Rhode Island Claim of Appeal

State:
Rhode Island
Control #:
RI-SKU-0369
Format:
PDF
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Description

Claim of Appeal

The Rhode Island Claim of Appeal is an administrative process used to challenge a decision made by a state agency or municipality. It is an appeal of an initial unfavorable decision or action taken by a state agency or municipality within Rhode Island. This appeal process is available to any individual or organization that believes they have been wrongfully denied a benefit or privilege, or have been subjected to an unlawful act. The Rhode Island Claim of Appeal comes in three types: 1. Administrative Claim of Appeal: This type of appeal is used to challenge the decision of an administrative agency or municipality. This includes decisions involving state benefits and services, such as Medicaid or unemployment benefits. 2. Judicial Claim of Appeal: This type of appeal is used to challenge the decision of a state court. This includes decisions made by a judge or jury in a civil or criminal case. 3. Legislative Claim of Appeal: This type of appeal is used to challenge the decision of the Rhode Island Legislature or a state regulatory agency. This includes decisions regarding taxes, licensing, or regulations.

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FAQ

After the hearing with the Referee, a written decision from the Referee will be mailed within 10 days of the hearing date. This decision will inform the claimant and the employer as to whether the initial decision from CAU has been affirmed, modified or dismissed.

If you quit your job, you will be disqualified from receiving unemployment benefits unless you had good cause. In general, good cause means that your reason for leaving the position was job-related and was so compelling that you had no other choice than to leave.

Can I appeal my TDI decision? You have the RIGHT TO APPEAL any decision with which you do not agree, by submitting a request in writing to the TDI Appeals Coordinator at PO Box 20100, Cranston, RI 02920-0941 or by FAX at (401) 462-8466.

The appeal must be made in writing and mailed to the Board of Review, Center General Complex, 41 West Road, Hazard Bldg., 1st Floor, Cranston, RI 02920, or faxed to (401) 462-9401 or filed Online.

You may file an appeal (or an expedited appeal) and also request Aid Pending by logging into your Account at .healthyrhode.ri.gov. If you need assistance filing an appeal, please call HealthSource RI at (855) 840-4774. You may also fax your request to (401) 223-6317.

A request for your health insurance company or the Health Insurance Marketplace ® to review a decision that denies a benefit or payment.

File an Appeal Appeals from the initial Department decisions must be filed by letter, fax or phone to the Central Adjudication Unit of the Department of Labor and Training, 1511 Pontiac Avenue Cranston, RI 02920, phone: (401) 462-8300, fax: (401) 462-8318.

More info

Court telephone no. 1. A redetermination is the first appeal level after the initial claim determination.By filing an internal appeal, you are requesting your health plan to review the denial decision in a fair and complete way. A sample completed Appeal. Form (see Figure 1) and detailed instructions are on a following page. You'll need to download and fill out a Decision Review Request: Supplemental Claim (VA Form 200995). A sample completed Appeal. Form (see Figure 1) and detailed instructions are on a following page. We find that, across HealthCare. Do not use the form for formal claims appeals or disputes.

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Rhode Island Claim of Appeal