The OMS will schedule an informal conference within ten (10) calendar days of receipt of the request and will give written notice prior to the informal conference to the following parties:
The member requesting the conference; The staff responsible for the decision affecting the member, if appropriate; and The member's designated representative, if known.The Director of OMS or a designee who was not involved in the decision under review will conduct the conference and allow all participants to offer relevant information. A record of the conference will be made, including the identity of the participants, a summary of the information presented, and copies of all written material presented or submitted.
The Director of OMS or his/her designee will issue a written decision of the matter within ten (10) calendar days of the date of the conference. The decision will include a brief statement of the reasons for the decision and an explanation of the member's right to request an administrative hearing if s/he is dissatisfied with the decision. The OMS will mail a copy of the decision to each party entitled to receive notice.
Informal conferences and hearings will be held in accordance with rules set forth in Chapter I of this Manual and the Department of Health and Human Services' Office of Administrative Hearing Regulations.
C.M.R. 10, 144, ch. 101, ch. VI, 144-101-VI-01, subsec. 144-101-VI-01.10