1705 Voluntary Withdrawal of Appeal Request

 

 

Revised 09/21/2017

 

Policy

The customer or representative may choose to withdraw the appeal request at any time during the appeal process.

The request may be made:

·         In writing, including on a Voluntary Withdrawal (DE-171) form;

·         Verbally, if the hearing is not yet scheduled, or

NOTE          If benefits were continued or the share of cost or premium has been restored back to the prior amount and the customer has voluntarily asked for a withdrawal of the hearing request, the continued benefits are stopped and the share of cost and premium readjusted.

Definitions

 

Term

Definition

Voluntary Withdrawal

The customer decides to not pursue the appeal.

 

Agency Responsibilities

The agency must process the voluntary request to withdrawal at any time during the appeal process.

 

Legal Authority

This requirement applies to the following programs:

 

Program

Legal Authorities

All Programs

42 CFR 431.223

AAC R9-34-112