In Section 2.12. of the Provider Manual, why are there differences in the appeals process depending on whether services are state-funded or federally-funded?
Medicaid–funded services are an entitlement for those who are eligible for such services. Medicaid–eligible service recipients are guaranteed certain protections by federal law and regulation. State-funded services are not an entitlement. Medicaid protections do not apply to state-funded services.
Related Questions
- In Section 2.12. of the Provider Manual, why are there differences in the appeals process depending on whether services are state-funded or federally-funded?
- How does this process work if an agency contracts with another agency or provider of services in the OMRDD system?
- Who can request external mediation services as discussed in Section 2.11.a. of the Provider Manual?
