Proving Your Case When Personal Assistance Services - Have Been Denied

If you don’t receive any communication from the CHC plan within two weeks of requesting a grievance, call the plan to ask about the status of the grievance. [...] When you talk to the plan, ask them for the dial-in information for the grievance or, if you requested a videoconference, the videoconference link and login information. [...] If you aren’t able to send your documents ahead of time, tell the grievance panel you have documents you want them to consider and ask if you can fax or e-mail the documents right after the grievance. [...] If the grievance decision is unfavorable and you want to appeal, make sure to 1) call your plan to request External Review AND 2) mail your Fair Hearing request, WITHIN 10 DAYS of the mail date on the grievance decision to keep your current PAS hours in place during your appeal. [...] • Homemaker tasks that are incidental to the delivery of PAS to assure the health, welfare and safety of the participant such as changing linens, doing the dishes associated with the preparation of a meal, laundering of towels from bathing may be provided and must not comprise the majority of the service.