ADAP – Appeal a decision

The CAP reviews non-medical decisions, including:

• your general eligibility for ADAP (for example, age and residency)
• your financial eligibility
• decision to change, stop, or not approve your monthly or non-medical benefits 
• the date your benefits will start
• whether you have an overpayment or underpayment

The MAP reviews medical eligibility decisions, including:

• whether you have a ‘severe disability’
• whether you should be referred to the Medical Review Panel for an AISH eligibility determination
• whether you are medically eligible for ADAP

The following decisions cannot be appealed:

• The transition of your file from AISH to ADAP
• The decision that determines you are not medically eligible for AISH, including decisions made by the AISH Medical Review Panel 

The CAP hears non-medical appeals such as financial and general eligibility decisions for both AISH and ADAP. The CAP:

• is made up of private citizens who are not Government of Alberta employees
• has the authority and training to hear your appeal
• may agree with, reverse, or change part of the program’s decision
• makes decisions that are final and not subject to further appeal within the program

The MAP reviews appeals related to medical eligibility, including severe disability determinations. The MAP:

• is made up of health professionals who are not Government of Alberta employees
• has the authority and training to hear your appeal
• may agree with, reverse or change decisions about whether an applicant has a severe disability or should be referred to the AISH Medical Review Panel
• makes decisions that are final and not subject to further appeal within the program

Before you file an appeal, consider whether there is new information you can provide to ADAP that might change the decision. If so:

• let the program know about any new personal, financial, or medical information you are waiting for
• provide any new information to ADAP as soon as you have it

If you cannot file or did not file your appeal within the 30-day deadline, you can ask for more time by:

• completing the relevant section on the Notice of Appeal Form
• sending a letter or email to the Appeals Secretariat asking for more time, including:

• when you received the decision you are appealing
• when you found out you had 30 days to appeal
• why you were unable to appeal within the 30-day deadline

The Minister’s delegate at the Appeals Secretariat will review your request and let you know in writing whether more time will be allowed. If more time is not allowed, your appeal will be closed and will not go to an appeal panel.

You must appeal in writing using Option A or Option B:

Option A – Fill out an appeal form

Download the Notice of Appeal Form, open it in Adobe Reader, read the instructions, fill it in, save it, and print it. You can also print a blank copy and fill it in by hand.

To get a paper copy, contact an Appeals Secretariat office to pick one up or have it sent to you by email, fax, or mail.

• Make sure the form is signed.
• Keep copies for your records.

Option B – Write an appeal letter

Make sure your letter includes:

• your name, address, email, and phone number (or those of the person authorized to appeal on your behalf)
• a description of the decision you are appealing
• the date you received the decision (by phone, in person, or by letter)
• the date you were told about your right to appeal and the 30-day deadline
• why you are appealing
• your signature (or that of your guardian or trustee)

When submitting your documents, be sure to:

• include your signed Notice of Appeal form or appeal letter, and the Authorization form if someone will act on your behalf
• include a copy of the program decision letter, if you received one
• keep copies of all documents for your own records

Submit your documents by:

• scanning and emailing them to [email protected]
• mailing or faxing them to the Appeals Secretariat office

• Someone from the program will contact you to explain next steps.
• You do not need to continue with your appeal and can choose to withdraw it.

The Appeals Secretariat will schedule your appeal hearing. Once your hearing is scheduled, you will receive:

• a document from the program explaining why their decision will not change
• copies of the documents the program used to make the decision you are appealing