GAPP recipient given insufficient notice as to why benefits were reduced

Topic: Medicaid Eligibility, Decided by: Judge Walker 
Docket Number: ******* , Decision Date: February 28, 2022 
Attachment: Click here to download the decision. 

This case involved an appeal of the Department of Community Health’s decision to reduce services provided to a child through the Georgia Pediatric Program (GAPP).  In remanding the case to the agency, the Court concluded the original notice to the child’s parent announcing the reduced services had neglected to list every reason why the agency made this decision.  This failure to provide adequate notice “had a substantial bearing on the Petitioner’s opportunity to fully and fairly present her case at the hearing.”

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