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State Fair Hearing Case Study

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On June 23, 2017, a State Fair Hearing was held at the request of Ms. Jackie Christopher. The hearing was requested to appeal the denial of Medicaid benefits due to an unfavorable disability decision.

Background

Ms. Christopher applied for Medicaid benefits on March 9, 2017. The Brandon Regional Office (RO) submitted a Disability and Blindness Report to Disability Determination Services (DDS), who has the responsibility of making disability decisions for the Division of Medicaid (DOM), on March 20, 2017. DDS notified the RO on May 3, 2017, that Ms. Christopher was not disabled for Medicaid purposes. The RO issued a Notice of Adverse Action on May 15, 2017.

The RO received a State Fair Hearing request from Ms. Christopher on …show more content…
The beneficiary has the right to have legal representation at the hearing and to bring witnesses;
3. The beneficiary has the right to produce documentary evidence and establish all factors and circumstances why the service should not be denied;

Hearing Officer’s Recommendation
Re: Jackie Christopher; MID #862-14-2535
July 13, 2017

4. The beneficiary has the right to present an argument without undue interference; and
5. The beneficiary has the right to question or refute any testimony or evidence, including the opportunity to confront and cross-examine adverse witnesses.

Prior to taking testimony, the oath was administered to all witnesses.

The facts of the case were reviewed. Ms. Christopher testified that she had a stroke several years ago that now causes her to have fainting spells and blurred vision. Ms. Christopher testified that she suffers from memory loss, and chronic obstructive pulmonary disease. Further, Ms. Christopher testified that she was diagnosed with thyroid problems, and was in the hospital in March 2017 due to a bacterial infection.

Ms. Christopher testified that she received and unfavorable disability decision from the Social Security Administration (SSA), and she currently has an appeal pending with the

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