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When Medicaid-funded care changes,

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the first question is not who wins an
argument.

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It is whether the person stays safe.

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The Fourteenth Amendment can require
fair procedure when state action

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threatens a protected entitlement.

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Federal rules can require written
notice,

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reasons,

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legal authority,

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and an opportunity for a fair hearing.

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An expedited process may apply when delay
could seriously jeopardize health or

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function.

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Timely requests may protect
continuation of benefits in qualifying

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circumstances.

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Home and community-based services
rules protect person-centered planning,

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informed choice,

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dignity,

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autonomy,

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integration,

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and choice of qualified providers
within program limits.

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The ADA and Section 504 may require
nondiscrimination,

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effective communication,

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and reasonable access.

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A newer fee-for-service HCBS grievance
rule exists,

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but CMS announced enforcement
discretion through December 2027.

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Do not wait for that route alone.

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Save the notice and envelope.

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Calendar every deadline.

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Ask about accessible communication,

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expedited review,

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and continued benefits.

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Get qualified help for the exact
program and facts.