TX HHS Form 3624. Termination. Reduction or Denial of CLASS
The TX HHS Form 3624, Termination, Reduction or Denial of CLASS, helps resolve situations where an individual's eligibility for the Community Living Assistance and Support Services (CLASS) program is being terminated, reduced, or denied. This form is typically used by case managers to notify individuals of changes to their CLASS benefits.
This form requires the case manager to specify the reason for the termination, reduction, or denial, as well as provide a deadline for requesting an appeal. The individual receiving the notice has the option to request a hearing to dispute the decision. If they choose not to request a hearing within 90 days of the date of this notice, their right to a hearing is lost.
Key points to note include:
- The form is used by case managers to notify individuals of changes to their CLASS benefits.
- The individual has the option to request a hearing to appeal the decision.
- If no appeal is requested within 90 days, the right to a hearing is lost.
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SourcePage:
https://www.hhs.texas.gov/regulations/forms/3000-3999/form-3624-termination-reduction-or-denial-class
