Library: Policy

317:2-3-14. Administrative Law Judge (ALJ) jurisdiction

Revised 7-1-23

       The ALJ has jurisdiction of the following matters:

(1) Member state fair hearing. The ALJ has jurisdiction to hear any state fair hearing arising from a member's CE or DBM appeal of an adverse benefit determination.

(2) Provider OHCA administrative appeal. The ALJ has jurisdiction to hear any OHCA administrative appeal arising from a decision that was not wholly in the provider's favor.