The Case Of Goldberg V. Kelly

1799 Words8 Pages
In March of 1970, in the case of Goldberg v. Kelly, the US Supreme Court confirmed that individuals who are denied certain government benefits have a constitutional right to a fair hearing before an impartial decision-maker. In accordance with the Mississippi Code § 43-13-116, individuals are allows the opportunity to request in writing a fair hearing in order to appeal decisions of denial, termination, suspension or reduction of eligibility and covered services. A designated office within the state agency is responsible for coordinating, scheduling, and facilitating appeals for Medicaid beneficiaries. All appeals are heard by an impartial hearing officer employed by or on contract with the Agency. The designated office handles the appeals process from receipt of the request from a beneficiary/client through the final administrative decision. During the hearing process, the designated office is responsible for ensuring that the use or disclosure of beneficiary information is in compliance with federal law (HIPAA), state law and Division of Medicaid policies, and procedures regarding the safeguarding of beneficiary information. Assessment of Problem: Clearly describe the problem in your work unit and your plan to solve the problem. The problem within the work unit where I am employed is that we tend to be complacent and lack a futuristic vision. The Agency’s mission is “To responsibly provide access to quality health coverage for vulnerable Mississippians.”
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