If you disagree with the eligibility decision, you have the right to appeal that decision. Before appealing you are encouraged to request a review. The TriCounty Link staff can review and discuss the basis for the decision and you can provide additional information to further explain your situation.
How does the appeal process work?
Step 1: Review of a decision – At your request, the TriCounty Link staff will conduct a review of your eligibility decision. TriCounty Link will request current evaluations by a physical therapist or other healthcare professional in order to make an informed decision. Any certifications required will be at your expense.
Step 2: Appealing a decision – If the review does not resolve your concern or you want to initiate a formal appeal, you will need to make a written request for an appeal within 60 days of receiving an eligibility decision. A mediator may contact you to arrange a meeting at the TriCounty Link offices with both you and the TriCounty Link staff to try to find a solution agreeable to both parties. If no agreement is reached through review or mediation, the appeal will go to the Appeals Board for a final decision.