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APPEAL PROCESS

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Medicaid Appeal Process

You have the Right To Appeal...

As a Medicaid applicant/recipient you have the right at any time to request a fair hearing from the SC Department of Health and Human Services regarding a decision affecting Medicaid eligibility or services. To initiate the appeal process, you or your representative must submit a written request to the following address no later than thirty (30) calendar days from the receipt of written notification of any action adversely affecting your Medicaid coverage

Division of Appeals and Hearings
SC Department of Health and Human Services
P.O. Box 8206
Columbia, SC 29202-8206

You may be eligible to receive continued Medicaid benefits pending a hearing decision.  If the hearing decision is not in your favor, you may be required to repay Medicaid benefits received during the appeals process.

Please attach a copy of the written notification with your appeal request. In your request for a fair hearing, you must state with specificity which issue(s) you wish to appeal.

Waiver Services and Requirements are subject to change. To ensure you have current information contact the Richland/Lexington Disabilities and Special Needs Board.

Download the Appeals Process in Microsoft Word
Richland/Lexington Disabilities and Special Needs Board
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