A guide to the Medicaid appeals process

This background brief by the Kaiser Family Foundation provides a comprehensive look at the appeals process for the Medicaid program. The Medicaid appeals process provides redress for individual applicants and beneficiaries seeking eligibility for the program or coverage of prescribed services, but the process is multi-layered and can be complex to navigate. The guide describes Medicaid’s appeals system, including the fair hearing and appeals processes required for Medicaid managed care organizations. 

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