Does the member have appeal rights?
The right to appeal the decision made on a PA request belongs to the member. Whenever a PA request is approved, modified, or denied, a letter is sent to the member explaining the decision and providing the reason the decision was made. Also included in the letter is information explaining the member’s appeal rights. MassHealth’s Board of Hearings is the entity that hears appeals. If needed, interpreter services and/or assistive devices are available to members during the hearing. For questions about the appeals process, call 1-800-862-8341 or 617-727-5550.
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