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Appeals and Fair Hearings

last modified 01/05/2018 - 01:48 PM

If you don't agree with a decision that the Department has made you can ask for an appeal.

Appeal:

To appeal means to ask the Department to review its decision.
  • You must ask for an appeal within 60 calendar days of the decision.
  • If the decision you received is to reduce or end benefits or services you are currently getting and you want your benefits or services to continue during your appeal, you must request this at the time you make your appeal.  If you get benefits or services during your appeal, you may be asked to pay for them if the appeal is not decided in your favor.
 


Fair Hearing:

A fair hearing is a legal process where the Human Services Board will hear your case and decide if we made the right decision. 

  • You must go through the internal appeal process before you can ask for a fair hearing.  
  • You must ask for a Fair Hearing within 120 days from the date of the appeal decision letter.
  • If you are told that your benefit is changed because of a change in federal or state law, an internal appeal will not be granted, but you may ask for a fair hearing.
  • If the decision you received is to reduce or end benefits or services you are currently getting and you want your benefits or services to continue during your fair hearing, you must request this at the time you file your fair hearing request.  If you get benefits or services during your fair hearing, you may be asked to pay for them if the fair hearing is not decided in your favor.
     

 

Emergency expedited appeals may be requested in situations when you believe that the time for a regular appeal could risk your life or health. 


For legal assistance or help solving a problem, call your local Vermont Legal Aid Office or the Office of Health Care Advocate at 1-800-917-7787. Their services are free.

 

 Please call the Vermont Health Connect, Green Mountain Care Customer Support Center at 1-800-250-8437 (TDD/TTY) 1-888-834-7898 for more information or to file and appeal or fair hearing.

 

 

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