• Federal Medicaid Law and Department of Community Health Policy guarantees your right to an appeal process.
• You have the right to be heard by people who will make a fair decision about mental health services that reduced, suspended, terminated or denied outside the person centered planning process.
• You have the right to ask for a second opinion and will get a written notice if CMH:

1. Denies Services at a psychiatric hospital because the worker believes that you are not eligible for services.
2. Denies services at CMH because the worker believes that you are not eligible for services.

• You will get a written notice when CMH:

1. Delays the start of mental health service.
2. Stops providing a service,
3. Reduces how often you get the services outside of the person centered planning process.

• You and your metal health worker may decide to change your service as your needs change.  You will receive a written notice if changes are made to:

1. The type of service you have been getting.
2. How often you get the service. The length of time services will be given to you.

• If you disagree with the action described in your written notice, you have the right to proceed with one or all of the following appeal options at the same time:

1. You can talk to Customer Services or to a Supervisor.   Your request can be verbal or in writing. The staff will help you solve the problem.  You will be given a decision in 5 working days.
2. You can appeal action taken by CMH through the office of Recipient Rights within 5 days of getting notice.  If you appeal the notice it will be reviewed by someone who did not make the first decision about your services. A written decision will be mailed to you within 10 days of your appeal.  Services may continue during the 10 days or until the decision is made.
3. You may also file a complaint with the Office of Recipient Rights.
4. If you are not satisfied with the second decision from CMH and you are not a Medicaid recipient, you may request a review from the Michigan Department of Community Health's Alternative Dispute Resolution Process.

5. If you are not satisfied with the second decision from CMH and you are a Medicaid Recipient, you may request a hearing with an Administrative Law Judge.

If you request the hearing within 10 days of getting a notice of reduction or termination of services, the services will continue for 90 days or until the judge makes a decision.

If you use the mental health service during the time the judge is making the decision, you may have to pay for the services according to you ability.

Know
Your
Right To
Appeal

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