
Forms & Applications - State of Michigan
The Michigan Department of Health and Human Services offers several medical assistance programs. Each program covers different groups of people and each program has different eligibility requirements.
Michigan Office of Administrative Hearings and Rules for Michigan ...
Submit the public assistance request for hearing to your local MDHHS office using this general public assistance request form: DHS-18 Request for Hearing for use in actions taken by your local MDHHS case worker related to your program eligibility, cash assistance, food assistance, or other assistance programs. DHS-18a Hearing Request Withdrawal.
Send completed form in envelope provided or, take it to your local DHS Office. ATTENTION: Hearing Coordinator AH Register # Programs in Dispute Date Completed DHS-18A received in Local Office
use the Request for Hearing form (DHS-18) available online at www.michigan.gov/mdhhs >> Doing Business with MDHHS >> Forms and Applications >> Other. Medicaid enrollees or waiver applicants may use this form to request a hearing. You may also submit your signed hearing request in writing on any paper.
Form DHS-18 Request for Hearing - Michigan - TemplateRoller
2015年6月1日 · Download a printable version of Form DHS-18 by clicking the link below or browse more documents and templates provided by the Michigan Department of Health and Human Services.
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DHS-18 (Rev. 6-15) Previous edition obsolete. MS Word 2 Case Name Case Number Specialist 1. Please check only the box(es) of the benefit program(s) you are asking to have heard before an administrative law judge and the action taken which you are challenging. FIP (Cash) Denied Closed Amount FAP (Food) Denied Closed Amount
Clients have the right to contest a Michigan Department of Health and Human Services (MDHHS) decision affecting eligibility or benefit levels whenever they believe the decision is incorrect. MDHHS provides an administrative hearing to review the decision and determine its appropriateness in accordance to policy.
DHS Forms Portal - Homeland Security
2021年12月22日 · Links to various pages across DHS websites that have forms that the public might use.
Warrant Not Received FIP, RCA, SDA, SSP, CDC, SER, and Medical Services warrants. Michigan Department of Health and Human Services (MDHHS) replaces warrants reported lost, stolen, not received, or destroyed.
Dhs 18 – Fill Out and Use This PDF - FormsPal
The DHS-18 form serves as a crucial document for individuals in Michigan who wish to request a hearing due to disagreement with a decision made by the Michigan Department of Health and Human Services (MDHHS) regarding the denial, reduction, or termination of benefits.
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