You can file an appeal with the Vermont Agency of Human Services’ Human Services Board or with the agency that provides your developmental disability services if:
- your application for developmental disability services is denied or
- the amount of developmental disability services you are approved for is less than you asked for or
- your developmental services are reduced or stopped
There are 2 ways to appeal:
- You can ask for a Fair Hearing before the Human Services Board.
- You can file a less formal internal appeal called a Managed Care Entity (MCE) appeal.
You can request a Fair Hearing and file an internal appeal at the same time, if you choose to do so.
With both types of appeals, you must file your appeal within 90 days of the date the Notice of the decision on your application was mailed.
If Your Services Are Reduced or Stopped
If you get a Notice that your developmental disability services are going to be reduced or stopped, and you want your services to continue at the same level while you appeal:
- You must request a Fair Hearing within 10 days of the date the Notice of the decision was mailed and you must specifically ask for your services to continue during the appeal.
- You have 90 days from the date the Notice of the termination or reduction was mailed to file an internal appeal (MCE appeal), but you cannot continue to receive your services during an internal MCE appeal.