How to Appeal a Developmental Disability Services Decision
Do you disagree with a decision that you received about developmental disability services? You can tell them that you don’t agree by filing an appeal.
You can file an appeal if:
- your application for developmental disability services is denied, or
- the amount of developmental disability services you are approved for is less than you asked for, or
- your developmental services are reduced or stopped
There are two ways to appeal:
- You can ask for a “fair hearing” with the Human Services Board. See our Fair Hearing page to read what to do.
- You can make a less formal “internal MCE appeal.” MCE means Managed Care Entity. See our Internal Appeal page to read what to do.
With both types of appeals, you must file your appeal within 90 days from the date of the decision.
If you want, you can request a fair hearing and file an internal MCE appeal at the same time.
You may also first ask for an MCE appeal and if you disagree with the decision, you may request a fair hearing to appeal that decision. You must file your appeal within 30 days of the date the MCE decision was mailed to you, or within 90 days of the date on the original notice of decision.
If Your Services Are Going to Be Reduced or Stopped
If you get a notice that your developmental disability services are going to be reduced or stopped, and you want your services to continue at the same level while you appeal:
- You must request a fair hearing or MCE appeal before the date your services are going to be reduced or stopped.
- You must specifically ask for your services to continue during the appeal.