NAC427A.630. Appeal of decision relating to eligibility for services or services provided.

     1. An applicant or recipient who disagrees with a decision of a contractor relating to eligibility for services or the services provided through the Program may, within 15 working days after the applicant or recipient receives notice of the decision, file an appeal with the contractor.

     2. The contractor:

     (a) May require the applicant or recipient to submit, in writing, evidence to support the appeal; and

     (b) Shall render a decision in writing within 30 days after it receives the appeal.

     3. An applicant or recipient may appeal the decision of a contractor pursuant to subsection 2 to the Administrator by filing a notice of appeal within 15 working days after the applicant or recipient receives notice of the decision.

     4. The Administrator:

     (a) Will review the decision in an informal proceeding;

     (b) May require the applicant, recipient or contractor to submit, in writing, additional evidence to support the appeal or the decision, as applicable; and

     (c) Will render his or her decision in writing within 30 days after receiving the notice of the appeal.

     5. The decision of the Administrator is a final decision for the purposes of judicial review.

     (Added to NAC by Aging & Disability Services Div. by R019-12, eff. 9-14-2012)