Sedgwick County Developmental Disability Appeal Instructions
This file provides essential information regarding the appeals process for functional assessments and eligibility determinations within Sedgwick County. It outlines both internal review and administrative hearing procedures, along with contact details for the Sedgwick County Developmental Disability Organization. Users can find clear instructions and necessary steps for submitting their appeals.
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How do I fill this out?
To fill out this file, start by understanding your rights to appeal a functional assessment. Gather the necessary documentation and complete the appeal form accurately. Follow the specific submission guidelines to ensure your appeal is received and processed.

How to fill out the Sedgwick County Developmental Disability Appeal Instructions?
1
Review the reasons for your appeal.
2
Gather all relevant documentation needed to support your case.
3
Complete the appeal form carefully, ensuring all information is accurate.
4
Submit your appeal form via the specified method (mail, fax, email).
5
Keep a copy of your submission for your records.
Who needs the Sedgwick County Developmental Disability Appeal Instructions?
1
Individuals seeking to contest a functional assessment score.
2
Guardians acting on behalf of their dependents to ensure proper assessment.
3
Professionals in disability services requiring knowledge of appeal processes.
4
Anyone unsure about their eligibility for I/DD services.
5
Stakeholders involved in the care and advocacy for individuals with disabilities.
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What are the instructions for submitting this form?
To submit this form, complete the appeal form and any required documentation fully. You can send the submission via email to scddo@sedgwick.gov, fax to 316-660-9411, or mail it to the Office of Administrative Hearings at 1020 S. Kansas Avenue, Topeka, Kansas 66612. For best results, ensure to submit within 30 days of receiving your notice.
What are the important dates for this form in 2024 and 2025?
Important dates related to this form for 2024 include the annual review process taking place in your birth month. For eligibility determinations, be aware of deadlines for appeals which include 30 days post noticification. In 2025, similar guidelines will apply with specific dates released in advance to the community.

What is the purpose of this form?
The purpose of this form is to provide individuals within Sedgwick County a clear framework for appealing decisions regarding functional assessments and I/DD service eligibility. It aims to ensure that individuals receive fair treatment and can contest assessments that they believe to be inaccurate. This process is crucial for maintaining the rights of individuals with developmental disabilities and providing a mechanism for review and adjustment of assessment results.

Tell me about this form and its components and fields line-by-line.

- 1. Appeal Reason: A section where the appellant specifies the reasons for their appeal.
- 2. Personal Information: Fields capturing the name, contact information, and identification of the individual appealing.
- 3. Documentation: A checklist where the appellant can include necessary supporting documents.
- 4. Submission Method: Options for how the appeal can be submitted: mail, fax, or email.
- 5. Signature: A field for the appellant's signature to validate the appeal.
What happens if I fail to submit this form?
Failure to submit this form can lead to the inability to contest an unfavorable assessment or eligibility determination. This may result in a lack of access to necessary services and supports for individuals with disabilities.
- Inaccurate Assessment: Without appeal, any inaccuracies in assessment may remain unaddressed.
- Loss of Access to Services: Individuals may miss out on vital services if they fail to appeal.
- Lack of Advocacy: Not appealing can silence individual needs and concerns.
How do I know when to use this form?

- 1. Appeal Assessment Scores: Use this form to challenge the score given in a functional assessment.
- 2. Challenge Eligibility Determination: This form is needed when you believe you’ve been wrongly deemed ineligible for services.
- 3. Request Internal Review: Use this form to request an internal review during the specified timeframe.
Frequently Asked Questions
What is the purpose of this file?
This file provides guidelines for appealing functional assessments and eligibility determinations.
How can I access the appeal form?
You can download the appeal form directly from this page.
What information do I need to provide for my appeal?
Ensure to include personal details and specific reasons for your appeal.
Can I submit my appeal via email?
Yes, appeals can be sent via email to the provided address.
What happens after I submit my appeal?
You will receive a confirmation and details regarding the next steps.
Is there a deadline for submitting appeals?
Yes, appeals should be submitted within 30 days of receiving the decision notice.
How do I prepare for an administrative hearing?
Gather all relevant documentation and understand the details of your case.
Can family members assist with the appeal?
Yes, guardians and advocates can assist individuals in the appeals process.
Where can I find additional resources?
Additional resources can be found on the Sedgwick County Developmental Disability Organization's website.
Is there help available for filling out the form?
Yes, assistance is available through local advocacy groups and the SCDDO.
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