WebDEPARTMENT OF HEALTH APPLICATION FOR LIMITED USE PUBLIC WATER SYSTEM OPERATION Authority: Section 381.0062, F.S., and Chapter 64E-8, F.A.C. … WebFeb 4, 2024 · DCH-0092 (MAHS) (Rev. 8-16) Previous edition may be used. 2 REQUEST FOR HEARING FOR MEDICAID ENROLLEES OR WAIVER APPLICANTS Instructions To appeal an action related to cash assistance, food assistance, or other assistance programs, you must use the Request for Hearing form (DHS-18) available online at
Substance Use Disorder - Recipient Rights
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Michigan Office of Administrative Hearings and Rules for Michigan ...
WebDCH-0092 : Request for Administrative Hearing and Instructions: DCH-0093 : Request for Withdrawal of Appeal: DCH-0367 : Hearing Summary: DCH-0892 : Request for a … WebFair Hearing, complete a “Request for an Administrative Hearing” (DCH-0092) form and mail it to: Request for Administrative Hearing Michigan Office of Administrative Hearings and Rules Michigan Department of Health and Human Services PO Box 30763 Lansing, Michigan 48909 . Or fax it to: FAX NUMBER: 517-763-0146 http://dir.ca.gov/das/dasform142.pdf hungen gymnasium