Right to Examine Case File and Documents, or "Discovery"

(A) Appeals of MassHealth Determinations. The appellant will have reasonable opportunity to examine the entire contents of the appellant's case file, as well as all documents and records to be used by the MassHealth agency at the hearing. An appointment must be scheduled in advance with the appropriate MassHealth Enrollment Center (MEC) or MassHealth agency unit for examination of the case file. (B) Appeals of PASRR Determinations. The appellant will have reasonable opportunity to examine the appellant’s PASRR evaluation, including all documents and records used in performing the evaluation, as well as all documents and records to be used at the hearing by the department that issued the PASRR determination. An appointment to examine the documents must be scheduled in advance with the department that issued the PASRR determination.