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	Health > Long Term Care: Assisted Living, Nursing Homes, Home Health Aides


	Find court forms, sample letters, tool kits and and state and federal government benefits applications.

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	Ask for a Fair Hearing for Medicaid Benefits You can ask for a fair hearing (an appeal) if: • You have been denied Medicaid • Your Medicaid benefits have been cut • Your Medicaid benefits have changed. If you want a fair hearing, call your county Department of Family and Children’s Services today. Then fill out this form. Bring it or mail it to your county Department of Family and Children Services. By: Georgia Legal Services Program® Other Formats: Word File


	Limited Financial Power of Attorney for QIT (Separate Website) This Limited Financial Power of Attorney for QIT (or Miller Trust) form can be completed online. Click this link to go to a website where you can create a "Limited Financial Power of Attorney" that you can print, sign and have witnessed. The site will ask you a series of questions about your financial choices and then create a Limited Financial Power of Attorney based on YOUR ANSWERS. PLEASE NOTE: This is NOT a fill-in-the-blank form. IMPORTANT: If you use Mozilla, you must select Word or Wordpad when the program assembles the document. By: Atlanta Legal Aid Society, Inc.


	OSAH Form 1 - DFCS Request for Fair Hearing with Office of State Administrative Hearings (Separate Website) When you have been denied Medicaid or had your Medicaid Benefits lowered or terminated, you can ask for a fair hearing. You can fill out a fair hearing request letter and mail it or deliver it to your local Division of Family and Children Services (DFCS) office to begin the process. When DFCS gets your letter asking for a fair hearing, they use this form to process your appeal with the Office of State Administrative Hearings (OSAH). You can give DFCS this form and ask them to fill it out and send it to OSAH and to the Department of Human Resources Legal Services to process your appeal. By: Georgia Department of Human Resources Other Formats: Word File


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Information Not Legal Advice

LegalAid-GA.org provides general information only. This is not legal advice and cannot replace legal advice. You can get legal advice only from a lawyer. Deadlines are extremely important in most legal matters. You may lose important legal rights if you do not hire an attorney immediately to advise you. Viewing this web site or sending an e-mail message through this web site does NOT create an attorney-client relationship.

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