{
  "name": "medfrail Medicaid fair-hearing (appeal) library",
  "version": "2026-10-22b",
  "note": "How long a person has to ask for a Medicaid fair hearing, whether coverage continues while they wait, and where to send the request, as each state's Medicaid agency publishes it. Every state line names its source and the date it was read. A field the state has not published reads 'not published'. A state whose page has not been read yet says so (checked: null). The agency and a hearing officer decide every case; this file only says what was published. Built for medfrail.com/appeal and for people's own AI assistants.",
  "federal": {
    "deadline_floor": "Each state must allow a reasonable time to ask for a hearing, not more than 90 days from the date the notice of action is mailed (42 CFR 431.221(d)). A state can allow less; the time on your notice is the one that counts.",
    "deadline_max_days": 90,
    "keep_benefits": "If the state sends the advance notice and you ask for a hearing before the date of action, the state may not end or reduce your coverage until the hearing decides, unless the only issue is federal or state law or policy (42 CFR 431.230).",
    "reinstate": "A state may reinstate coverage if you ask for a hearing not more than 10 days after the date of action (42 CFR 431.231).",
    "advance_notice": "The state generally has to mail the notice at least 10 days before the date of action (42 CFR 431.211).",
    "who_decides": "A hearing officer decides the appeal; the state Medicaid agency issues the final decision. A legal aid office can help, usually at no cost to people with low income.",
    "sources": [
      {
        "title": "42 CFR 431.221(d), time to request a hearing (eCFR)",
        "url": "https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-C/part-431/subpart-E#p-431.221(d)"
      },
      {
        "title": "42 CFR 431.230, maintaining services (eCFR)",
        "url": "https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-C/part-431/subpart-E#p-431.230(a)"
      },
      {
        "title": "42 CFR 431.231, reinstating services (eCFR)",
        "url": "https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-C/part-431/subpart-E#p-431.231(a)"
      },
      {
        "title": "42 CFR 431.211, advance notice (eCFR)",
        "url": "https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-C/part-431/subpart-E#p-431.211"
      },
      {
        "title": "Legal Services Corporation, find legal aid near you",
        "url": "https://www.lsc.gov/about-lsc/what-legal-aid/i-need-legal-help"
      }
    ],
    "quotes": [
      {
        "quote": "The agency must allow the applicant or beneficiary a reasonable time, not to exceed 90 days from the date that notice of action is mailed, to request a hearings [sic].",
        "url": "https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-C/part-431/subpart-E#p-431.221(d)"
      },
      {
        "quote": "the beneficiary requests a hearing before the date of action, the agency may not terminate or reduce services until a decision is rendered after the hearing",
        "url": "https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-C/part-431/subpart-E#p-431.230(a)"
      }
    ],
    "checked": "2026-10-22"
  },
  "states": {
    "AK": {
      "name": "Alaska",
      "deadline": "not published",
      "deadline_days": null,
      "keep_benefits": "not published",
      "keep_benefits_by": "not published",
      "file_with": "not published",
      "mail_to": null,
      "how_to_file": [],
      "sources": [],
      "quotes": [],
      "unknowns": [
        "This state's own fair-hearing page has not been read for this file yet. Your notice gives your deadline and where to send the request."
      ],
      "source_tier": "not checked",
      "checked": null
    },
    "AL": {
      "name": "Alabama",
      "deadline": "not published",
      "deadline_days": null,
      "keep_benefits": "not published",
      "keep_benefits_by": "not published",
      "file_with": "not published",
      "mail_to": null,
      "how_to_file": [],
      "sources": [],
      "quotes": [],
      "unknowns": [
        "This state's own fair-hearing page has not been read for this file yet. Your notice gives your deadline and where to send the request."
      ],
      "source_tier": "not checked",
      "checked": null
    },
    "AR": {
      "name": "Arkansas",
      "deadline": "not published",
      "deadline_days": null,
      "keep_benefits": "not published",
      "keep_benefits_by": "not published",
      "file_with": "not published",
      "mail_to": null,
      "how_to_file": [],
      "sources": [],
      "quotes": [],
      "unknowns": [
        "This state's own fair-hearing page has not been read for this file yet. Your notice gives your deadline and where to send the request."
      ],
      "source_tier": "not checked",
      "checked": null
    },
    "AZ": {
      "name": "Arizona",
      "deadline": "not published",
      "deadline_days": null,
      "keep_benefits": "not published",
      "keep_benefits_by": "not published",
      "file_with": "not published",
      "mail_to": null,
      "how_to_file": [],
      "sources": [],
      "quotes": [],
      "unknowns": [
        "This state's own fair-hearing page has not been read for this file yet. Your notice gives your deadline and where to send the request."
      ],
      "source_tier": "not checked",
      "checked": null
    },
    "CA": {
      "name": "California",
      "deadline": "90 days to request a state hearing. For Medi-Cal renewal (redetermination) decisions, the state has a temporary federal approval to allow 120 days from the date the notice was mailed.",
      "deadline_days": 90,
      "keep_benefits": "Yes, if you file your hearing request before the effective date shown on the Notice of Action (\"aid pending\").",
      "keep_benefits_by": "before_effective_date",
      "file_with": "California Department of Social Services, State Hearings Division (or your county welfare department, at the address on your notice).",
      "mail_to": [
        "California Department of Social Services",
        "State Hearings Division",
        "P.O. Box 944243, Mail Station 9-17-442",
        "Sacramento, CA 94244-2430"
      ],
      "how_to_file": [
        "Online: https://acms.dss.ca.gov/acms/login.request.do",
        "Phone: (800) 743-8525 (State Hearings Division; also for an expedited hearing).",
        "Mail to the address above, or to your county welfare department at the address on your Notice of Action."
      ],
      "sources": [
        "https://www.cdss.ca.gov/hearing-requests",
        "https://www.cdss.ca.gov/inforesources/state-hearings/general-information"
      ],
      "quotes": [
        {
          "quote": "you have 90 days to request a state hearing.",
          "url": "https://www.cdss.ca.gov/hearing-requests"
        },
        {
          "quote": "temporarily extend the timeframe permitted for Medi-Cal members to request a redetermination eligibility-related fair hearing to 120 days from the date the notice of action is mailed.",
          "url": "https://www.cdss.ca.gov/hearing-requests"
        },
        {
          "quote": "IF you file your hearing request BEFORE the effective date shown on the Notice of Action. This is called AID PENDING.",
          "url": "https://www.cdss.ca.gov/inforesources/state-hearings/general-information"
        }
      ],
      "unknowns": [
        "When the temporary 120-day window for renewal decisions ends is not published on the page checked."
      ],
      "source_tier": "agency",
      "checked": "2026-10-22"
    },
    "CO": {
      "name": "Colorado",
      "deadline": "60 days from the date on your Notice of Action.",
      "deadline_days": 60,
      "keep_benefits": "Yes, if you are a current member and the Office of Administrative Courts gets your request no later than 10 days after the date of action (the date the change takes effect). If you are applying for the first time and are denied, you can appeal, but coverage does not continue.",
      "keep_benefits_by": "other",
      "file_with": "Office of Administrative Courts (OAC). Hearings are held by an administrative law judge.",
      "mail_to": [
        "Office of Administrative Courts",
        "1525 Sherman St., 4th floor",
        "Denver, CO 80203"
      ],
      "how_to_file": [
        "Mail it, or bring it in person, to the address above.",
        "Phone: 303-866-5626 (OAC).",
        "Fax: 303-866-5909 (10 pages or fewer; otherwise mail it).",
        "Email: OAC-GS@state.co.us",
        "Online: the OAC e-filing system (you must create an account): https://oac.colorado.gov/resources/oac-e-filing-system",
        "Or use the OAC Request for State Level Hearing form: https://oac.colorado.gov/case-types/public-benefits/filing-an-appeal-public-benefits"
      ],
      "letter_must_include": [
        "Your name and mailing address",
        "Your signature (if mailing or faxing)",
        "Your daytime phone number",
        "Your Health First Colorado member ID, if you have one",
        "The decision you are appealing (you may include a copy of the letter)",
        "Why you disagree with the decision"
      ],
      "also": [
        "You can also ask your county or eligibility site for an informal meeting within the same 60 days, at the same time as the appeal.",
        "You can ask for a faster (expedited) appeal if waiting might put your life or health at risk; say the health reason."
      ],
      "legal_help": "Colorado Legal Services: 303-837-1313, coloradolegalservices.org (listed on the Health First Colorado appeals page).",
      "sources": [
        "https://www.healthfirstcolorado.gov/benefits-services/appeals/",
        "https://oac.colorado.gov/case-types/public-benefits/filing-an-appeal-public-benefits"
      ],
      "quotes": [
        {
          "quote": "You must file your appeal asking for a state fair hearing no later than 60 days after the date in your Notice of Action.",
          "url": "https://www.healthfirstcolorado.gov/benefits-services/appeals/"
        },
        {
          "quote": "The Office of Administrative Courts must get your request for an appeal no later than 10 days after the date of action.",
          "url": "https://www.healthfirstcolorado.gov/benefits-services/appeals/"
        },
        {
          "quote": "If you are applying for Health First Colorado for the first time and you do not qualify, you can appeal. However, there is no continuation of benefits.",
          "url": "https://www.healthfirstcolorado.gov/benefits-services/appeals/"
        },
        {
          "quote": "You can submit your hearing request to the OAC by email, U.S. Mail, E-filing, fax, or hand delivery.",
          "url": "https://oac.colorado.gov/case-types/public-benefits/filing-an-appeal-public-benefits"
        }
      ],
      "unknowns": [
        "The Health First Colorado page lists 303-866-2000 as the appeals phone; the OAC filing page lists 303-866-5626. This file shows the OAC number."
      ],
      "source_tier": "agency",
      "checked": "2026-10-22"
    },
    "CT": {
      "name": "Connecticut",
      "deadline": "not published",
      "deadline_days": null,
      "keep_benefits": "not published",
      "keep_benefits_by": "not published",
      "file_with": "not published",
      "mail_to": null,
      "how_to_file": [],
      "sources": [],
      "quotes": [],
      "unknowns": [
        "This state's own fair-hearing page has not been read for this file yet. Your notice gives your deadline and where to send the request."
      ],
      "source_tier": "not checked",
      "checked": null
    },
    "DC": {
      "name": "District of Columbia",
      "deadline": "not published",
      "deadline_days": null,
      "keep_benefits": "not published",
      "keep_benefits_by": "not published",
      "file_with": "not published",
      "mail_to": null,
      "how_to_file": [],
      "sources": [],
      "quotes": [],
      "unknowns": [
        "This state's own fair-hearing page has not been read for this file yet. Your notice gives your deadline and where to send the request."
      ],
      "source_tier": "not checked",
      "checked": null
    },
    "DE": {
      "name": "Delaware",
      "deadline": "not published",
      "deadline_days": null,
      "keep_benefits": "not published",
      "keep_benefits_by": "not published",
      "file_with": "not published",
      "mail_to": null,
      "how_to_file": [],
      "sources": [],
      "quotes": [],
      "unknowns": [
        "This state's own fair-hearing page has not been read for this file yet. Your notice gives your deadline and where to send the request."
      ],
      "source_tier": "not checked",
      "checked": null
    },
    "FL": {
      "name": "Florida",
      "deadline": "not published",
      "deadline_days": null,
      "keep_benefits": "not published",
      "keep_benefits_by": "not published",
      "file_with": "not published",
      "mail_to": null,
      "how_to_file": [],
      "sources": [],
      "quotes": [],
      "unknowns": [
        "This state's own fair-hearing page has not been read for this file yet. Your notice gives your deadline and where to send the request."
      ],
      "source_tier": "not checked",
      "checked": null
    },
    "GA": {
      "name": "Georgia",
      "deadline": "not published",
      "deadline_days": null,
      "keep_benefits": "not published",
      "keep_benefits_by": "not published",
      "file_with": "not published",
      "mail_to": null,
      "how_to_file": [],
      "sources": [],
      "quotes": [],
      "unknowns": [
        "This state's own fair-hearing page has not been read for this file yet. Your notice gives your deadline and where to send the request."
      ],
      "source_tier": "not checked",
      "checked": null
    },
    "HI": {
      "name": "Hawaii",
      "deadline": "not published",
      "deadline_days": null,
      "keep_benefits": "not published",
      "keep_benefits_by": "not published",
      "file_with": "not published",
      "mail_to": null,
      "how_to_file": [],
      "sources": [],
      "quotes": [],
      "unknowns": [
        "This state's own fair-hearing page has not been read for this file yet. Your notice gives your deadline and where to send the request."
      ],
      "source_tier": "not checked",
      "checked": null
    },
    "IA": {
      "name": "Iowa",
      "deadline": "not published",
      "deadline_days": null,
      "keep_benefits": "not published",
      "keep_benefits_by": "not published",
      "file_with": "not published",
      "mail_to": null,
      "how_to_file": [],
      "sources": [],
      "quotes": [],
      "unknowns": [
        "This state's own fair-hearing page has not been read for this file yet. Your notice gives your deadline and where to send the request."
      ],
      "source_tier": "not checked",
      "checked": null
    },
    "ID": {
      "name": "Idaho",
      "deadline": "not published",
      "deadline_days": null,
      "keep_benefits": "not published",
      "keep_benefits_by": "not published",
      "file_with": "not published",
      "mail_to": null,
      "how_to_file": [],
      "sources": [],
      "quotes": [],
      "unknowns": [
        "This state's own fair-hearing page has not been read for this file yet. Your notice gives your deadline and where to send the request."
      ],
      "source_tier": "not checked",
      "checked": null
    },
    "IL": {
      "name": "Illinois",
      "deadline": "60 days from the Date of Notice, which is printed at the top of the notice.",
      "deadline_days": 60,
      "keep_benefits": "Yes, if you request a hearing on or before the date your benefits are to be cut back or stopped. Your notice gives that date.",
      "keep_benefits_by": "before_effective_date",
      "file_with": "Illinois Department of Human Services (IDHS), Bureau of Hearings.",
      "mail_to": [
        "Illinois Department of Human Services",
        "Bureau of Hearings",
        "69 W. Washington, 4th Floor",
        "Chicago, Illinois 60602"
      ],
      "how_to_file": [
        "Online: ABE, https://abe.illinois.gov/abe/access/appeals (needs an ABE account) or Manage My Case.",
        "Phone: 1-800-435-0774 (voice) or 1-877-734-7429 (TTY), weekdays 8:30 am to 4:45 pm.",
        "Email: DHS.BAH@Illinois.gov",
        "Fax: 312-793-3387",
        "Mail to the address above, or take your letter to your local IDHS office."
      ],
      "sources": [
        "https://www.dhs.state.il.us/page.aspx?item=32119"
      ],
      "quotes": [
        {
          "quote": "you must appeal within a certain time from the Date of Notice. The Date of Notice is printed on the top of all IDHS notices.",
          "url": "https://www.dhs.state.il.us/page.aspx?item=32119"
        },
        {
          "quote": "If you are appealing a decision about cash assistance or Medicaid, you must appeal within 60 days.",
          "url": "https://www.dhs.state.il.us/page.aspx?item=32119"
        },
        {
          "quote": "You will continue to receive your benefits if you request a hearing on or before the date your benefits are to be cut back or stopped.",
          "url": "https://www.dhs.state.il.us/page.aspx?item=32119"
        }
      ],
      "unknowns": [],
      "source_tier": "agency",
      "checked": "2026-10-22"
    },
    "IN": {
      "name": "Indiana",
      "deadline": "not published",
      "deadline_days": null,
      "keep_benefits": "not published",
      "keep_benefits_by": "not published",
      "file_with": "not published",
      "mail_to": null,
      "how_to_file": [],
      "sources": [],
      "quotes": [],
      "unknowns": [
        "This state's own fair-hearing page has not been read for this file yet. Your notice gives your deadline and where to send the request."
      ],
      "source_tier": "not checked",
      "checked": null
    },
    "KS": {
      "name": "Kansas",
      "deadline": "not published",
      "deadline_days": null,
      "keep_benefits": "not published",
      "keep_benefits_by": "not published",
      "file_with": "not published",
      "mail_to": null,
      "how_to_file": [],
      "sources": [],
      "quotes": [],
      "unknowns": [
        "This state's own fair-hearing page has not been read for this file yet. Your notice gives your deadline and where to send the request."
      ],
      "source_tier": "not checked",
      "checked": null
    },
    "KY": {
      "name": "Kentucky",
      "deadline": "not published",
      "deadline_days": null,
      "keep_benefits": "not published",
      "keep_benefits_by": "not published",
      "file_with": "not published",
      "mail_to": null,
      "how_to_file": [],
      "sources": [],
      "quotes": [],
      "unknowns": [
        "This state's own fair-hearing page has not been read for this file yet. Your notice gives your deadline and where to send the request."
      ],
      "source_tier": "not checked",
      "checked": null
    },
    "LA": {
      "name": "Louisiana",
      "deadline": "not published",
      "deadline_days": null,
      "keep_benefits": "not published",
      "keep_benefits_by": "not published",
      "file_with": "not published",
      "mail_to": null,
      "how_to_file": [],
      "sources": [],
      "quotes": [],
      "unknowns": [
        "This state's own fair-hearing page has not been read for this file yet. Your notice gives your deadline and where to send the request."
      ],
      "source_tier": "not checked",
      "checked": null
    },
    "MA": {
      "name": "Massachusetts",
      "deadline": "60 calendar days from the date you received the notice. The Board of Hearings must receive your signed request within that time.",
      "deadline_days": 60,
      "keep_benefits": "Yes, if the Board of Hearings receives your form before the benefits stop or within 10 calendar days from the date you receive the notice, whichever is later.",
      "keep_benefits_by": "other",
      "file_with": "Office of Medicaid, Board of Hearings (MassHealth).",
      "mail_to": [
        "Office of Medicaid, Board of Hearings",
        "1 Enterprise Drive, 3rd Floor",
        "Quincy, MA 02171"
      ],
      "how_to_file": [
        "Mail the Fair Hearing Request Form to the address above.",
        "Fax: 1-617-887-8797",
        "Email: boh-fairhearingsrequest@mass.gov (attach the completed form and the notice).",
        "The form: https://www.mass.gov/doc/fair-hearing-request-form-2/download"
      ],
      "sources": [
        "https://www.mass.gov/how-to/how-to-appeal-a-masshealth-decision",
        "https://www.mass.gov/doc/fair-hearing-request-form-2/download"
      ],
      "quotes": [
        {
          "quote": "The Board of Hearings must receive your completed, signed request within 60 calendar days from the date you received the notice",
          "url": "https://www.mass.gov/how-to/how-to-appeal-a-masshealth-decision"
        },
        {
          "quote": "You'll keep your benefits if the hearing form is received either before the benefits stop or within 10 calendar days from the date you receive the MassHealth notice, whichever is later.",
          "url": "https://www.mass.gov/doc/fair-hearing-request-form-2/download"
        }
      ],
      "unknowns": [],
      "source_tier": "agency",
      "checked": "2026-10-22"
    },
    "MD": {
      "name": "Maryland",
      "deadline": "not published",
      "deadline_days": null,
      "keep_benefits": "not published",
      "keep_benefits_by": "not published",
      "file_with": "not published",
      "mail_to": null,
      "how_to_file": [],
      "sources": [],
      "quotes": [],
      "unknowns": [
        "This state's own fair-hearing page has not been read for this file yet. Your notice gives your deadline and where to send the request."
      ],
      "source_tier": "not checked",
      "checked": null
    },
    "ME": {
      "name": "Maine",
      "deadline": "not published",
      "deadline_days": null,
      "keep_benefits": "not published",
      "keep_benefits_by": "not published",
      "file_with": "not published",
      "mail_to": null,
      "how_to_file": [],
      "sources": [],
      "quotes": [],
      "unknowns": [
        "This state's own fair-hearing page has not been read for this file yet. Your notice gives your deadline and where to send the request."
      ],
      "source_tier": "not checked",
      "checked": null
    },
    "MI": {
      "name": "Michigan",
      "deadline": "90 calendar days from the date of the written notice of case action. MDHHS must receive the request in writing within the 90 days.",
      "deadline_days": 90,
      "keep_benefits": "Yes, if you request a hearing before the effective date of the action. Example from the policy: if coverage ends 01/01, you have until 12/31 to file and keep it.",
      "keep_benefits_by": "before_effective_date",
      "file_with": "Michigan Department of Health and Human Services (MDHHS), your local office. Hearings are held by the Michigan Office of Administrative Hearings and Rules (MOAHR).",
      "mail_to": null,
      "how_to_file": [
        "In writing to MDHHS. The notice of case action says where to send it."
      ],
      "sources": [
        "https://dhhs.michigan.gov/OLMWEB/EX/BP/Public/BAM/600.pdf"
      ],
      "quotes": [
        {
          "quote": "The client or AHR has 90 calendar days from the date of the written notice of case action to request a hearing.",
          "url": "https://dhhs.michigan.gov/OLMWEB/EX/BP/Public/BAM/600.pdf"
        },
        {
          "quote": "For MA ONLY the department must maintain benefits if a beneficiary requests a hearing before the effective date of the action.",
          "url": "https://dhhs.michigan.gov/OLMWEB/EX/BP/Public/BAM/600.pdf"
        }
      ],
      "unknowns": [
        "A single statewide mailing address for hearing requests: not published in the policy checked (requests go to the local office)."
      ],
      "source_tier": "agency",
      "checked": "2026-10-22"
    },
    "MN": {
      "name": "Minnesota",
      "deadline": "not published",
      "deadline_days": null,
      "keep_benefits": "not published",
      "keep_benefits_by": "not published",
      "file_with": "not published",
      "mail_to": null,
      "how_to_file": [],
      "sources": [],
      "quotes": [],
      "unknowns": [
        "This state's own fair-hearing page has not been read for this file yet. Your notice gives your deadline and where to send the request."
      ],
      "source_tier": "not checked",
      "checked": null
    },
    "MO": {
      "name": "Missouri",
      "deadline": "not published",
      "deadline_days": null,
      "keep_benefits": "not published",
      "keep_benefits_by": "not published",
      "file_with": "not published",
      "mail_to": null,
      "how_to_file": [],
      "sources": [],
      "quotes": [],
      "unknowns": [
        "This state's own fair-hearing page has not been read for this file yet. Your notice gives your deadline and where to send the request."
      ],
      "source_tier": "not checked",
      "checked": null
    },
    "MS": {
      "name": "Mississippi",
      "deadline": "not published",
      "deadline_days": null,
      "keep_benefits": "not published",
      "keep_benefits_by": "not published",
      "file_with": "not published",
      "mail_to": null,
      "how_to_file": [],
      "sources": [],
      "quotes": [],
      "unknowns": [
        "This state's own fair-hearing page has not been read for this file yet. Your notice gives your deadline and where to send the request."
      ],
      "source_tier": "not checked",
      "checked": null
    },
    "MT": {
      "name": "Montana",
      "deadline": "not published",
      "deadline_days": null,
      "keep_benefits": "not published",
      "keep_benefits_by": "not published",
      "file_with": "not published",
      "mail_to": null,
      "how_to_file": [],
      "sources": [],
      "quotes": [],
      "unknowns": [
        "This state's own fair-hearing page has not been read for this file yet. Your notice gives your deadline and where to send the request."
      ],
      "source_tier": "not checked",
      "checked": null
    },
    "NC": {
      "name": "North Carolina",
      "deadline": "Up to 60 days from the date of the letter.",
      "deadline_days": 60,
      "keep_benefits": "Your Medicaid may continue while the appeal is reviewed if you file within 10 business days of the notice.",
      "keep_benefits_by": "other",
      "file_with": "Your local Department of Social Services (DSS), which made the decision.",
      "mail_to": null,
      "how_to_file": [
        "Ask your local DSS office. The letter tells you how to appeal.",
        "NC Medicaid Contact Center: 888-245-0179."
      ],
      "sources": [
        "https://medicaid.ncdhhs.gov/documents/medicaid/how-nc-medicaid-eligibility-recertification-works-fact-sheet/download",
        "https://medicaid.ncdhhs.gov/beneficiaries/medicaid-is-changing"
      ],
      "quotes": [
        {
          "quote": "You have up to 60 days from the date of the letter to ask for an appeal.",
          "url": "https://medicaid.ncdhhs.gov/documents/medicaid/how-nc-medicaid-eligibility-recertification-works-fact-sheet/download"
        },
        {
          "quote": "If you file an appeal within 10 business days of the notice, your Medicaid may be continued while your appeal is reviewed.",
          "url": "https://medicaid.ncdhhs.gov/documents/medicaid/how-nc-medicaid-eligibility-recertification-works-fact-sheet/download"
        },
        {
          "quote": "You usually have 60 days from the date on the letter.",
          "url": "https://medicaid.ncdhhs.gov/beneficiaries/medicaid-is-changing"
        }
      ],
      "unknowns": [
        "A statewide address or form for eligibility appeals: not published on the pages checked (it goes to your county DSS)."
      ],
      "source_tier": "agency",
      "checked": "2026-10-22"
    },
    "ND": {
      "name": "North Dakota",
      "deadline": "not published",
      "deadline_days": null,
      "keep_benefits": "not published",
      "keep_benefits_by": "not published",
      "file_with": "not published",
      "mail_to": null,
      "how_to_file": [],
      "sources": [],
      "quotes": [],
      "unknowns": [
        "This state's own fair-hearing page has not been read for this file yet. Your notice gives your deadline and where to send the request."
      ],
      "source_tier": "not checked",
      "checked": null
    },
    "NE": {
      "name": "Nebraska",
      "deadline": "not published",
      "deadline_days": null,
      "keep_benefits": "not published",
      "keep_benefits_by": "not published",
      "file_with": "not published",
      "mail_to": null,
      "how_to_file": [],
      "sources": [],
      "quotes": [],
      "unknowns": [
        "This state's own fair-hearing page has not been read for this file yet. Your notice gives your deadline and where to send the request."
      ],
      "source_tier": "not checked",
      "checked": null
    },
    "NH": {
      "name": "New Hampshire",
      "deadline": "not published",
      "deadline_days": null,
      "keep_benefits": "not published",
      "keep_benefits_by": "not published",
      "file_with": "not published",
      "mail_to": null,
      "how_to_file": [],
      "sources": [],
      "quotes": [],
      "unknowns": [
        "This state's own fair-hearing page has not been read for this file yet. Your notice gives your deadline and where to send the request."
      ],
      "source_tier": "not checked",
      "checked": null
    },
    "NJ": {
      "name": "New Jersey",
      "deadline": "not published",
      "deadline_days": null,
      "keep_benefits": "not published",
      "keep_benefits_by": "not published",
      "file_with": "not published",
      "mail_to": null,
      "how_to_file": [],
      "sources": [],
      "quotes": [],
      "unknowns": [
        "This state's own fair-hearing page has not been read for this file yet. Your notice gives your deadline and where to send the request."
      ],
      "source_tier": "not checked",
      "checked": null
    },
    "NM": {
      "name": "New Mexico",
      "deadline": "not published",
      "deadline_days": null,
      "keep_benefits": "not published",
      "keep_benefits_by": "not published",
      "file_with": "not published",
      "mail_to": null,
      "how_to_file": [],
      "sources": [],
      "quotes": [],
      "unknowns": [
        "This state's own fair-hearing page has not been read for this file yet. Your notice gives your deadline and where to send the request."
      ],
      "source_tier": "not checked",
      "checked": null
    },
    "NV": {
      "name": "Nevada",
      "deadline": "not published",
      "deadline_days": null,
      "keep_benefits": "not published",
      "keep_benefits_by": "not published",
      "file_with": "not published",
      "mail_to": null,
      "how_to_file": [],
      "sources": [],
      "quotes": [],
      "unknowns": [
        "This state's own fair-hearing page has not been read for this file yet. Your notice gives your deadline and where to send the request."
      ],
      "source_tier": "not checked",
      "checked": null
    },
    "NY": {
      "name": "New York",
      "deadline": "60 days from the date of the notice. Your notice says whether your limit is 60 or 90 days.",
      "deadline_days": 60,
      "keep_benefits": "Yes, in most cases, if you ask for a Fair Hearing before the effective date on your notice (\"aid continuing\"). If the notice came after the effective date, ask within 10 days of the postmark date. If you lose, you may have to pay back Medical Assistance you got while waiting.",
      "keep_benefits_by": "before_effective_date",
      "file_with": "New York State Office of Temporary and Disability Assistance (OTDA), Office of Administrative Hearings.",
      "mail_to": [
        "NYS Office of Temporary and Disability Assistance",
        "Office of Administrative Hearings",
        "P.O. Box 1930",
        "Albany, NY 12201-1930"
      ],
      "how_to_file": [
        "Online: https://errswebnet.otda.ny.gov/erequestform.aspx",
        "Phone: 1-800-342-3334 (statewide).",
        "Fax: 518-473-6735",
        "Mail to the address above.",
        "In person: New York City and Albany only.",
        "About a managed care or managed long term care plan: Managed Care Hearing Unit, P.O. Box 22023, Albany, NY 12201-2023."
      ],
      "sources": [
        "https://otda.ny.gov/hearings/faq.asp",
        "https://otda.ny.gov/hearings/request/"
      ],
      "quotes": [
        {
          "quote": "you may ask for a Fair Hearing within 60 days from the date of the notice.",
          "url": "https://otda.ny.gov/hearings/faq.asp"
        },
        {
          "quote": "Your notice will tell you whether the time limit is 60 days or 90 days.",
          "url": "https://otda.ny.gov/hearings/faq.asp"
        },
        {
          "quote": "you ask for a Fair Hearing before the effective date on your notice, your money or other help will, in most instances, stay the same",
          "url": "https://otda.ny.gov/hearings/faq.asp"
        },
        {
          "quote": "To preserve any aid-continuing rights, be sure to fax or postmark your request as described in the Notice of Intent.",
          "url": "https://otda.ny.gov/hearings/request/"
        }
      ],
      "unknowns": [],
      "source_tier": "agency",
      "checked": "2026-10-22"
    },
    "OH": {
      "name": "Ohio",
      "deadline": "90 calendar days, starting the day after the notice of action is mailed. The request counts on the day the state or county agency receives it.",
      "deadline_days": 90,
      "keep_benefits": "Yes, if the state, your managed care plan or the county agency receives your hearing request within the 15-calendar-day prior notice period.",
      "keep_benefits_by": "other",
      "file_with": "Ohio Department of Job and Family Services (ODJFS), Bureau of State Hearings, or your county agency. A request can be made by phone, in writing or online.",
      "mail_to": null,
      "how_to_file": [
        "Online: the SHARE portal, https://hearings.jfs.ohio.gov/apps/SHARE/",
        "Phone: (866) 635-3748",
        "Fax: (614) 728-9574",
        "TTY: (614) 728-2985"
      ],
      "sources": [
        "https://codes.ohio.gov/ohio-administrative-code/rule-5101:6-3-02",
        "https://codes.ohio.gov/ohio-administrative-code/rule-5101:6-4-01",
        "https://jfs.ohio.gov/about/our-offices-bureaus-and-committees/bureau-of-state-hearings",
        "https://hearings.jfs.ohio.gov/apps/SHARE/"
      ],
      "quotes": [
        {
          "quote": "The individual shall be allowed ninety calendar days to request a hearing on any action or inaction.",
          "url": "https://codes.ohio.gov/ohio-administrative-code/rule-5101:6-3-02"
        },
        {
          "quote": "The ninety-day period begins on the day after the date the notice of action is mailed.",
          "url": "https://codes.ohio.gov/ohio-administrative-code/rule-5101:6-3-02"
        },
        {
          "quote": "within the fifteen-calendar day prior notice period, benefits will not be reduced, suspended, or terminated until a state hearing decision is rendered",
          "url": "https://codes.ohio.gov/ohio-administrative-code/rule-5101:6-4-01"
        }
      ],
      "unknowns": [
        "A mailing address for hearing requests: not published on the pages checked."
      ],
      "source_tier": "state rule (Ohio Administrative Code) plus agency page",
      "checked": "2026-10-22"
    },
    "OK": {
      "name": "Oklahoma",
      "deadline": "not published",
      "deadline_days": null,
      "keep_benefits": "not published",
      "keep_benefits_by": "not published",
      "file_with": "not published",
      "mail_to": null,
      "how_to_file": [],
      "sources": [],
      "quotes": [],
      "unknowns": [
        "This state's own fair-hearing page has not been read for this file yet. Your notice gives your deadline and where to send the request."
      ],
      "source_tier": "not checked",
      "checked": null
    },
    "OR": {
      "name": "Oregon",
      "deadline": "not published",
      "deadline_days": null,
      "keep_benefits": "not published",
      "keep_benefits_by": "not published",
      "file_with": "not published",
      "mail_to": null,
      "how_to_file": [],
      "sources": [],
      "quotes": [],
      "unknowns": [
        "This state's own fair-hearing page has not been read for this file yet. Your notice gives your deadline and where to send the request."
      ],
      "source_tier": "not checked",
      "checked": null
    },
    "PA": {
      "name": "Pennsylvania",
      "deadline": "not published",
      "deadline_days": null,
      "keep_benefits": "not published",
      "keep_benefits_by": "not published",
      "file_with": "The Department of Human Services office that made the decision (usually your County Assistance Office). It forwards the appeal to the Bureau of Hearings and Appeals (BHA).",
      "mail_to": null,
      "how_to_file": [
        "File with the DHS office that took the action. Your letter says how and when.",
        "Questions: call the phone number on your letter. BHA: (717) 783-3950."
      ],
      "sources": [
        "https://www.pa.gov/services/dhs/hearings-and-appeals-dhs",
        "https://www.pa.gov/agencies/dhs/resources/hearings-and-appeals"
      ],
      "quotes": [
        {
          "quote": "Appeals are filed with the DHS office that made the action. You must file an appeal within a set time frame.",
          "url": "https://www.pa.gov/services/dhs/hearings-and-appeals-dhs"
        },
        {
          "quote": "The letter outlining DHS' action includes information about how and when to file your appeal.",
          "url": "https://www.pa.gov/services/dhs/hearings-and-appeals-dhs"
        }
      ],
      "unknowns": [
        "The number of days to appeal a Medical Assistance decision: not published on the pages checked.",
        "Whether coverage continues during the appeal: not published on the pages checked."
      ],
      "source_tier": "agency",
      "checked": "2026-10-22"
    },
    "RI": {
      "name": "Rhode Island",
      "deadline": "not published",
      "deadline_days": null,
      "keep_benefits": "not published",
      "keep_benefits_by": "not published",
      "file_with": "not published",
      "mail_to": null,
      "how_to_file": [],
      "sources": [],
      "quotes": [],
      "unknowns": [
        "This state's own fair-hearing page has not been read for this file yet. Your notice gives your deadline and where to send the request."
      ],
      "source_tier": "not checked",
      "checked": null
    },
    "SC": {
      "name": "South Carolina",
      "deadline": "not published",
      "deadline_days": null,
      "keep_benefits": "not published",
      "keep_benefits_by": "not published",
      "file_with": "not published",
      "mail_to": null,
      "how_to_file": [],
      "sources": [],
      "quotes": [],
      "unknowns": [
        "This state's own fair-hearing page has not been read for this file yet. Your notice gives your deadline and where to send the request."
      ],
      "source_tier": "not checked",
      "checked": null
    },
    "SD": {
      "name": "South Dakota",
      "deadline": "not published",
      "deadline_days": null,
      "keep_benefits": "not published",
      "keep_benefits_by": "not published",
      "file_with": "not published",
      "mail_to": null,
      "how_to_file": [],
      "sources": [],
      "quotes": [],
      "unknowns": [
        "This state's own fair-hearing page has not been read for this file yet. Your notice gives your deadline and where to send the request."
      ],
      "source_tier": "not checked",
      "checked": null
    },
    "TN": {
      "name": "Tennessee",
      "deadline": "not published",
      "deadline_days": null,
      "keep_benefits": "not published",
      "keep_benefits_by": "not published",
      "file_with": "not published",
      "mail_to": null,
      "how_to_file": [],
      "sources": [],
      "quotes": [],
      "unknowns": [
        "This state's own fair-hearing page has not been read for this file yet. Your notice gives your deadline and where to send the request."
      ],
      "source_tier": "not checked",
      "checked": null
    },
    "TX": {
      "name": "Texas",
      "deadline": "90 days from the date of the case action or the effective date on the Notice of Case Action (120 days for actions by a managed care plan).",
      "deadline_days": 90,
      "keep_benefits": "not published",
      "keep_benefits_by": "not published",
      "file_with": "Texas Health and Human Services Commission (HHSC).",
      "mail_to": null,
      "how_to_file": [
        "In writing.",
        "Call 2-1-1.",
        "Visit a local HHSC office."
      ],
      "sources": [
        "https://www.hhs.texas.gov/contact/complaints-appeals/fair-fraud-hearings",
        "https://fhb.hhs.texas.gov/handbooks/fair-fraud-hearings-handbook/1400-submitting-a-fair-hearing-request-summary"
      ],
      "quotes": [
        {
          "quote": "Most appeal requests can be made in writing, by calling 2-1-1, or by visiting a local HHSC office within 90 days from either the date of the case action or the effective date on the Notice of Case Action",
          "url": "https://www.hhs.texas.gov/contact/complaints-appeals/fair-fraud-hearings"
        },
        {
          "quote": "The appellant has a right to file an appeal within 90 calendar days from the effective date of the action or from the notice of adverse action date, whichever is later.",
          "url": "https://fhb.hhs.texas.gov/handbooks/fair-fraud-hearings-handbook/1400-submitting-a-fair-hearing-request-summary"
        }
      ],
      "unknowns": [
        "Whether and how Medicaid coverage continues during an appeal: not published on the pages checked. Federal rule: ask before the date of action (42 CFR 431.230)."
      ],
      "source_tier": "agency",
      "checked": "2026-10-22"
    },
    "UT": {
      "name": "Utah",
      "deadline": "not published",
      "deadline_days": null,
      "keep_benefits": "not published",
      "keep_benefits_by": "not published",
      "file_with": "not published",
      "mail_to": null,
      "how_to_file": [],
      "sources": [],
      "quotes": [],
      "unknowns": [
        "This state's own fair-hearing page has not been read for this file yet. Your notice gives your deadline and where to send the request."
      ],
      "source_tier": "not checked",
      "checked": null
    },
    "VA": {
      "name": "Virginia",
      "deadline": "In most cases, 30 days from the date you receive the written notice. You are presumed to receive it 5 days after it is mailed.",
      "deadline_days": 30,
      "keep_benefits": "You may ask to keep coverage during the appeal if you file before the date coverage ends or within 10 days of the date on the notice.",
      "keep_benefits_by": "other",
      "file_with": "Department of Medical Assistance Services (DMAS), Appeals Division.",
      "mail_to": [
        "Appeals Division",
        "Department of Medical Assistance Services",
        "600 E. Broad Street",
        "Richmond, VA 23219"
      ],
      "how_to_file": [
        "Online: the AIMS portal (linked from the DMAS appeals page).",
        "Email: appeals@dmas.virginia.gov",
        "Fax: (804) 452-5454",
        "Phone: (804) 371-8488",
        "Mail it, or bring it, to the address above."
      ],
      "sources": [
        "https://www.dmas.virginia.gov/appeals/applicant-member-appeals-resources/",
        "https://www.dmas.virginia.gov/media/3221/client-appeals-frequently-asked-questions-2021-05-21.pdf"
      ],
      "quotes": [
        {
          "quote": "In most cases, the time limit is 30 days from the date you receive the written notice of action from the agency.",
          "url": "https://www.dmas.virginia.gov/media/3221/client-appeals-frequently-asked-questions-2021-05-21.pdf"
        },
        {
          "quote": "It is presumed that you will receive the notice five days after the agency mails the notice",
          "url": "https://www.dmas.virginia.gov/media/3221/client-appeals-frequently-asked-questions-2021-05-21.pdf"
        },
        {
          "quote": "if you file your appeal request before the date coverage is terminated or within 10 days of the date stated on the notice of action you are appealing.",
          "url": "https://www.dmas.virginia.gov/media/3221/client-appeals-frequently-asked-questions-2021-05-21.pdf"
        },
        {
          "quote": "Email the appeal request to: appeals@dmas.virginia.gov",
          "url": "https://www.dmas.virginia.gov/appeals/applicant-member-appeals-resources/"
        }
      ],
      "unknowns": [
        "The deadline and continued-coverage rule come from a DMAS FAQ dated 2021-05-21; the current appeals page does not restate them."
      ],
      "source_tier": "agency",
      "checked": "2026-10-22"
    },
    "VT": {
      "name": "Vermont",
      "deadline": "not published",
      "deadline_days": null,
      "keep_benefits": "not published",
      "keep_benefits_by": "not published",
      "file_with": "not published",
      "mail_to": null,
      "how_to_file": [],
      "sources": [],
      "quotes": [],
      "unknowns": [
        "This state's own fair-hearing page has not been read for this file yet. Your notice gives your deadline and where to send the request."
      ],
      "source_tier": "not checked",
      "checked": null
    },
    "WA": {
      "name": "Washington",
      "deadline": "90 days from the date at the top of the notice.",
      "deadline_days": 90,
      "keep_benefits": "Yes, if you ask for a hearing within 10 days of receiving the notice or by the end of the month, whichever is later. If you lose, you may have to pay back up to 60 days of the continued coverage. Coverage does not continue while you appeal the denial of an application.",
      "keep_benefits_by": "other",
      "file_with": "Washington State Health Care Authority (HCA).",
      "mail_to": [
        "Health Care Authority",
        "PO Box 45504",
        "Olympia, WA 98504-5504"
      ],
      "how_to_file": [
        "Phone: 1-855-923-4633 (1-855-WAFINDER) or 1-800-562-3022.",
        "Fax: 1-360-586-9080",
        "Mail a letter, or form HCA 12-511, to the address above."
      ],
      "sources": [
        "https://www.hca.wa.gov/assets/free-or-low-cost/12-506.pdf"
      ],
      "quotes": [
        {
          "quote": "You have 90 days from the date at the top of the notice we mailed you to request a hearing.",
          "url": "https://www.hca.wa.gov/assets/free-or-low-cost/12-506.pdf"
        },
        {
          "quote": "you must ask for a hearing within 10 days of receiving this notice or by the end of the month, whichever is later.",
          "url": "https://www.hca.wa.gov/assets/free-or-low-cost/12-506.pdf"
        },
        {
          "quote": "If you receive continued coverage and lose your hearing, you may have to pay back up to 60 days of the continued coverage.",
          "url": "https://www.hca.wa.gov/assets/free-or-low-cost/12-506.pdf"
        },
        {
          "quote": "You cannot receive coverage while waiting for a hearing to challenge the denial of your Washington Apple Health application.",
          "url": "https://www.hca.wa.gov/assets/free-or-low-cost/12-506.pdf"
        }
      ],
      "unknowns": [
        "The page checked is form HCA 12-506, revision dated 10/16."
      ],
      "source_tier": "agency",
      "checked": "2026-10-22"
    },
    "WI": {
      "name": "Wisconsin",
      "deadline": "not published",
      "deadline_days": null,
      "keep_benefits": "not published",
      "keep_benefits_by": "not published",
      "file_with": "not published",
      "mail_to": null,
      "how_to_file": [],
      "sources": [],
      "quotes": [],
      "unknowns": [
        "This state's own fair-hearing page has not been read for this file yet. Your notice gives your deadline and where to send the request."
      ],
      "source_tier": "not checked",
      "checked": null
    },
    "WV": {
      "name": "West Virginia",
      "deadline": "not published",
      "deadline_days": null,
      "keep_benefits": "not published",
      "keep_benefits_by": "not published",
      "file_with": "not published",
      "mail_to": null,
      "how_to_file": [],
      "sources": [],
      "quotes": [],
      "unknowns": [
        "This state's own fair-hearing page has not been read for this file yet. Your notice gives your deadline and where to send the request."
      ],
      "source_tier": "not checked",
      "checked": null
    },
    "WY": {
      "name": "Wyoming",
      "deadline": "not published",
      "deadline_days": null,
      "keep_benefits": "not published",
      "keep_benefits_by": "not published",
      "file_with": "not published",
      "mail_to": null,
      "how_to_file": [],
      "sources": [],
      "quotes": [],
      "unknowns": [
        "This state's own fair-hearing page has not been read for this file yet. Your notice gives your deadline and where to send the request."
      ],
      "source_tier": "not checked",
      "checked": null
    }
  }
}