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After proper notice and administrative review of the proposed compliance or termination of Claimants

After proper notice and administrative review of the proposed compliance or termination of Claimants 2026

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The document is an administrative review decision regarding the termination of a Family Day Care Home from the Child and Adult Care Food Program (CACFP) in Montana. The Hearing Officer evaluated evidence from both the Claimant and the Billings Child Care Association, focusing on compliance with federal regulations that require the individual signing the CACFP agreement to conduct specific activities related to meal preparation and service. The decision concluded that an employee can prepare and serve meals under the direction of the provider, allowing the Claimant to remain in the program despite working outside the home. The proposed termination was denied, and the Claimant's appeal was upheld.

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Click ‘Get Form’ to open it in the editor.
Begin by filling out the 'Identifying Information' section. Enter the name of the sponsoring organization and the claimant's details as required.
In the 'Evidence Provided' section, include any relevant documents or letters that support your case, such as appeal letters or notices from the sponsoring organization.
Proceed to the 'Findings of Fact' section. Clearly outline any facts that support your position regarding compliance with CACFP requirements.
In the 'Conclusions of Law' section, summarize applicable laws and regulations that pertain to your case, ensuring you reference specific codes where necessary.
Finally, review all sections for accuracy and completeness before submitting your form through our platform for processing.

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How long do you have to appeal ERISA?

Generally, claimants must be afforded at least 180 days following an adverse benefit determination to appeal that determination.

What does it mean when an administrative law judge is reviewing your appeal?

At this point, the judge assigned to your appeal is examining your case, looking at all the evidence in your VA claim file to determine whether to uphold or overturn the previous decision on your appeal. Once it passes this step, the judge will decide on your VA claim, and youll receive a letter in the mail.

What is good cause for late filing CMS?

Well evaluate your request to determine if theres good cause for the late filing. Good cause includes things like: A serious illness prevented you from contacting the appeals reviewer. You had a death or serious illness in your immediate family.

What is required in the ERISA denial letter?

Explanation of Denial: The denial letter should clearly state the reasons for the denial, referencing specific plan provisions, medical evidence, or other relevant factors. Plan Provisions: The letter provides a detailed explanation of the specific plan provisions considered in the decision-making process.