OAAS Appeals - Coordinator 1

Receive appeal notices and updates, create files for new appeals, and maintain files appropriately. Review new appeals for adverse action, reason for appeal, and timeliness of submission. Request Decision/Denial letters, research data materials to accumulate evidence, and prepare summary of evidence (SOE) packets. Upload final SOE packets to the Division of Administrative Law SharePoint site and download rendered decision from appeal hearings via SharePoint. Coordinate with responsible parties, enter initial data into the Appeals Log, and update the log as needed. Schedule appeal hearings and represent LDH by presentation of evidence during appeal hearings. Extend and follow up on Prior Authorization for appeals with existing services. Monitor and analyze reports and evaluate monitored findings relative to level of care eligibility and other programmatic policy in Office of Aging and Adult Services (OAAS) programs.