467 Neb. Admin. Code, ch. 1, § 002

Current through September 17, 2024

Section 467-1-002 - APPLICANT AND RECIPIENT RIGHTS

Applicants and recipients applying for or receiving services have the rights to confidentiality, non-discrimination, and grievance and fair hearing.

002.01CONFIDENTIALITY. Applicants and recipients have the right to have their information treated confidentially.

002.02NON-DISCRIMINATION. No individual may be subjected to discrimination on the grounds of his or her race, color, national origin, sex, age, disability, religion, or political belief.

002.03GRIEVANCE AND FAIR HEARING. Applicants and recipients have the right to a Fair Hearing on any action or inaction with regard to an application, the amount of assistance, or failure to act with reasonable promptness. The appeal must be filed in writing within 90 days of the Department's action or inaction.

002.04APPLICANT AND RECIPIENT RESPONSIBILITIES. Applicants, recipients, parents, and legal guardians must comply with the following:

(A) Report accurate financial information;

(B) Report accurate information about the applicant's or recipient's needs;

(C) Report a change of address, household size, or income within ten days following the change;

(D) Participate in any financial or medical eligibility review;

(E) Notify the Department before receiving services at scheduled appointments and tests;

(F) Keep all appointments for care and services related to the special health care need;

(G) Follow the individual medical treatment plan;

(H) Notify the Department of any emergency care or hospitalizations within five working days;

(I) Obligate payment for any part of treatment which has been determined to be the recipient's responsibility;

(J) Assume responsibility for the general health care of the recipient; and

(K) Ensure the Department and medical providers have any third party liability information prior to care, if applicable, and supply necessary documentation for filing claims before the Medically Handicapped Children's Program, Genetically Handicapped Persons Program, and Disabled Children's Program pays for any service.

467 Neb. Admin. Code, ch. 1, § 002

Amended effective 5/17/2022