2013 that discussed individual eligibility appeals. Melinda Dutton and Kinda Serafi from Manatt Health Solutions facilitated this webinar with state respondents from Illinois and Rhode Island. The webinar provided an overview of appeals requirements put forth in the regulations, including:

-State options for delegation of MAGI Medicaid and Exchange appeals;
-The standards for components of the appeal process, such as for appeal notices, appeal requests, pended benefits, informal resolution, hearings, and appeal decisions;
-The due process and procedural rights of the appellant; and
-Requirements for coordination between agencies and appeals entities.

The webinar slides can be found at the “download” button and a webinar recording can be found here.