Kan. Admin. Regs. § 129-8-14 - Department's review of decision
(a) Upon receipt of notice that a request for
state fair hearing has been made, the MCE's adverse benefit determination, and
any decision by the external independent third-party reviewer, shall be
reviewed by the department. Upon review, the MCE's decision may be amended or
changed before or during the state fair hearing as directed by the
department.
(b) If the parties
reach a satisfactory adjustment before the state fair hearing, a written
request to dismiss the state fair hearing request shall be submitted by the MCE
or the department to the presiding officer, but the state fair hearing request
shall remain pending until the following are completed:
(1) Upon receipt of the MCE's or the
department's request to dismiss, the presiding officer shall issue a prehearing
order to the appellant providing a 15-day response time. If the
15th day falls on a non-business day for the state,
the 15-day response time shall be extended to the next business day on which
the department is open for business. Three days shall be added to the 15-day
response period if the notice is served by U.S. mail or electronic means. If
the third day falls on a non-business day for the state, the time period shall
be extended to the next business day on which the department is open for
business.
(2) If the appellant
responds to the presiding officer within the above response time, the
respondent may reply within five days.
(3) The presiding officer shall review the
appellant's response and any respondent's reply and make a determination
regarding the MCE's or the department's request to dismiss.
(4) If the appellant fails to respond to the
presiding officer's order within the above response time, the presiding officer
may dismiss the state fair hearing request.
(c) If the parties reach a satisfactory
adjustment during the state fair hearing, an oral withdrawal stated on the
record by the appellant or the appellant's representative before the presiding
officer shall be acceptable.
(d) If
the appellant withdraws the state fair hearing request, withdrawal of the state
fair hearing request by means of the internet, telephone, U.S. mail, in-person
contact, or facsimile shall be accepted by the MCE or the department.
(1) For telephonic, internet, and in-person
withdrawals, the appellant shall be provided with written confirmation, by
regular U.S. mail or electronic notification.
(2) For telephonic state fair hearing
withdrawals, the appellant's statement shall be recorded by the department.
This recording process shall include electronic or contemporaneous written
documentation of the appellant's oral statement by the department.
(3) If the appellant submits a signed,
written statement withdrawing the appellant's request for a state fair hearing,
the presiding officer shall close the state fair hearing request.
Notes
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