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United Way of Long Island

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WHAT THE FAIR HEARING IS AND HOW TO REQUEST IT

WHAT IS A FAIR HEARING?

The right to a fair hearing is very important. The fair hearing gives you an opportunity to challenge a decision made by DSS that may be wrong or unfair to you. It gives you a chance to tell your side of the story and if you win, to have DSS correct its mistakes.

Going to a fair hearing is a little like going to Court but not as formal. A person called a hearing officer or ALJ (Administrative Law Judge) acts as a judge. He or she will listen to both you and the local DSS representative and decide who is right. The hearing officer works for the New York State  Department of Social Services. Several weeks after the fair hearing, the State Department of Social Services will send you a written decision saying who was right and what action needs to be taken.

WHEN TO ASK FOR A FAIR HEARING

You have a right to ask for a fair hearing anytime you disagree with an action that DSS takes on your case, such as stopping or lowering the amount of your benefit.

Often a fair hearing can be avoided, especially in simple cases of miscommunication or missing documentation. In these cases, it may be worth it to speak to the caseworker, and if necessary, a supervisor to attempt to resolve simple problems. But even in these cases' protect your rights by immediately requesting a fair hearing while you're trying to work the problem out.  If you are successful, you can always cancel the fair hearing later.

You can also ask for a fair hearing if you disagree with DSS about the amount of or your eligibility for:

  • Public Assistance
  • Food Stamps
  • Medicaid
  • Services such as child care, homemaker or protective services
notice.jpg (15634 bytes)Before DSS can stop or lower your benefits, it must send you a written notice or letter saying what DSS is going to do, as well as why and when it is going to do it. This is called a Notice of Intent.

When you get a notice from DSS saying your benefits will be lowered or stopped, read it carefully. If you do not understand what they are going to do or why, then call your DSS caseworker right away. Ask your caseworker to explain the notice.

If you disagree with the reasons, ask for a fair hearing right away. You have a right to a fair hearing anytime you disagree with an action that DSS takes on your case. For public assistance and Medicaid, you must ask for a fair hearing within 60 days of the date on the notice. For Food Stamps, you must ask for a hearing within 90 days of the date on the notice.

If you do not make your request on time, you may lose your right to have a fair hearing.

HOW TO ASK FOR A FAIR HEARING

You may ask for a fair hearing by:

1. Calling 800 342-3334.
This number is often busy. Keep trying.
Ask for the name of the person to whom you speak. Always keep a record of the name of the person to whom you spoke and the date you called.

OR

2. Writing to:
New York State Dept. of Social Services
Fair Hearing Section
40 North Pearl Street Albany, NY 12243

OR

3. Fax your request to
: (518) 473-6735

If you ask for a fair hearing by mail or fax, keep a copy of your letter. A sample letter looks like this:

Date:___________,

New York State Department of Social Services
Fair Hearing Section
40 North Pearl Street
Albany, New York 12243

Dear Sir or Madam:

I would like to ask for a fair hearing for the following reasons.-

(List all the reasons why you want a fair hearing here. For example, "The Welfare office sent me a notice saying that they were going to stop sending me my check because they say I make too much money from my job. I disagree. My earnings have not changed in any way.

The notice is dated February 1 1, 1993 and I have enclosed a copy.")

Very truly,

Your Name
Address
Case Number

(Attach a copy of your Notice if you have one)

 

KEEPING YOUR CHECK THE SAME UNTIL THE FAIR HEARING DECISION

You have the right to have your public assistance or Medicaid continue if you ask for a fair hearing before the date your notice or letter says DSS will close your case or lower your benefits.

It is a good idea to call or write for a fair hearing as soon as you get the notice or letter. When you make your request for a hearing, ask that your benefits continue. This is call "aid continuing." "Aid continuing" should be requested within 10 days of the notice date or before the effective date of the notice. If the notice doesn't give you at least 10 days before the action becomes effective, you can still request aid continuing if done within 10 days of the mailing of the notice (save the envelope). "Aid continuing" will allow you to keep your assistance coming at the same level, at least until a decision is made on your hearing. "Aid continuing" does not apply to denials of applications or requests for increased benefits.

A problem may arise if you have received "Aid continuing" yet lose the fair hearing. You may have to pay back the assis- tance you received while you waited for the fair hearing decision. DSS can recover this money by reducing your check each month. This is called a recoupment. However, DSS can- not take more than 15% of your budget for Home Relief cases, and 10% for ADC cases. This recoupment can be reduced to 5% if you show undue hardship.

REQUESTING AN EMERGENCY FAIR HEARING

You can get a hearing quickly when you have an emergency and the DSS will not help. Some examples of emergencies are:

  • You are close to being evicted.
  • You are homeless
  • You have no lights or heat or food
  • You have lost your belongings in  a fire.

If your application for help is denied by a local DSS, you can ask for an EMERGENCY FAIR HEARING. If you have an urgent need be sure to ask for an EMERGENCY FAIR HEARING. When you request a hearing, explain why you need an early date. Get the name of the person you speak to.

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