139 COMPLAINTS AND ADMINISTRATIVE APPEALS (MAM)

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If any individual or authorized representative expresses dissatisfaction with a decision regarding medical assistance benefits or services, take all of the following steps:

1. Explain the basis for the decision and the applicable policy requirements.

2. Provide the individual an opportunity to have a conference with the Supervisor.

3. Provide the individual an opportunity to request an administrative appeal. If requested within 15 days from the date on the notice of the action being appealed, the individual's medical assistance benefits may, under certain circumstances, be continued or reinstated at the previous level until the decision on the appeal is reached.