Martha A. Churchill Attorney at Law
108 E. Main St., Milan, MI 48160     Phone:  (734) 439-4055.  Fax: 439-4056

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SAMPLE LETTER
Request for Medicaid Fair Hearing

 

 

FRANCIS FRIENDLY
234 Main Street
Anytown, Michigan 48000
(734) 439-4055

July 3, 2000

Administrative Tribunal
Dept. of Community Health
P.O. Box 30195
Lansing, MI 48909

REQUEST FOR MEDICAID HEARING

Nick Curtis has been requesting a place to live, independently, since August 1998. He has asked for help at every PCP meeting, but no one at CMH in Adams County does anything to help him.

I have called Nick’s case manager many times to find out when he will get a place to live. She keeps saying she will find him a place as soon as there is an opening, but she doesn’t know how long that will take. How many years must he wait? He is willing to live in a group home or an apartment, so long as there are paid staff present to help him with his daily needs.

Sincerely,

 

_____________________
Frances Friendly

P.S. Enclosed is a photocopy of my telephone log, so that you will know how many times I have tried to contact the case manager. It does no good.

_______________________
Nick Curtis


[GO TO SAMPLE LETTER OF REPRESENTATION]

 

 

 

Go to essay on INDEPENDENT LIVING.  Go to information on SPECIAL NEEDS TRUSTS.  Go to message from a SIBLING.  

 

 

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Martha A. Churchill, Attorney
108 E. Main St., Milan, MI 48160
Phone:  (734) 439-4055.  Fax: 439-4056 Send e-mail

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