Section 508.010 - Right to a Fair HearingMembers are entitled to a fair hearing under 130 CMR 610.000: MassHealth: Fair Hearing Rules to appeal
(A) the MassHealth agency's determination that the MassHealth member is required to enroll with a MassHealth managed care provider under 130 CMR 508.001;(B) a determination by the MassHealth behavioral health contractor, by one of the MCOs, Accountable Care Partnership Plans, or SCOs as further described in 130 CMR 610.032(B), if the member has exhausted all remedies available through the contractor's internal appeals process;(C) the MassHealth agency's disenrollment of a member under 130 CMR 508.003(D)(1), (D)(2)(a), or (D)(2)(b), or discharge of a member from a SCO under 130 CMR 508.008(E); or(D) the MassHealth agency's determination that the requirements for a member transfer under 130 CMR 508.003(C)(3) have not been met.Amended by Mass Register Issue 1322, eff. 10/1/2016.Amended by Mass Register Issue S1345, eff. 8/11/2017.Amended by Mass Register Issue 1354, eff. 12/18/2017.