Eligibility Appeals B-07

PURPOSE:

The purpose of this policy is to define the process of appeal for determinations of eligibility made by Sedgwick County Developmental Disability Organization (SCDDO).

POLICY:

SCDDO shall ensure that requests for reconsideration of the eligibility determination are processed timely according to policy B-02. SCDDO will also ensure that requests for an independent third party review following a re-determination are submitted for reconsideration.

PROCEDURES:

1. An individual/guardian may choose to request a reconsideration of the eligibility determination within 30 days from the date of eligibility notification.
2. When possible, requests for reconsideration should include additional supporting documentation from a qualified healthcare professional showing a diagnosis of an intellectual and/or developmental disability as defined in the Developmental Disability Reform Act. Requests should be made in writing to the following address:

Sedgwick County Developmental Disability Organization

Attn: Service Access & Operations Director

271 W 3rd St N., Suite 500

Wichita, KS 67202

3. If determined eligible after reconsideration, the individual/guardian will be mailed the eligibility decision and an informational packet within five business days. The functional assessment must be completed, when applicable, within 30 calendar days of eligibility notification.
4. If determined not eligible after reconsideration, the individual/guardian will be mailed written notification within five business days of their right to request an independent third party review of the determination. This request must be made in writing to SCDDO within 30 days of notification to the address listed above.
5. SCDDO will coordinate an independent third party re-determination with an individual who is appropriately trained in intellectual and/or developmental disability (IDD) eligibility determination and is not financially associated with SCDDO.
6. If the individual/guardian is not satisfied with the outcome of the third party determination, the individual has the right to an administrative appeal through the Kansas Office of Administrative Hearings.
7. Requests for administrative appeal must be submitted in writing within 30 days of the final determination notification to the following address:

Kansas Office of Administrative Hearings

1020 S. Kansas Avenue

Topeka, KS 66612