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Administration of ADA Paratransit Eligibility Appeal Programs (2018)

Chapter: Appendix F - Capital Metro Paratransit Eligibility Appeal Determination Form

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Suggested Citation:"Appendix F - Capital Metro Paratransit Eligibility Appeal Determination Form." National Academies of Sciences, Engineering, and Medicine. 2018. Administration of ADA Paratransit Eligibility Appeal Programs. Washington, DC: The National Academies Press. doi: 10.17226/25079.
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Suggested Citation:"Appendix F - Capital Metro Paratransit Eligibility Appeal Determination Form." National Academies of Sciences, Engineering, and Medicine. 2018. Administration of ADA Paratransit Eligibility Appeal Programs. Washington, DC: The National Academies Press. doi: 10.17226/25079.
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Page 83
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Suggested Citation:"Appendix F - Capital Metro Paratransit Eligibility Appeal Determination Form." National Academies of Sciences, Engineering, and Medicine. 2018. Administration of ADA Paratransit Eligibility Appeal Programs. Washington, DC: The National Academies Press. doi: 10.17226/25079.
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Page 84

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F-1 A P P E N D I X F Capital Metro Paratransit Eligibility Appeal Determination Form Determination Form HB 695800 MetroAccess Paratransit Eligibility Appeal Determination Form Client Name: Client ID: Date of Appeal: Initial determination: On ____________ (Date) an ADA paratransit eligibility appeal was conducted on behalf of ______. After careful review and consideration of all evidence presented during the hearing, the Appeals Panel makes the following determination: __A. The Appeals Panel concurs with the initial eligibility decision and recommends upholding the previous eligibility determination __B. The Appeals Panel does not concur with the initial eligibility decision and has made the following determination: Justification for Panel Decision (select one) __A. The panel concurs with the initial eligibility determination based on information gathered during the functional assessment, initial application, and any additional follow-up __B. The panel does not concur with the initial eligibility determination. Additional information provided during the appeal was not addressed in the eligibility review and/or the functional assessment recommendation completed by a skilled clinician. Please specify why new information about the applicant’s functional abilities is not consistent with initial determination. Refer to Attachment 1 for an explanation of individual panel member review comments. Respectfully submitted, Appeal Panelist (PRINT NAME) Signature Date Appeal Panelist (PRINT NAME) Signature Date Appeal Panelist (PRINT NAME) Signature Date

F-2 Administration of ADA Paratransit Eligibility Appeal Programs Determination Form HB 695800 Attachment 1 Documentation of Individual Panel Member Review Comments The MetroAccess paratransit appeals panel consists of a three member panel including a member of the Access Advisory Committee, Community Representative and Capital Metro representative. The following is a summary of the individual panel member’s review of this appeal. Access Advisory Member This MetroAccess appeals panelist recommends the following: __A. Concurs with the initial eligibility decision and recommends upholding the previous eligibility determination __B. Does not concur with the initial eligibility decision and recommends a different determination. Justification (select one) __A. I concur with the initial eligibility determination based on information gathered during the functional assessment, initial application, and any additional follow-up __B. I do not concur with the initial eligibility determination. Additional information provided during the appeal was not addressed in the eligibility review and/or the functional assessment recommendation completed by a skilled clinician. Please specify what new information was provided and why the applicant’s functional abilities are not consistent with initial determination. Community Representative This MetroAccess appeals panelist recommends the following: __A. Concurs with the initial eligibility decision and recommends upholding the previous eligibility determination __B. Does not concur with the initial eligibility decision and recommends a different determination. Justification (select one) __A. I concur with the initial eligibility determination based on information gathered during the functional assessment, initial application, and any additional follow-up __B. I do not concur with the initial eligibility determination. Additional information provided during the appeal was not addressed in the eligibility review and/or the functional assessment recommendation completed by a skilled clinician. Please specify what new information was provided and why the applicant’s functional abilities are not consistent with initial determination.

Capital Metro Paratransit Eligibility Appeal Determination Form F-3 Determination Form HB 695800 Capital Metro Representative This MetroAccess appeals panelist recommends the following: __A. Concurs with the initial eligibility decision and recommends upholding the previous eligibility determination __B. Does not concur with the initial eligibility decision and recommends a different determination. Justification (select one) __A. I concur with the initial eligibility determination based on information gathered during the functional assessment, initial application, and any additional follow-up __B. I do not concur with the initial eligibility determination. Additional information provided during the appeal was not addressed in the eligibility review and/or the functional assessment recommendation completed by a skilled clinician. Please specify what new information was provided and why the applicant’s functional abilities are not consistent with initial determination. For internal CMTA purposes only: Initial Determination Code: ______ Appeal Determination Code: ______ Certification Expiration Date: ___ / ___ /____ CMTA Eligibility Staff Review (signature): _______________________

Next: Appendix G - King County Metro Paratransit Eligibility Appeal Brochure »
Administration of ADA Paratransit Eligibility Appeal Programs Get This Book
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TRB's Transit Cooperative Research Program (TCRP) Synthesis 133: Administration of ADA Paratransit Eligibility Appeal Programs identifies ADA eligibility appeal processes and documents current practices of transit systems.

ADA paratransit eligibility appeal programs allow appellants the opportunity to present new information not provided or available during the initial eligibility decision that may warrant a change in eligibility determination. At the same time, any appeal program must consistently apply the decision-making standards established by the agency’s ADA paratransit certification program. As more agencies employ some form of conditional eligibility, eligibility appeal processes are emerging as a significant area of vulnerability. If the eligibility appeal process is not administered properly, transit agencies run the risk of violating applicants’ civil rights under the ADA or Title VI requirements.

Although several reports describe transit agency practices for determining eligibility for ADA paratransit service, little has been documented about how transit agencies manage appeals by applicants who are determined to be “not eligible” or who are found “conditionally eligible,” including temporary eligibility.

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