3701-44-07 Reconsideration of eligibility and authorization decisions.

(A) The following persons may seek reconsideration of the specified decisions pertaining to the Ryan White program:

(1) An individual who has applied for eligibility for benefits and whose application has been denied by the community-based HIV case manager;

(2) An individual or entity that has applied for eligibility as a provider and whose application has been denied by the community-based HIV case manager;

(3) An individual or entity whose eligibility as a recipient or provider has been terminated by the community based HIV case manager or the director, as applicable; and

(4) An individual or entity that has sought authorization of payment for services from the community-based HIV case manager and whose request has been denied.

(B) A person seeking reconsideration shall file a written request for reconsideration With the case management agency. A further appeal to the HIV care consortium may be made within thirty days after the date of mailing the case management agency’s decision. A final appeal to the director may be made within fifteen days after the date of mailing the HIV care consortium’s decision. The final appeal shall be submitted to the aids client resources section of the Ohio department of health. The request shall be accompanied by any written material that the person making the request wishes to present. The director shall provide the person with written notice of his or her decision on reconsideration, which decision shall be final.

R.C. 119.032 review dates: 04/30/2004 and 04/30/2009

Promulgated Under: 119.03

Statutory Authority: 3701.241

Rule Amplifies: 3701.241

Prior Effective Dates: 5/20/1999