EE27
Appeals
CMS-required outcome
Beneficiaries and applicants can submit an appeal against an adverse action via multiple channels (e.g., online, phone, mail, in person) and the status and adjudication of an appeal can easily be accessed by necessary state staff and appellants.
Default metrics
- Percentage of appeals requested through each modality (mail, online, phone, in person).
- Number of pending appeals in the reporting period.
Regulatory sources
- For all states, District of Columbia, and territories:
- - 42 CFR 431.221