Health Services Administrative Hearings Branch

Health Services Administrative Hearings Branch

​The CHFS Health Services Administrative Hearings Branch hearing officers conduct hearings and render findings of fact, conclusions of law and recommended orders or final decisions on matters involving the Office of Certificate of Need; Office of Inspector General; Department for Medicaid Services; Department for Public Health; the Department for Mental Health, Developmental Disabilities and Addiction Services; Department for Aging and Independent Living; Department for Family Resource Center and Volunteer Services; and the Department for Community Based Services (specifically hearings requested in response to CHFS investigation of substantiated findings a person perpetrated abuse or neglect of a child or adult).

Programs and Services

The Health Services Administrative Hearings Branch conducts hearings with regard to the following matters:

  • Certificate of Need
  • License Revocation
  • Long-Term Care Citations and Penalties
  • Involuntary Transfer and Discharge
  • Utilization Review (Private Review Agents) Denial or Revocation Hearing Procedure
  • Dispute Resolution Procedure between Private Review Agents and Health Care Providers and Patients
  • Nurse Aide Abuse, Neglect and Misappropriation
  • Child Care Facility Licensure
  • Certification of Family Child Care Homes
  • Medicaid Reimbursement: Ancillary Therapy and Oxygen Services in Nursing Facilities  
  • Medicaid Reimbursement: Payments for Nursing Facility and Intermediate Care Facility for  the Mentally Retarded Services
  • Medicaid: Conditions of Medicaid Provider Participation, Withholding, Overpayments
  • Medicaid Covered Services (recipient or applicant appeals)
  • Maternal and Child Health (WIC)
    Disciplinary Appeals Process for Local Health Department Employees
  • Food and Cosmetics
  • Milk and Milk Products
  • Substance Abuse
  • On-Site Sewage Disposal System Installer Appeals
  • Substantiated Child Abuse or Neglect Appeals (Child Abuse Prevention and Treatment Act -CAPTA)
  • Substantiated Adult Abuse or Neglect

Cases Heard

Certificate of Need

  • Hospital, psychiatric, rehabilitation, chemical dependency and psychiatric residential treatment facilities, freestanding ambulatory surgical centers and birthing centers
  • Long-term care beds (intermediate care, skilled nursing, nursing facilities and Alzheimer’s disease facilities) and intermediate care beds for mental retardation and facilities for the developmentally disabled
  • Transplantation, magnetic resonance imaging (MRI), lithotripter, radiation therapy, cardiac catheterization, open heart surgery and new technological developments
  • Day health care centers, ambulatory care clinics, rehabilitation agencies, hospice and home health
  • Ambulance and air ambulance providers
  • Non-substantive review applications
  • Advisory opinions
  • Show cause hearings

Department for Medicaid Services

  • Ancillary therapy
  • Provider termination
  • Discrimination
  • Sanction
  • Repayment
  • Withholding
  • Medicaid applicant/recipient
    • Continued stay
    • Denial of services
    • Medication denial
    • Durable medical equipment
    • EPSDT
    • Extended care stay
    • HCBW
    • Lock-in
    • PASRR
    • Nursing facility admission
    • Private duty nursing
    • Support for community living
    • Transportation
    • Traumatic brain injury 
    • Passport
    • Impact plus
    • Estate recovery

Department for Public Health

  • Local health departments (personnel)
  • Milk and milk products
  • Women, Infants and Children (WIC) program
  • First Steps
  • Septic system installer
  • Food, Drug and Cosmetics Act
  • Environmental health and community safety
  • Posting of methamphetamine contamination notice

Office of the Inspector General

  • Type A and B citations
  • Civil penalties for type A and B citations
  • Nurse aide abuse, neglect and misappropriation of property
  • Involuntary discharge
  • Child day care licensure and civil penalties
  • Licensure of health facilities and services
  • Variance denials

Mental Health, Developmental Disabilities and Addiction Services

  • DUI program, assessor, instructor certification

Department for Aging and Independent Living

  • Assisted living provider certifications

Additional Information

Contact Information


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