HF257 (Legislative Session 94 (2025-2026))

Long-term services and supports review process established for denials of eligibility.

Related bill: SF141

AI Generated Summary

This bill, proposed in Minnesota, aims to improve the process of handling denials, reductions, suspensions, or terminations of eligibility for long-term services and supports. Here are the key points:

  1. Advance Notice: Before any action is taken to deny, reduce, suspend, or terminate services, the agency must provide a preliminary notice 10 days in advance. This notice has to be in a format accessible to the person affected or their legal representative.

  2. Opportunity to Respond: After receiving the notice, the person or their legal representative has 10 days to respond. If they choose to respond, the agency must review the decision.

  3. Decision Review Process:

    • A meeting (review) must be scheduled within 5 days after a request.
    • The review should allow for interactive communication, such as a phone call, written exchange, or in-person meeting, to discuss the decision.
    • The agency should explain their decision in detail during the review and address any issues like misunderstandings or incomplete information about the person's circumstances.
  4. Continuation of Services: While the decision is under review, the person will continue to receive the services they were getting.

  5. Final Notice of Action: After the review, the agency can proceed with their action but must take into account any information or discussions from the review. A final notice will then be sent that also informs about the right to appeal.

This bill essentially ensures that individuals have a fair chance to understand and contest decisions affecting their access to long-term care services before any changes are enforced.

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