16 Del. Admin. Code § 5000-5402

Current through Register Vol. 28, No. 7, January 1, 2025

Section 5000-5402 - Conducting Hearings on Agency Decisions

This policy applies to DSS hearing officers any time an appellant/claimant requests a hearing due to an agency decision.

1. DSS Hearing Officers Conduct Hearings Regarding Agency Decisions

The Hearing Officer will conduct hearings regarding decisions on:

A. Eligibility for financial or medical assistance

B. The amount of financial or medical assistance

Exception: A Food Supplement household may dispute its current level of food benefits at any time

C. The manner or form of the benefit

D. A decision of a MCO or other contractor that a medical service, treatment or test is not medically or otherwise necessary

E. A denial of a request for restoration of food benefits lost more than 90 days but less than one year prior to the request

F. Expedited service in the Food Supplement Program.

16 Del. Admin. Code § 5000-5402

15 DE Reg. 86 (07/01/11)